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在 COVID-19 时代,比较经皮细针抽吸细胞学与开放活检对口腔病变的诊断准确性。

Diagnostic Accuracy Of Fine Needle Aspiration Cytology In Comparison To Open Biopsy For Lesions Of Oral Cavity In COVID-19 Era.

机构信息

Department of Oral and Maxillofacial Surgery, Allama Iqbal Medical College, Jinnah Hospital, Lahore, Pakistan.

Department of Pathology, Allama Iqbal Medical College, Jinnah Hospital, Lahore, Pakistan.

出版信息

J Pak Med Assoc. 2023 Oct;73(10):2023-2028. doi: 10.47391/JPMA.7610.

DOI:10.47391/JPMA.7610
PMID:37876064
Abstract

OBJECTIVE

To compare the diagnostic accuracy and uses of fine needle aspiration cytology with histopathology in the diagnosis of lesions of oral cavity.

METHODS

The single-centre, prospective, non-randomised controlled trial was conducted at the departments of Oral and Maxillofacial Surgery and Pathology of Allama Iqbal Medical College/Jinnah Hospital, Lahore, Pakistan, from January 10 to August 10, 2021, and comprised patients of either gender aged >10 years having superficial or deep well- established mass, palpable, nodular, ulcerative lesions, swellings of the oral cavity or of major or minor salivary glands having intraoral presence or manifestation with size >1 cm. Data was analysed using SPSS 20.

RESULTS

Of the 43 patients, 22(51.2%) were males and 21(48.8%) were females. The overall mean age was 40.5±15 years (range 13-70 years). On cytological examination, 6(14%) samples were excluded for being insufficient aspirate. Of the remaining 37(86%) samples, 20(51.4%) were detected with malignancy on histopathology. The accuracy of fine needle aspiration cytology was 33(89.19%).

CONCLUSION

Fine needle aspiration was found to be a reliable and cost-effective technique in the diagnosis of oral cavity lesions.

摘要

目的

比较细针抽吸细胞学与组织病理学在口腔病变诊断中的准确性和用途。

方法

本单中心、前瞻性、非随机对照试验于 2021 年 1 月 10 日至 8 月 10 日在巴基斯坦拉合尔的 Allama Iqbal 医学院/Jinnah 医院口腔颌面外科和病理学系进行,纳入年龄>10 岁、有浅表或深部已确立肿块、可触及、结节状、溃疡性病变、口腔或大或小唾液腺肿胀、口内存在或表现为>1cm 大小的患者。数据使用 SPSS 20 进行分析。

结果

43 例患者中,男性 22 例(51.2%),女性 21 例(48.8%)。总体平均年龄为 40.5±15 岁(范围 13-70 岁)。细胞学检查中,6 例(14%)样本因抽吸不足而被排除。在剩余的 37 例(86%)样本中,组织病理学检查发现 20 例(51.4%)恶性肿瘤。细针抽吸细胞学的准确率为 33(89.19%)。

结论

细针抽吸术是一种可靠且具有成本效益的口腔病变诊断技术。

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