Cyto-histological correlation of salivary gland lesions- a prospective study in a tertiary care institute
DOI:
https://doi.org/10.18203/2320-6012.ijrms20220286Keywords:
Cyto-histological correlation, FNAC, Salivary glandsAbstract
Background: Fine needle aspiration cytology (FNAC) has an essential proven role in diagnosing most of the common and benign salivary gland lesions. However, limited cellularity and morphological heterogeneity of the lesion can pose diagnostic challenges. The present study was conducted in a tertiary care centre over a period of one year with an objective to study the cyto-morphological features of salivary gland lesions and correlate cytological findings with histopathology.
Methods: The study was carried out over a period of one year from January 2014 to December 2014. FNA specimens obtained from 78 patients were analyzed. Of these, only 51 patients underwent biopsy or surgery and their specimens were subjected to histopathological examination. Validation of cytological diagnosis was done on the basis of histopathological diagnosis.
Results: A total 78 patients with salivary gland lesions were subjected to FNAC. Non neoplastic lesions constituted 19 cases (25%) and benign lesions constituted 46 cases (80.70%). Malignant lesions constituted 11 cases (19.30%). Two cases were inconclusive due to inadequate aspirated material. Overall sensitivity, specificity and diagnostic accuracy were 95.98%, 99.20% and 98.09% respectively.
Conclusions: FNAC continues to be an accurate diagnostic technique in the hands of an experienced cytopathologist. It is a highly sensitive and specific technique for rapid diagnosis of most of the salivary gland swellings.
References
Chakrabarti S, Bera M, Bhattacharya PK, Chakrabarty D, Manna AK, Pathak S, et al. Study of salivary gland lesions with fine needle aspiration cytology and histopothology along with immunohistochemistry. J Indian Med Assoc. 2010 Dec 1;108(12):833-6..
Singh A, Haritwal A, Murali M. Correlation between cytology and histopathology of the salivary gland. Australas Med J. 2011;4(2):66-71.
Khandekar MM, Kavatkar AN, Patankar SA, Bagwan IB, Puranik SC, Deshmukh SD. FNAC of salivary gland lesions with histopathological correlation. Indian J Otolaryngol Head Neck Surg. 2006;58(3):246-8.
Yagüe-García J, España-Tost A, Berini-Aytés L, Gay-Escoda C. Treatment of oral mucocele- scalpel versus CO2 laser. Med Oral Patol Oral Cirugia Bucal. 2009;14 (9):469-74.
Huvos G, Paulino A. Salivary gland lesions. In: Mills SE, Carter D, Greenson K, Reuter E, eds. Sternberg’s diagnostic surgical pathology. 4th ed. NewYork: Lippincott William and Wilkins; 2004:933-962.
Otoh EC, Johnson NW, Olasoji H, Danfillo IS, Adeleke OA. Salivary gland neoplasms in Maiduguri, north‐eastern Nigeria. Oral Dis. 2005;11(6):386-91.
Chan M, McGuire L. Cytodiagnosis of lesions presenting as salivary gland swellings: a report of seven cases. Diagn Cytopathol. 1992;8(5):439-43.
Das D, Anim J. Pleomorphic adenoma of salivary gland: to what extent does fine needle aspiration cytology reflect histopathological features. Cytopathology. 2005;16(2):65-70.
Das DK, Petkar MA, Al-Mane NM, Sheikh ZA, Mallik MK, Anim JT. Role of fine needle aspiration cytology in the diagnosis of swellings in the salivary gland regions: a study of 712 cases. Med Principles Pract. 2004;13(2):95-106.
Vaidya S, Sinha A, Narayan S, Adhikari S, Sabira KC. A comparative study of fine-needle aspiration cytology and histopathology in salivary gland lesions. J Pathol Nepal. 2011;1(2):108-13.
Kumar S, Permi H, Parmesha K. Role of fine needle aspiration cytology in salivary gland tumor in correlation with their histopathology: a two year prospective study. J Clin Diagn Res. 2011;5(7):1375-80.
Raval A, Goswami H, Parikh U, Sharma P, Ghodasara V, Patel S. Fine needle aspiration cytology (FNAC)- as a diagnostic tool in salivary gland lesions. Int J Curr Res Rev. 2014;6(7):17-25.
Gandhi SH, Purohit TM, Purohit MB, Jethwani D, Vidja M. FNAC diagnosis of salivary gland lesions with histopathological correlation. Nat J Integr Res Med. 2013;4(3).
Jain R, Gupta R, Kudesia M, Singh S. Fine needle aspiration cytology in the diagnosis of salivary gland lesions: a study with histologic comparison. Cytojournal. 2013;10:5.
Sengupta S, Roy A, Mallick M, Kundu B. FNAC of salivary glands. Indian J Otolaryngol Head Neck Surg. 2002;54(3):184-8.
MacLeod C, Frable W. Fine-needle aspiration biopsy of the salivary gland: problem cases. Diagn Cytopathol.1993;9(2):216-24.
Omhare A, Singh S, Nigam J, Sharma A. Cytohistopathological study of Salivary gland lesions in Bhundelkhand Region, Uttar Pradesh, India. Pathol Res Int. 2014;2014.
Akhter J, Hirachand S, Lakhey M. Role of FNAC in diagnosis of salivary gland swellings. Kathmandu Univ Med J. 2008;6(22):204-8.