scholarly journals Cytomorphological spectrum of pleomorphic adenoma in association with clinical parameters.

2019 ◽  
Vol 26 (10) ◽  
pp. 1630-1634
Author(s):  
Fatima Iqbal ◽  
Nasiha Bashir ◽  
Abbas Saleem ◽  
Muhammad Mumtaz Khan ◽  
Tehmina Naushin ◽  
...  
Keyword(s):  
Pleomorphic Adenoma ◽  
Neck Region ◽  
Clinical Information ◽  
Needle Aspiration ◽  
Myoepithelial Cells ◽  
Clinical Findings ◽  
Initial Assessment ◽  
Aspiration Cytology ◽  
Head And Neck Region ◽  
Needle Aspiration Cytology

Objectives: Superficial swellings in the head and neck region pose great difficulties in deciding about their nature. Fine needle aspiration cytology (FNAC) is of great help in the initial assessment of these lesions. The aim of the article is to help the surgeons in diagnosis of pleomorphic adenoma in line with clinical information. Study Design: Retrospective analysis. Setting: Histopathology lab of PMC. Period: 2016 to 2018. Materials and Methods: 60 aspirates of pleomorphic adenoma recruited. All cases were reviewed independently by two pathologists for cytomorphological findings. Results: Spindle shaped myoepithelial cells were more frequently observed in 78% followed by epithelioid 20% and plasmacytoid 1.7% variants. Duct formation was seen in 81.6% and myxoid background in 88.3% aspirates. Out of total 60 cytological smears 56.6% were cellular and 13.3% were hypocellular. In 30% cases the smears showed predominant matrix. Conclusion: Our study concludes that cytomorphological features on FNAC in the light of clinical findings can greatly help the surgeons in management of the patients with salivary gland tumors.

scholarly journals Fine needle aspiration cytology of head and neck lesions and its correlation with histopathology

2016 ◽  
Vol 6 (12) ◽  
pp. 985-989
Author(s):  
R Pathak ◽  
KBR Prasad ◽  
SK Rauniyar ◽  
S Pudasaini ◽  
K Pande ◽  
...  
Keyword(s):  
Salivary Gland ◽  
Lymph Node ◽  
Thyroid Gland ◽  
Head And Neck ◽  
Soft Tissues ◽  
Neck Region ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Head And Neck Region ◽  
Needle Aspiration Cytology

Background: Fine needle aspiration cytology is a minimally invasive technique used in the initial diagnosis of different types of lesions located in head and neck region commonly originating from cervical lymph node, thyroid gland, salivary glands and soft tissues. The objective of this study was to evaluate the diagnostic accuracy, sensitivity and speci city of FNAC in various head and neck lesions in correlation with their histopathological examination. Materials and methods: A hospital based prospective study was conducted among 209 patients with palpable head and neck region swellings in the Department of Pathology, Bhaktapur Cancer Hospital and the Department of Pathology, Nepal Medical College from August 2014 to July 2015. FNAC were done from palpable masses of head and neck regions. Data entry and analysis were done using SPSS 17. Result: There were 209 FNAC cases enrolled, out of which lymph node lesions (n=128) were the most common lesions followed by thyroid (n=40), other soft tissues (n=27) and salivary gland (n=14). Reactive lymph nodes, colloid goiter, epidermoid cyst and sialadenosis were the predominant diagnosis of lymph nodes, thyroid gland, soft tissues and salivary gland respectively. Highest accuracy, sensitivity and speci city were observed in thyroid gland, salivary gland and soft tissues. However, four false negative results for malignancy were reported in lymph node lesions. Conclusion: Head and neck region swellings are the commonly encountered conditions. FNAC being highly accurate, sensitive and speci c makes it useful and reliable procedure for screening and diagnosis of palpable masses in head and neck region. 

