CYTODIAGNOSIS OF 112 SALIVARY-GLAND LESIONS - CORRELATION WITH HISTOLOGIC AND FROZEN SECTION DIAGNOSIS
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摘要Aspirates of 112 cases of salivary gland lesions with histologic correlation were reviewed. Fifty-five cases (49%) had frozen sections made. The 112 cases included 76 cases of benign lesions (31 cases of pleomorphic adenoma, 19 of Warthin's tumor and 26 of nonneoplastic lesions), 22 of primary salivary gland malignancy and 14 of metastatic malignant lesions. The overall accuracy in diagnosing benign and malignant lesions was 95%. The accuracy in diagnosing the exact category of neoplastic lesions was 70%. The diagnostic sensitivity for malignant lesions was 86% and the specificity, 99%. There was one false positive, in which a pleomorphic adenoma was diagnosed as small cell carcinoma. Five false-negative cases were encountered that were due to under-diagnosis of mucoepidermoid carcinoma and adenoid cystic carcinoma. The smears were reviewed, and the diagnostic pitfalls are discussed. A comparison of the cytodiagnosis and frozen section diagnosis was made. In frozen sections there were two false negatives, and two diagnoses were deferred. The overall diagnostic accuracy was 91%. The accuracy in diagnosing the exact category of neoplastic disease was 77%. The diagnostic sensitivity for malignant disease was 70% and specificity, 100%. Frozen section, however, did supplement the fine needle aspiration diagnosis in 13 cases.
著者CHAN MKM, MCGUIRE LJ, KING W, LI AKC, LEE JCK
期刊名稱Acta Cytologica
出版年份1992
月份5
日期1
卷號36
期次3
出版社SCI PRINTERS & PUBL INC
頁次353 - 363
國際標準期刊號0001-5547
電子國際標準期刊號1938-2650
語言英式英語
Web of Science 學科類別Cell Biology; CELL BIOLOGY; Pathology; PATHOLOGY

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