Diagnostic accuracy fine needle aspiration biopsy in head and neck masses

Objective & Hypothesis:Objectives: This study aims to assess the diagnostic accuracy of cytology by comparison of the results of fine-needle aspiration biopsies (FNAB) with histopathologic examination.

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Key Findings & Data:Patients and Methods: The cytology results of 164 aspirates taken from a variety of head and neck masses excluding thyroid tissues were compared with histopathologic diagnoses.

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Conclusion & Impact:Conclusion: Fine-needle aspiration biopsy is a safe, easy and useful diagnostic tool for head and neck masses.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Biyopsi · ince-iğne · Geriyedönük çalışma

Abstract

Objectives: This study aims to assess the diagnostic accuracy of cytology by comparison of the results of fine-needle aspiration biopsies (FNAB) with histopathologic examination. Patients and Methods: The cytology results of 164 aspirates taken from a variety of head and neck masses excluding thyroid tissues were compared with histopathologic diagnoses. The patients were divided into 3 groups based on the origin of the masses as salivary glands, lymph nodes and cystic masses according to histopathologic diagnoses, and the sensitivity, specificity and accuracy of FNAB were analyzed for each group. Results: The sensitivity, specificity and accuracy of FNAB were 80.64%, 100%, 96.34% respectively in all head and neck masses. Those were %69.2, %100, %96 in salivary glands; 88.8%, 100%, 94.1% in lymph nodes; 100% for each value in cystic lesions, respectively. Fine-needle aspiration biopsy was found to have a false-negative rate of 3.6 ( 6 cases ) and no false-positive result. Conclusion: Fine-needle aspiration biopsy is a safe, easy and useful diagnostic tool for head and neck masses.

Özet

Amaç: İnce iğne aspirasyon biyopsisi (İİAB) sonuçlarımız eksizyonel biyopsi sonuçları ile karşılaştırılarak sitolojinin tanısal değerinin araştırılması amaçlanmıştır. Hastalar ve Yöntemler: Baş ve boyun bölgesinde tiroid dokusu hariç değişik kitlelerden elde edilen 164 aspirasyon materyalinin sitoloji sonuçları, histopatolojik tanıları ile karşılaştırıldı. Hastalar kitlenin kaynaklandığı yere göre tükürük bezleri, lenf nodları ve kistik kitleler olarak üç gruba ayrılarak İİAB’nin duyarlılık, özgüllük, tanı doğruluğu değerleri her grup için araştırılmıştır. Bulgular: Baş ve boyun kitlelerini birlikte değerlendirdiğimizde duyarlılık, özgüllük, tanı doğruluğu değerleri sırasıyla, %80.64, %100, %96.34’tür. Bu değerler sırasıyla tükürük bezlerinde %69.2, %100, %96; lenf nodu patolojilerinde %88.8, %100, %94.1 ve kistik lezyonlarda ise her üç değer % 100’dür. Yalancı pozitif sonuca hiç rastlanmazken, yalancı negatiflik oranı %3.6 (6 olgu) olarak bulunmuştur. Sonuç: İnce iğne aspirasyon biyopsisi baş ve boyun kitlelerinin tanısında güvenli, kolay ve faydalı bir tanı yöntemidir.

Keywords

Biyopsi ince-iğne Geriyedönük çalışma Baş ve boyun neoplazmları Sitolojik tanı Biopsy Fine-Needle Retrospective Studies Head and Neck Neoplasms Cytodiagnosis

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Cite This Article

DEMİR, D., AKÇAM, M. T., KARAKOÇ, Ö., ÖNGÜRÜ, Ö., YETİŞER, S. (2006). Diagnostic accuracy fine needle aspiration biopsy in head and neck masses. KBB-Forum, Cilt: 5 - Sayı: 1, 5–11. https://ajindex.com/articles/209307

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