Fine needle aspiration cytology in the management ENT of patients

1988 ◽  
Vol 102 (10) ◽  
pp. 909-913 ◽  
Author(s):  
Lesley A. Smallman ◽  
Jennifer A. Young ◽  
J. Oates ◽  
D. W. Proops ◽  
A. P. Johnson
Keyword(s):  
Correct Diagnosis ◽  
Neck Region ◽  
Final Diagnosis ◽  
Needle Aspiration ◽  
Malignant Tumours ◽  
Aspiration Cytology ◽  
Head And Neck Region ◽  
Needle Aspiration Cytology ◽  
Made In

AbstractAspirates were obtained from 142 masses in 120 patients who presented with palpable swellings in the head and neck region. 120 specimens (84.51 per cent) were adequate for diagnostic purposes and the remaining 22 (15.49 per cent) were unsatisfactory. Final diagnosis was based on resection histology in 87 cases and close clinical follow-up in 55 patients. The overall sensitivity and specificity including unsatisfactory aspirates was 81.37 per cent and 93 per cent respectively (if the technically inadequate specimens were deleted 98.81 per cent and 94.44 per cent). In comparison with the final diagnosis typing of malignant tumours was possible in 58.33 per cent. The correct diagnosis was made in 63.89 per cent of benign lesions.

scholarly journals Accuracy of fine needle aspiration cytology in the diagnosis of palpable head and neck masses in a tertiary health care center

2012 ◽  
Vol 6 (4) ◽  
pp. 19-25
Author(s):  
GG Swamy ◽  
A Singh ◽  
JM Ahuja ◽  
N Satyanarayana
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
Needle Aspiration ◽  
Medical Sciences ◽  
Aspiration Cytology ◽  
Head And Neck Region ◽  
Fine Needle ◽  
Neck Masses ◽  
Needle Aspiration Cytology ◽  
Head And Neck Masses

Palpable masses in head and neck are a common clinical finding, affecting all age groups. These lumps may be extremely worrying for both physician and patient, as a wide variety of pathological conditions. Accurate cytological analysis has played a major role in evaluation and planning for surgery. We attempted to evaluate the role of Fine Needle Aspiration Cytology (FNAC) in diagnosing lesions of the head and neck region and to review the diversity of lesions in the patients attending the hospital. The study was conducted retrospectively in the department of pathology at College of Medical Sciences- Teaching Hospital, Bharatpur, Nepal a tertiary health care centre. The target population comprised patients presenting with palpable masses at head and neck region during the period of February 2007 to December 2009. The accuracy of FNAC was verified by histological examination in this final study group of (n=125) patients. In these (n=125) patients, twenty five were males and hundred were females. Thyroid gland (60%) was the commonest site aspirated, followed by lymph node (20%), salivary gland (16%) and soft tissue lesions (4%). In our study the sensitivity was 87.5%, the specificity was 100%, the positive predictive value was 100%, the negative predictive value was 98.26% and false negatives were 12.5%. We concluded that FNAC is a safe, cost-effective, sensitive and specific technique in the initial evaluation of head and neck masses. A correct cytological diagnosis can be achieved in a majority of cases, avoiding the need for surgical interventions. Journal of College of Medical Sciences-Nepal,2011,Vol-6,No-4, 19-25 DOI: http://dx.doi.org/10.3126/jcmsn.v6i4.6721

Fine needle aspiration cytology in the head and neck region

1989 ◽  
Vol 42 (4) ◽  
pp. 447-451 ◽  
Author(s):  
Neil R. McLean ◽  
Katherine Harrop-Griffiths ◽  
Henry J. Shaw ◽  
Peter A. Trott
Keyword(s):  
Head And Neck ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Neck Region ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Head And Neck Region ◽  
Fine Needle ◽  
Needle Aspiration Cytology

scholarly journals Distributive Analysis of Head and Neck Swellings with Their Cytopathological Correlation

2016 ◽  
Vol 8 (3) ◽  
pp. 89-96
Author(s):  
VP Singh ◽  
Aparna Bhardwaj ◽  
Apoorva K Pandey
Keyword(s):  
Head And Neck ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Neck Region ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Submandibular Region ◽  
Head And Neck Region ◽  
Fine Needle ◽  
Needle Aspiration Cytology

