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Rapid on-site evaluation improves diagnostic performance of fine-needle aspiration cytology for salivary lesions: Comparison of data from two cancer centers in southern China.
Xu, Manbin; Deng, Lifei; Peng, Kunpeng; Wei, Xiaolong; Xie, Mei; Liu, Muyuan; Peng, Hanwei.
Afiliación
  • Xu M; Department of Head and Neck Surgery, Shantou University Medical College Cancer Hospital, Shantou, Guangdong, China.
  • Deng L; Department of Head and Neck Surgery, Jiangxi Cancer Hospital, Nanchang, Jiangxi, China.
  • Peng K; Department of Clinical Medicine, Guangdong Medical University, Zhanjiang, Guangdong, China.
  • Wei X; Department of Pathology, Shantou University Medical College Cancer Hospital, Shantou, Guangdong, China.
  • Xie M; Department of Cytology, Jiangxi Province Cancer Hospital, Nanchang, Jiangxi, China.
  • Liu M; Department of Head and Neck Surgery, Shantou University Medical College Cancer Hospital, Shantou, Guangdong, China.
  • Peng H; Department of Head and Neck Surgery, Shantou University Medical College Cancer Hospital, Shantou, Guangdong, China.
Diagn Cytopathol ; 52(5): 243-253, 2024 May.
Article en En | MEDLINE | ID: mdl-38263730
ABSTRACT

OBJECTIVES:

To evaluate the diagnostic performance of Milan system for reporting salivary gland cytopathology (MSRSGC) in two southern China tertiary cancer centers and investigate the impact of rapid on-site evaluation (ROSE) on FNAC performance. MATERIALS AND

METHODS:

Five hundred and forty-nine patients who underwent FNAC for salivary lesions with surgical follow-up from two centers were enrolled in this retrospective cohort study. All slides were recategorized using MSRSGC after consensus on diagnostic criteria for each category. The diagnostic performance of FNAC for salivary lesions was evaluated and compared and the impact of ROSE on FNAC performance was analyzed.

RESULTS:

The distribution of cases per category based on the MSRSGC criteria in the whole series was as followed ND 49 (8.9%), NN 76 (14.4%), BN 262 (47.7%), AUS 20 (3.6%), SUMP 43 (7.8%), SM 21 (3.8%), M 78 (14.2%). The SUMC series had significantly more ND distributions than JXCH did (16.2% vs. 0, p = .000). Risk of malignancy for each category in the total series was as followed 42.9% for ND, 9.2% for NN, 3.8% for BN, 30.0% for AUS, 23.3% for SUMP, 81.0% for SM, and 94.9% for M. When ND and AUS/SUMP were excluded, the sensitivity, specificity, PPV, NPV, and accuracy were 84.0%, 97.1%, 89.9%, 95.1%, and 94.0%, respectively; sensitivity, specificity, PPV, NPV, and accuracy were comparable between the two centers.

CONCLUSIONS:

FNAC using MSRSGC provides a good tool in preoperative evaluation for salivary lesions in southern China. ROSE improves its diagnostic performance by reducing the ratio of the ND category.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de las Glándulas Salivales Tipo de estudio: Diagnostic_studies / Observational_studies / Risk_factors_studies Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Diagn Cytopathol Asunto de la revista: PATOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de las Glándulas Salivales Tipo de estudio: Diagnostic_studies / Observational_studies / Risk_factors_studies Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Diagn Cytopathol Asunto de la revista: PATOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos