Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
권호 표지

Efficacy of Fine Needle Aspiration Cytology of Salivary Gland Diseases

타액선 질환에 대한 세침흡인세포검사의 유용성

  • Park Min-Hyun (Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University, College of Medicine) ;
  • Lee Seung-Sin (Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University, College of Medicine) ;
  • Choi Byung-Yoon (Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University, College of Medicine) ;
  • Kim In-Sang (Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University, College of Medicine) ;
  • Choi Seung-Ho (Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University, College of Medicine) ;
  • Ko Tae-Yong (Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University, College of Medicine) ;
  • Kim Kwang-Hyun (Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University, College of Medicine) ;
  • Sung Myung-Whun (Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University, College of Medicine)
  • 박민현 (서울대학교 의과대학 이비인후과학교실) ;
  • 이승신 (서울대학교 의과대학 이비인후과학교실) ;
  • 최병윤 (서울대학교 의과대학 이비인후과학교실) ;
  • 김인상 (서울대학교 의과대학 이비인후과학교실) ;
  • 최승호 (서울대학교 의과대학 이비인후과학교실) ;
  • 고태용 (서울대학교 의과대학 이비인후과학교실) ;
  • 김광현 (서울대학교 의과대학 이비인후과학교실) ;
  • 성명훈 (서울대학교 의과대학 이비인후과학교실)
  • Published : 2000.05.01
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Abstract

Background and Objectives: To review efficacy of the fine-needle aspiration cytology(FNAC) in patients with salivary glands lesions. Materials and Methods: From January 1994 through June 1999, FNACs and surgical biopsies were carried out on 109 patients with salivary gland diseases. The medical records were reviewed retrospectively. Benign tumor was found in 81 patients, and malignant tumor was in 19 patients. Nine patients had inflammatory lesion. Results: In 6 of 109 cases the aspiration was inadequate. Of the remaining 103 patients, FNAC correctly diagnosed 87 lesions(84.5%). For benign tumor lesions, the accuracy was 91%(71/78), and for malignant lesions 55.6%(10/18). The accuracy for inflammatory lesions was 85.7%(6/7). Regarding the capacity to discriminate between neoplastic and nonneoplastic lesions, sensitivity, specificity and total diagnostic accuracy were 99%, 85.7% and 84.5% respectively. Regarding the capacity to discriminate between malignant and benign tumors, sensitivity and specificity were 55.6% and 97.4% respectively. FNACs misdiagnosed malignant tumors as benign lesions in eight patients, in which three were with adenoid cystic carcinomas. Carcinoma ex pleomorphic adenoma, malignant lymphoma and mucoepidermoid carcinoma 'were others. Conclusion: FNAC showed high accuracy to diagnose benign lesions in salivary gland diseases. But the accuracy was rather low for malignant lesions. If a salivary gland lesion was suspected for malignant tumor, other diagnostic methods such as tissue biopsy should be seriously considered.

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