ABSTRACT Aim Palpable masses in the head and neck region can arise from various structures, such as lymph node, thyroid gland, major and minor salivary glands, soft tissues, blood vessels, and neural structures. Fine needle aspiration cytology (FNAC) is a simple, quick, inexpensive first-line method to evaluate such swellings and thus confirm the diagnosis. This study correlates aspiration cytology as an indispensable tool in diagnosing various head and neck swellings and their prevalence with respect to age, sex, site of origin, and nature of those masses. Materials and methods This study was done from January 2007 to December 2013 in the Department of Otorhinolaryngology and Department of Pathology. All the patients presenting with various head and neck swellings underwent FNAC, and the results were correlated with anatomical sites and frequency of occurrence and categorized into various clinicopathological groups. Results This study included 1,272 cases who were evaluated by FNAC for head and neck swellings. In this study, 32 patients presented with frank abscesses, 36 cases with submandibular region swellings, seven cases with submental swellings, 70 cases with various swellings in the neck and postauricular area, 47 cases with various facial and scalp swellings, two cases from oral cavity, 74 cases with parotid masses, 680 cases with lymphadenopathy, and 324 cases with thyroid lesions. Conclusion Fine needle aspiration cytology is a useful, reliable, cost-effective, and valuable diagnostic tool for the initial evaluation and diagnostic categorization of all superficial and deep-seated lesions in the head and neck region as it is a fairly sensitive and specific procedure in addition to being simple, rapid, accurate, and without any significant complications and above all without affecting the underlying tissue morphology altogether How to cite this article Pandey AK, Bhardwaj A, Maithani T, Kishore S, Singh VP. Distributive Analysis of Head and Neck Swellings with Their Cytopathological Correlation. Int J Otorhinolaryngol Clin 2016;8(3):89-96.

Role of fine needle aspiration cytology in the differential diagnosis of vascular anomalies from other lesions in the head and neck region

2016 ◽  
Vol 32 (1) ◽  
pp. 34-42
Author(s):  
Jie He ◽  
Hanguang Zhu ◽  
Chunye Zhang ◽  
Yanan Wang ◽  
Jiawei Zheng ◽  
...  
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Neck Region ◽  
Needle Aspiration ◽  
Vascular Anomalies ◽  
Aspiration Cytology ◽  
Head And Neck Region ◽  
Fine Needle ◽  
Needle Aspiration Cytology

Objective To summarise the role of fine needle aspiration cytology in the differential diagnosis of vascular anomalies from other lesions in the head and neck region by presenting five interesting cases reported from our hospital data. Method Five patients ranging in age from 3 months to 25 years old were diagnosed with vascular anomalies based on their histories, clinical examinations, imaging examinations and ultrasonic testing. The previous diagnosis of these patients were corrected by fine needle aspiration cytology in our hospital and the proper treatment was administered. Result Two cases were wrongly treated in a local hospital. All five of the patients underwent operations after excluding vascular anomalies by fine needle aspiration cytology. Conclusion Fine needle aspiration cytology should be used in the following situations to prevent misdiagnoses and the mistreatment as vascular anomalies: when imaging examination and ultrasonic testing lead to a diagnosis of vascular malformation, but the history or clinical examination does not confirm this diagnosis; when lesions are treated as “vascular malformations” by sclerotherapy, and the hydatid fluid is not like blood or lymph fluid; and when propranolol is used to treat the proliferation stage of “haemangiomas” with without any effect.

scholarly journals Pleomorphic adenoma of the upper lip: a case report and review of literature

2016 ◽  
Vol 4 (1) ◽  
pp. 8
Author(s):  
Rashmi Metgud ◽  
Bhardwaj Tina Neelesh ◽  
Saurabh Goel ◽  
Smitha Nail ◽  
Shrikant Patel ◽  
...  
Keyword(s):  
Salivary Gland ◽  
Pleomorphic Adenoma ◽  
Unusual Case ◽  
Needle Aspiration ◽  
Myoepithelial Cells ◽  
Upper Lip ◽  
Epithelial Tumor ◽  
Needle Aspiration Cytology ◽  
Benign Mixed Tumor ◽  
Morphological Patterns

<p>Pleomorphic Adenoma is a benign epithelial tumor arising from the salivary gland. It is a benign mixed tumor composed of epithelial and myoepithelial cells arranged with various morphological patterns, demarcated from surrounding tissues by fibrous capsule. In this article, we report an unusual case of 30 year, male with a single, nodular swelling evident in the upper lip which was discovered during a routine dental procedure. Fine Needle Aspiration Cytology (FNAC) was planned for the patient, where a of cytological diagnosis of Pleomorphic Adenoma was rendered, which was confirmed by biopsy. Hence, this highlights, FNAC makes up an important diagnosing tool as the first line of investigation to distinguish between benign and malignant salivary gland neoplasms.</p>

Sign in / Sign up

Export Citation Format

Share Document