DIAGNOSTIC ACCURACY OF FINE-NEEDLE ASPIRATION CYTOLOGY IN WARTHIN TUMORS

被引：30
|
作者：
Veder, Laura L. [1 ]
Kerrebijn, Jeroen D. F. [1 ]
Smedts, Frank M. [2 ]
den Bakker, Michael A. [2 ]
机构：
[1] Erasmus Univ, Med Ctr, Dept Otorhinolaryngol Head & Neck Surg, Rotterdam, Netherlands
[2] Erasmus Univ, Med Ctr, Dept Pathol, Rotterdam, Netherlands
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2010年 / 32卷 / 12期
关键词：
Warthin tumor; adenolymphoma; accuracy; fine-needle aspiration cytology; parotid gland; SALIVARY-GLAND LESIONS; PAROTID-GLAND; BIOPSY; EXPERIENCE; MANAGEMENT;
D O I：
10.1002/hed.21382
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Background. Our aim was to evaluate the diagnostic accuracy of fine-needle aspiration cytology (FNAC) for Warthin tumors of the parotid gland. Methods. All cytologic diagnoses of Warthin tumor between 1990 and 2007 were correlated with available histology. In addition, our results were compared to current literature. Results. In 310 cases, Warthin tumor was diagnosed by FNAC. In 133 cases, (43%) both cytology and histology were available. In 127 of these 133 cases (95.5%), the diagnosis Warthin tumor was confirmed by histology. In 4 cases (3%), a benign lesion was diagnosed and 2 (1.5%) revealed a malignant lesion. On review, those cytologic diagnoses were not certain. In the literature, 11 missed malignancies (5.4%) in 202 cases were reported. Conclusion. The diagnostic accuracy of FNAC for the diagnosis of Warthin tumor is high and the percentage of missed malignant tumors is very low. Our results imply that a cytologic diagnosis of Warthin tumor may justify conservative treatment. (C) 2010 Wiley Periodicals, Inc. Head Neck 32: 1635-1640, 2010
引用
收藏
页码：1635 / 1640
页数：6
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