Kaur A, Chew C T, Lim-Tan S K
Department of Otolaryngology, Singapore General Hospital.
Ann Acad Med Singap. 1993 May;22(3):303-6.
Fine needle aspiration (FNA) is a relatively new technique in the investigation of head and neck masses in Singapore. We present our initial experience with 123 neck masses; 82 were lymph nodes, 33 were salivary gland masses and eight were others. The inadequacy rate (percentage of hypocellular yields) was 12.2% with a cytology: histology accuracy rate of 82.6%. The aspiration trolley set-up and improvements in tissue handling reduced the number of inadequate smears. A study of nasopharyngeal carcinoma (NPC) with neck recurrence showed the difficulty encountered with FNA in irradiated necks. In "occult" (clinically normal nasopharynx) NPC with a neck mass as the first presentation, FNA guided us to re-search the nasopharynx.
细针穿刺抽吸活检（FNA）在新加坡对头颈部肿块的检查中是一项相对较新的技术。我们介绍了我们对123例颈部肿块的初步经验；其中82例为淋巴结，33例为唾液腺肿块，8例为其他类型。取材不足率（细胞产量低的百分比）为12.2%，细胞学与组织学的准确率为82.6%。穿刺台车的设置以及组织处理方面的改进减少了涂片取材不足的数量。一项关于鼻咽癌（NPC）颈部复发的研究显示了在接受过放疗的颈部进行FNA时遇到的困难。在以颈部肿块为首发表现的“隐匿性”（临床鼻咽部正常）NPC中，FNA引导我们再次检查鼻咽部。
