Aher Tejashri S, Ekhar Vipin R, Shelkar Ritesh N, Vedi Jeevan N
Department of ENT and Head and Neck Surgery, Indira Gandhi Government Medical College, C. A. Road, Nagpur, Maharashtra India.
Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):1665-1669. doi: 10.1007/s12070-023-03693-6. Epub 2023 Mar 24.
To study the usefulness of clinical features, histopathological and radiological features in diagnosis and management of salivary gland lesions. Prospective study conducted at the department of ENT of a tertiary care centre in central India. A total of 162 patients who were treated over a period of 2 years for salivary gland lesions were studied with regards to correlation between clinical diagnosis, cytological examination and radiological features with histopathological diagnosis. Mean age group was 23.94 (± 15.43) years. There was slight male preponderance. Commonest presenting complaint was swelling. The most common gland involved was minor salivary glands followed by parotid gland. Sensitivity of clinical diagnosis, USG and FNAC for neoplastic lesions was found to be 80%, 95.65% and 79.61% respectively. Specificity of clinical diagnosis, USG and FNAC for neoplastic lesions was found to be 100%, 100% and 97.23% respectively. At the end of the study we concluded that combination of thorough clinical examination, radiological and cytological examination help in proper diagnosis, but it should always be confirmed on histopathology because some surprises are expected with regards to the nature of salivary gland lesions.
研究临床特征、组织病理学和放射学特征在唾液腺病变诊断及治疗中的作用。在印度中部一家三级医疗中心的耳鼻喉科进行前瞻性研究。对2年内接受治疗的162例唾液腺病变患者,就临床诊断、细胞学检查和放射学特征与组织病理学诊断之间的相关性进行研究。平均年龄组为23.94(±15.43)岁。男性略占优势。最常见的主诉是肿胀。最常受累的腺体是小唾液腺,其次是腮腺。发现临床诊断、超声检查(USG)和细针穿刺抽吸活检(FNAC)对肿瘤性病变的敏感性分别为80%、95.65%和79.61%。临床诊断、USG和FNAC对肿瘤性病变的特异性分别为100%、100%和97.23%。研究结束时我们得出结论,全面的临床检查、放射学和细胞学检查相结合有助于正确诊断,但始终应通过组织病理学予以证实,因为唾液腺病变的性质可能会有一些意外情况。