Carroll C M, Nazeer U, Timon C I
Department of Otolaryngology, Head and Neck Surgery, St. James's Hospital, Dublin.
Ir J Med Sci. 1998 Jul-Sep;167(3):149-51. doi: 10.1007/BF02937926.
Patients presenting with a mass in the head and neck region require a tissue biopsy in order to make a histological diagnosis. Fine needle aspiration (FNA) offers a safe, well tolerated and inexpensive method of obtaining such a biopsy. When the patient is first seen in the clinic, the FNA can be performed, the result read and appropriate management instituted. The results of FNA biopsies of head and neck masses performed between May 1993 and June 1995, at the Department of Otolaryngology, Head and Neck Surgery in Saint James's Hospital, Dublin were reviewed. Of the 130 patients who had FNA biopsies performed, 78 went on to have surgical excision of the mass. To determine the accuracy of FNA biopsy in the diagnosis of head and neck masses at our unit, we compared the cytology result and the final histology report of these 78 patients. The overall accuracy rate of FNA cytology was 95 per cent, when compared to the final histology result. The accuracy rate was 87 per cent for malignant lesions and 95 per cent for benign lesions. No complications were encountered in this study. Based on our results and those of other studies, we recommended performing FNA in all patients presenting with a mass in the head and neck region.
出现头颈部肿块的患者需要进行组织活检以做出组织学诊断。细针穿刺抽吸活检（FNA）提供了一种安全、耐受性良好且廉价的获取此类活检样本的方法。当患者首次到诊所就诊时，即可进行FNA，读取结果并制定适当的治疗方案。对1993年5月至1995年6月期间在都柏林圣詹姆斯医院耳鼻咽喉头颈外科进行的头颈部肿块FNA活检结果进行了回顾。在130例行FNA活检的患者中，78例随后进行了肿块的手术切除。为了确定我们科室FNA活检在头颈部肿块诊断中的准确性，我们比较了这78例患者的细胞学结果和最终组织学报告。与最终组织学结果相比，FNA细胞学的总体准确率为95%。恶性病变的准确率为87%，良性病变的准确率为95%。本研究未遇到并发症。基于我们的结果以及其他研究的结果，我们建议对所有出现头颈部肿块的患者进行FNA。
