Roland N J, Caslin A W, Smith P A, Turnbull L S, Panarese A, Jones A S
Department of Otorhinolaryngology, Royal Liverpool University Hospital, UK.
J Laryngol Otol. 1993 Nov;107(11):1025-8. doi: 10.1017/s0022215100125162.
This paper describes the application of fine needle aspiration cytology (FNAC) performed on 92 patients with salivary gland lesions in a Head and Neck Surgery Clinic. The aspirates were immediately reported by a cytopathologist and the reports conveyed to the surgeon during the same clinic visit. FNAC results were then compared with histology in those patients who underwent surgery and with the clinical course of the disease at subsequent clinic visits in patients where surgery was not performed. The cytological diagnosis was incorrect in five cases, one of which was a false negative result. There were no false positive results. The sensitivity was 90.9 per cent and the specificity 100 per cent. This rapid report system of fine needle aspiration cytology has been found to be safe, free of complications, and helpful in the planning of treatment.
本文描述了在一家头颈外科诊所对92例唾液腺病变患者进行细针穿刺细胞学检查（FNAC）的应用情况。穿刺物由细胞病理学家立即报告，并在同一次门诊就诊时将报告传达给外科医生。然后将接受手术患者的FNAC结果与组织学结果进行比较，并将未进行手术患者在后续门诊就诊时的疾病临床过程进行比较。5例细胞学诊断错误，其中1例为假阴性结果。无假阳性结果。敏感性为90.9%，特异性为100%。已发现这种细针穿刺细胞学快速报告系统安全、无并发症，且有助于治疗方案的制定。
