Cytohistological Study of Salivary Gland Lesions

Dr. Koonamalla Rama Devi, Dr. Kavitha Toopalli, Dr. O. Shravan Kumar
2016 Scholars Journal of Applied Medical Sciences  
BACKGROUND Salivary gland lesions are one of the palpable lesions subjected for Fine Needle Aspiration Cytology (FNAC) for diagnosis. Preoperative diagnosis helps in selection of appropriate treatment in every case. The aim of present study is to examine the cytological features of salivary gland lesions in aspirated smears and to evaluate the efficacy of FNAC in correlation with histopathological diagnosis in salivary gland lesions. MATERIALS AND METHODS The study includes 52 patients with
more » ... vary gland lesions who came for FNAC, of which for 34 cases surgical specimens were received for Histopathological Examination (HPE). Diagnostic accuracy was studied by statistical analysis. RESULTS In this study of 34 cases of correlation, maximum cases were obtained for pleomorphic adenoma making it the commonest benign tumour followed by malignancy. Parotid gland was the most common site involved in salivary gland lesions. FNAC diagnosis was consistent with HPE in 30 cases and inconsistent in 4 cases. CONCLUSION FNAC is a highly reliable technique for pre-operative diagnosis of salivary gland tumours in the hands of experienced pathologists. Due to the minimally invasive nature of this technique, FNAC offers valuable information for planning of subsequent therapeutic management. KEYWORDS FNAC, Salivary Gland Lesions, HPE. HOW TO CITE THIS ARTICLE: Bandar S, Priyadarshini KVN, Avanigadda I, et al. Cytohistological study of salivary gland lesions. J. Evolution Med. Dent. Sci. 2016;5(103):7571-7576, DOI: 10.14260/jemds/2016/1714 BACKGROUND FNAC is useful in the diagnosis of salivary gland lesions and often influences management of the patient and allows for appropriate treatment planning. Non-neoplastic lesions can be distinguished from neoplastic and benign tumours from malignant ones. The complications of the FNAC are rare, making it one of the popular diagnostic tool. In this study the cytological spectrum of salivary gland lesions studied, HPE correlation was done for available cases. Statistical analysis like sensitivity, specificity and diagnostic accuracy was done. The results compared with other studies substantiate the findings of the series and affirms the usefulness of FNAC as a simple, cost effective and minimally invasive diagnostic tool in the evaluation of salivary gland lesions.
doi:10.21276/sjams.2016.4.7.6 fatcat:2jd2ekaplfgsngnzhx4k4r2ife