Non-thyroid neck lumps: appraisal of the role of fine needle aspiration cytology

被引：21
作者：
Addams-Williams, J. [1 ]
Watkins, D. [1 ]
Owen, S. [2 ]
Williams, N. [3 ]
Fielder, C. [1 ]
机构：
[1] Singleton Hosp, Dept Otorhinolaryngol Head & Neck Surg, Swansea NHS Trust, Swansea SA2 8QA, W Glam, Wales
[2] Singleton Hosp, Swansea NHS Trust, Dept Radiol, Swansea SA2 8QA, W Glam, Wales
[3] Singleton Hosp, Swansea NHS Trust, Dept Pathol, Swansea SA2 8QA, W Glam, Wales
来源：
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY | 2009年 / 266卷 / 03期
关键词：
Fine needle aspiration cytology; Non-thyroid head and neck masses; Ultrasound; Histology; HEAD; BIOPSY; ACCURACY; MASSES; NODES; US; DISEASE; TUMORS;
D O I：
10.1007/s00405-008-0751-4
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
To compare the non-diagnostic rate of fine needle aspiration cytology (FNAC) of non-thyroid neck lumps performed under ultrasound (US) guidance against non-guided FNAC (performed in outpatient clinic). Final histology results were compared with cytological diagnosis. We performed a retrospective study of 625 patients identified as having undergone FNAC of non-thyroid neck lumps from the pathology/radiology databases over a 3 year period. A total of 396 patients underwent non-ultrasound guided FNAC (12 excluded). 34% of patients had a non-diagnostic sample. A total number of 229 patients underwent ultrasound guided FNAC with a non-diagnostic rate of 12%. The Chi-squared test showed a significant difference (P < 0.001). FNAC results were compared with definitive histology in 238 patients. Sensitivity was 92% and specificity was 90%. US-guided FNAC resulted in a lower non-diagnostic rate. FNAC was highly sensitive for diagnosis of malignant lumps but less good at confirming a lump to be benign.
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收藏
页码：411 / 415
页数：5
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