Frable W J, Frable M A
Cancer. 1979 Apr;43(4):1541-8. doi: 10.1002/1097-0142(197904)43:4<1541::aid-cncr2820430448>3.0.co;2-h.
Results of 567 thin-needle aspiration biopsies of head and neck lesions are reviewed. Cases included lymph nodes, salivary glands, thyroid, soft tissue and bone lesions. For the entire series, 17 patients had unsatisfactory aspirations. There were 12 false negative reports and 4 false positive reports, rates of 2.1% and 0.7%, respectively. No radical treatment resulted from false positive diagnoses and no patient delay in treatment occurred because of false negative reports. In the case of benign and malignant tumors, reports were histologically specific in more than 98% of the cases. This technique is simple to perform and saves time and hospital costs. Thin-needle aspiration biopsy can be effectively used in the management and diagnosis of head and neck tumor patients where close cooperation of the clinician and cytopathologist exists.
回顾了567例头颈部病变细针穿刺活检的结果。病例包括淋巴结、唾液腺、甲状腺、软组织和骨病变。在整个系列中，17例患者穿刺结果不满意。有12例假阴性报告和4例假阳性报告，发生率分别为2.1%和0.7%。假阳性诊断未导致根治性治疗，也没有患者因假阴性报告而延误治疗。对于良性和恶性肿瘤，在超过98%的病例中报告具有组织学特异性。该技术操作简单，节省时间和医院成本。在临床医生和细胞病理学家密切合作的情况下，细针穿刺活检可有效地用于头颈部肿瘤患者的管理和诊断。
