外科医师操作超声引导下细针抽吸活检术诊断腮腺肿瘤。
Surgeon-performed ultrasound with fine-needle aspiration biopsy for the diagnosis of parotid gland tumors.
机构信息
Department of Otolaryngology - Head and Neck Surgery, University Medical Center Maribor, Maribor, Slovenia.
出版信息
Head Neck. 2021 Jun;43(6):1739-1746. doi: 10.1002/hed.26630. Epub 2021 Feb 5.
BACKGROUND
Ultrasound (US) with or without fine-needle aspiration cytology (FNAC) are readily available and can offer in office and rapid diagnosis of parotid lumps.
METHODS
We analyzed 398 of patients who underwent blind FNAC or US with FNAC performed by an operating head and neck surgeon. Specificity, sensitivity, as well as accuracy were calculated for US alone, FNAC alone, and US-FNAC combined.
RESULTS
Nondiagnostic US-guided FNAC rate was 3.1% and 7.2% for blind FNAC. With those cases removed, final accuracy for US alone in diagnosis of malignancy, pleomorphic adenoma (PA), and Warthin tumor (WT) were 90.8%, 81%, and 77.4% respectively. For US-FNAC accuracy for malignancy, PA, and WT were 92.1%, 94 0.8%, and 95.4% respectively.
CONCLUSION
US with FNAC is cost-effective and rapid diagnostic tool and may help surgeon to deliver more accurate informed consent to a patient.
背景
超声（US）联合或不联合细针抽吸细胞学检查（FNAC）均可在门诊进行，能够快速诊断腮腺肿块并提供即时诊断。
方法
我们分析了 398 例行盲法 FNAC 或由头颈外科医生操作的超声引导 FNAC 的患者。我们计算了超声、FNAC 及两者联合应用的特异性、敏感性和准确性。
结果
US 引导 FNAC 的非诊断性率为 3.1%，盲法 FNAC 的非诊断性率为 7.2%。去除这些病例后，超声单独用于诊断恶性肿瘤、多形性腺瘤（PA）和沃辛瘤（WT）的准确性分别为 90.8%、81%和 77.4%。US-FNAC 对恶性肿瘤、PA 和 WT 的准确性分别为 92.1%、94.0.8%和 95.4%。
结论
US 联合 FNAC 是一种具有成本效益且快速的诊断工具，可帮助外科医生为患者提供更准确的知情同意。
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