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细针穿刺活检在腮腺肿瘤中的诊断价值

The Diagnostic Value of Fine Needle Aspiration Biopsy in Parotid Tumors.

作者信息

Ayral Muhammed, Akil Ferit, Yilmaz Umit, Toprak Serdar Ferit, Dedeoğlu Serkan, Akdağ Mehmet

机构信息

Otorhinolaryngology and Head and Neck Surgery, School of Medicine, Dicle University, Diyarbakir, Turkey.

Department of Otorhinolaryngology Clinic, Dicle University School of Medicine, Diyarbakir, Turkey.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5856-5860. doi: 10.1007/s12070-021-02451-w. Epub 2021 Feb 26.

Abstract

The aim of this study was to investigate the diagnostic accuracy rates of the patients who underwent an operation for parotid mass, by comparing their fine needle aspiration biopsy (FNAB) cytology results with the final pathology. A total of 136 patient files of those who applied to Otorhinolaryngology clinic due to parotid mass and underwent parotidectomy procedure between 2010 and 2020 at a tertiary center were scanned retrospectively. Database on patient age, gender, preoperative FNAB results, and final surgical histopathology results was created. The mean age of the patients was 48.26 ± 17.37 Superficial parotidectomy was performed to 108 (79.4%) and total parotidectomy to 28 (20.6%) of the patients. The sensitivity of FNAB was found as 85.2%, specificity as 96.2%, positive predictive value as 85.2%, negative predictive value as 96.2% and accuracy as 94.0%. It is found that FNAB has the high specificity and high negative predictive value with high diagnostic accuracy on detecting preoperative malignancy in parotid gland. We think that FNAB is a significant, necessary and safe method in the diagnosis of parotid lesions in preoperative sense.

摘要

本研究的目的是通过比较腮腺肿块患者的细针穿刺活检(FNAB)细胞学结果与最终病理结果,来调查接受腮腺肿块手术患者的诊断准确率。回顾性扫描了2010年至2020年期间在一家三级中心因腮腺肿块就诊并接受腮腺切除术的136例患者的病历。创建了关于患者年龄、性别、术前FNAB结果和最终手术组织病理学结果的数据库。患者的平均年龄为48.26±17.37岁。108例(79.4%)患者进行了浅叶腮腺切除术,28例(20.6%)患者进行了全腮腺切除术。FNAB的敏感性为85.2%,特异性为96.2%,阳性预测值为85.2%,阴性预测值为96.2%,准确率为94.0%。研究发现,FNAB在检测腮腺术前恶性肿瘤方面具有高特异性、高阴性预测值和高诊断准确率。我们认为,FNAB在术前诊断腮腺病变方面是一种重要、必要且安全的方法。

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