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Turkish Archives of Otolaryngology 2005; 43(2): 86-93 Abstract |
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Full Text in Turkish [PDF] 236 KB |
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Our Results of Fine-Needle Aspiration Cytology of the Head and Neck Masses Excluding Thyroid: Experience of Uludağ Tiroid Dışı Baş-Boyun Kitlelerinde İnce İğne Aspirasyon Sitolojisi Sonuçlarımız: Uludağ Deneyimi M. Dilber*, L. Erişen*, Ö. Yerci**, H. Coşkun*, O. Basut*, S. Onart*, İ. Hızalan* |
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| *Uludağ University, Faculty of Medicine, Department of ENT, and**Department of Pathology, Bursa, Turkey |
| Key Words |
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| Fine-needle aspiration cytology, head and neck masses, salivary glands, neck, malign, benign, cystic |
| Abstract |
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Objectives:
To evaluate the results of fine needle aspiration cytology (FNAC) used
for extra-thyroidal masses of the head and neck in our institution. Methods:
The results of 542 FNAC done on 487 patients, referred to our university
hospital in five years period from 1998 to 2002, with extra-thyroidal
masses of the head and neck were evaluated retrospectively by examining
the files in the department of pathology. FNAC results of 127 patients,
who also had permanent biopsy results, were evaluated according to age
and localization of the pathology. The rates of accuracy, specificity,
sensitivity, positive and negative predictive values were calculated. Results:
During this period, 62.5% of the all FNACs were done on head and neck
masses, and 12.9% of those to extra-thyroidal pathologies. Accuracy
rates of FNAC were 94.3% for congenital-developmental pathologies, 89.4%
for infectious-inflammatory pathologies (93.5% for specific infections),
and 83.7% for neoplastic pathologies (85.9% for malignancies). There
were no statistically significant differences between the accuracy rates
of FNAC according to patient’s age and localization of the pathology.
False negative rate was higher than false positive rate in malignant
lesions. Correct diagnostic rate based on the cellular differentiation
in the malignant pathologies was 50%. Conclusion: 1. FNAC has a high accuracy rate for head and neck masses. 2. FNAC should be first step of pathological examination in all head and neck masses with an intact overlying mucosa or skin. 3. There are no differences between the accuracy rates of the FNAC of the childhood or the adulthood period. 4. There are no differences between the accuracy rates of the FNAC of the pathologies of the neck or the salivary glands. 5. Clinically, FNAC should only be used as a guide for preliminary diagnosis, especially in malignant pathologies. Final treatment decision should not be made according to the results of FNAC and tissue biopsy should be obtained before definitive treatment. |
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| Accepted: | March 17, 2005 | ||
| Correspondence: |
Levent Erişen, MD Uludağ Üniversitesi Tıp Fakültesi Kulak Burun Boğaz Anabilim Dalı, Görükle 16059 Bursa - Türkiye Phone: (0224) 442 86 76, Fax: (0224) 442 80 91 e-mail: lerisen@uludag.edu.tr |
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Copyright © 2005 by the Turkish Otolaryngology & Head and Neck Surgery Foundation. |
