腮腺及颈部I区和II区细针穿刺抽吸的效用
The utility of parotid gland and level I and II neck fine-needle aspiration.
作者信息
Raab S S, Sigman J D, Hoffman H T
机构信息
Department of Pathology, Allegheny University of Health Sciences, Pittsburgh, PA 15212, USA.
出版信息
Arch Pathol Lab Med. 1998 Sep;122(9):823-7.
OBJECTIVE
Although fine-needle aspiration (FNA) commonly is used in the diagnostic workup of parotid gland and level I and II neck lesions, the effect of an FNA service on patient care has not been definitively established.
METHODS
Follow-up was obtained in 158 patients who underwent FNA. The value of FNA was analyzed by determining the proportions of cases in which management was altered by the information obtained.
RESULT
The percentage of lesions classified by FNA as benign, nonneoplastic; benign, neoplastic; atypical or suspicious; malignant; and insufficient was 42%, 28%, 16%, 41%, and 7%, respectively. By using FNA, an operation was avoided in 70% and 79% of patients with a nonneoplastic lesion and a metastasis, respectively.
CONCLUSIONS
Although definitive subclassification of some lesion types was poor, FNA was useful in patient triage.
目的
尽管细针穿刺抽吸活检（FNA）常用于腮腺及颈部Ⅰ、Ⅱ区病变的诊断检查，但FNA服务对患者治疗的影响尚未明确确立。
方法
对158例行FNA的患者进行随访。通过确定因所获信息而改变治疗方案的病例比例来分析FNA的价值。
结果
FNA将病变分类为良性、非肿瘤性；良性、肿瘤性；非典型或可疑；恶性；以及不确定的比例分别为42%、28%、16%、41%和7%。通过FNA，分别有70%的非肿瘤性病变患者和79%的转移瘤患者避免了手术。
结论
尽管对某些病变类型的明确亚分类效果不佳，但FNA在患者分流方面是有用的。
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