米兰唾液腺细胞病理学报告系统：在社区环境中的采用和结果。
Milan system for reporting salivary gland cytopathology: Adoption and outcomes in a community setting.
机构信息
Department of Otolaryngology - Head and Neck Surgery, Tufts Medical Center, Boston, Massachusetts, USA.
Tufts University School of Medicine, Boston, Massachusetts, USA.
出版信息
Head Neck. 2022 Jun;44(6):1462-1467. doi: 10.1002/hed.27052. Epub 2022 Apr 7.
BACKGROUND
Milan system for reporting salivary gland cytopathology (MSRSGC) was introduced to standardize reporting of salivary gland cytopathology.
METHODS
A retrospective review of ultrasound-guided fine needle biopsy of salivary gland lesions was performed between January 2018 and May 2021 at a community otolaryngology practice. Diagnostic accuracy and rate of diagnostic sialoadenectomy were calculated.
RESULTS
A total of 203 FNAs (fine needle aspiration) were performed in 184 patients. MSRSGC was utilized in 87/203 cytopathology reports, with a diagnostic accuracy of 84%. Descriptive reporting was used in 115 FNAs, with a diagnostic accuracy of 89% (p = 0.68). Sialoadenectomy rate was 41% for MSRSGC compared to 36% in descriptive cytopathology (p = 0.48).
CONCLUSIONS
MSRSGC is as accurate as descriptive cytopathology and the rate of diagnostic sialoadenectomy between both groups is similar in our community. The MSRSGC brings uniformity and standardization to the FNA reporting process.
背景
米兰唾液腺细胞病理学报告系统（MSRSGC）旨在规范唾液腺细胞病理学报告。
方法
在社区耳鼻喉科实践中，对 2018 年 1 月至 2021 年 5 月间进行的超声引导下唾液腺病变细针活检进行了回顾性研究。计算了诊断准确性和诊断性唾液腺切除术的比率。
结果
184 名患者共进行了 203 次细针抽吸（FNA）。87/203 例细胞学报告中使用了 MSRSGC，诊断准确率为 84%。115 例 FNA 采用描述性报告，诊断准确率为 89%（p=0.68）。MSRSGC 的唾液腺切除术率为 41%，而描述性细胞病理学为 36%（p=0.48）。
结论
MSRSGC 与描述性细胞病理学一样准确，两组之间的诊断性唾液腺切除术率相似。MSRSGC 使 FNA 报告过程具有一致性和标准化。
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