细针穿刺细胞学检查在孤立性腮腺肿块处理中的作用
Role of fine needle aspiration cytology in the management of the discrete parotid lump.
作者信息
McGurk M, Hussain K
机构信息
Department of Oral and Maxillofacial Surgery, UMDS, Guy's Dental School, London.
出版信息
Ann R Coll Surg Engl. 1997 May;79(3):198-202.
Abstract
A review of fine needle aspiration cytology (FNAC) indicates that the technique can distinguish benign from malignant parotid, disease in 93% of patients evaluated. However, a surgery of 34 head and neck oncologists revealed that making this distinction when an apparently benign parotid lump was being investigated did not normally alter the surgical management for in the presence of low-grade cancer survival is not improved with radical surgery. As FNAC does not alter treatment of a discrete parotid lump, no consensus is currently possible regarding its most appropriate use. Perhaps its value is as a screening procedure and to provide a little more information when advising the patient.
摘要
一项对细针穿刺细胞学检查（FNAC）的综述表明，该技术能够在93%接受评估的患者中区分腮腺的良性与恶性疾病。然而，对34名头颈部肿瘤学家的调查显示，在对一个看似良性的腮腺肿块进行检查时做出这种区分，通常并不会改变手术治疗方案，因为在存在低度癌症的情况下，根治性手术并不能提高生存率。由于FNAC不会改变对单个腮腺肿块的治疗，目前对于其最合适的使用方法尚无共识。或许它的价值在于作为一种筛查程序，并在向患者提供建议时提供更多信息。
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