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Fine needle aspiration cytology in the management ENT of patients

Published online by Cambridge University Press:  29 June 2007

Lesley A. Smallman ,
Jennifer A. Young ,
J. Oates ,
D. W. Proops  and
A. P. Johnson
Lesley A. Smallman*
Affiliation:
Department of Pathology, The Medical School, University of Birmingham, Birmingham.
Jennifer A. Young
Affiliation:
Department of Pathology, The Medical School, University of Birmingham, Birmingham.
J. Oates
Affiliation:
Department of Otorhinolaryngology, Queen Elizabeth Hospital, Birmingham.
D. W. Proops
Affiliation:
Department of Otorhinolaryngology, Queen Elizabeth Hospital, Birmingham.
A. P. Johnson
Affiliation:
Department of Otorhinolaryngology, Queen Elizabeth Hospital, Birmingham.
*
Department of Pathology, The Medical School, University of Birmingham, Birmingham B15 2TJ.
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Abstract

Aspirates 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.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 102 , Issue 10 , October 1988 , pp. 909 - 913
Copyright
Copyright © JLO (1984) Limited 1988

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References

Bresson, K., Rasmussen, P. A. and Vesterager, L. (1976) Clinical value of aspiration biopsy. Dannish Medical Bulletin, 23: 251–253.Google ScholarPubMed
Cochrane, A. L. and Holland, W. W. (1971) Validation of screening procedures. British Medical Bulletin, 72: 3–8.CrossRefGoogle Scholar
Engzell, V., Esposti, D. L., Rubio, C., Sigurdson, A. and Zajicek, J. (1971a) Investigation on tumour spread in connection with aspiration biopsy. Acta Radiology (Therapeutic), 10: 385–398.Google ScholarPubMed
Engzell, V., Jakobsson, P. A., Sigurdson, A. and Zajicek, J. (1971b) Aspiration biopsy of metastatic carcinoma in lymph nodes of the neck. Acta Otolaryngology, 72: 138–147.CrossRefGoogle ScholarPubMed
Frable, M. A. S. and Frable, W. J. (1982) Fine-needle aspiration biopsy revisited. Laryngoscope, 92: 1414–1418.CrossRefGoogle ScholarPubMed
Frable, W. J. and Frable, M. A. S. (1974) Thin-needle aspiration biopsy in the diagnosis of head and neck tumours. Laryngo-scope, 134: 1069–1076.CrossRefGoogle Scholar
Frable, W. J. and Frable, M. A. S. (1979) Thin-needle aspiration biopsy. The diagnosis of head and neck tumours revisited. Cancer, 43: 1541–1548.3.0.CO;2-H>CrossRefGoogle ScholarPubMed
Gertner, R., Podoshin, L. and Fradis, M. (1984) Accuracy of fine needle aspiration biopsy in neck masses. Laryngoscope, 94: 1370–1371.CrossRefGoogle ScholarPubMed
Kun, M. (1847) A new instrument for the diagnosis of tumours. Monthly Journal Medical Sciences, 7: 853–854.Google Scholar
Lever, J. V., Trott, P. A. and Webb, A. J. (1985) Fine needle aspiration cytology. Journal of Clinical Pathology, 38: 1–11.CrossRefGoogle ScholarPubMed
Matsugama, T., Fujii, Y., Takeichi, N. and Dohi, K. (1986) Aspiration biopsy cytology a highly diagnostic procedure for assessing neck masses excluding thyroid tumours. Japanese Journal of Surgery, 16: 239–244.Google Scholar
Meyers, D. S., Templer, J., Davis, W. E. and Balch, J. A. (1978) Aspiration cytology for diagnosis of head and neck masses. Otolaryngology, 86: ORL 650–655.CrossRefGoogle ScholarPubMed
Nahum, A. M., Bernstein, P. E. and Saltzstein, S. (1978) The surgical biopsy. Otolaryngology, 86: ORL 367–371.CrossRefGoogle ScholarPubMed
Russ, J. E., Scanlon, E. F. and Christ, M. A. (1978) Aspiration cytology of head and neck masses. American Journal of Surgery, 136: 342–347.CrossRefGoogle ScholarPubMed
Schneider, K. L., Schreiber, K. and Silver, C. E. (1984) The initial evaluation of masses of the neck by needle aspiration biopsy. Surgery Gynaecology and Obstetrics, 159: 450–452.Google ScholarPubMed
Siodlak, M. Z., Grainger, J. M., Gleeson, M. J. and Wengraf, C. L. (1986) Fine needle aspiration biopsy of head and neck lumps in a district hospital. Clinical Otolaryngology, 11: 131–135.CrossRefGoogle ScholarPubMed
Sismanis, A., Strong, M. S. and Merriam, J. (1980) Fine needle aspiration biopsy diagnosis of neck masses. Otolaryngology Clinics of North America, 13: 421–429.CrossRefGoogle ScholarPubMed
Sismanis, A., Merriam, J., Yamaguchi, K. T., Shapshay, S. M. and Strong, M. S. (1981) Diagnostic value of fine needle aspiration biopsy in neoplasms of the head and neck. Otolaryngology Head and Neck Surgery, 89: 62–66.CrossRefGoogle ScholarPubMed
Stewart, F. W. (1933) The diagnosis of tumours by aspiration. American Journal of Pathology, 9: 801–812.Google ScholarPubMed
Webb, A. J. (1974) Through a glass darkly: development of needle aspiration biopsy. Bristol Medico-chirurgical Journal, 89: 59–68.Google Scholar
Weymuller, E. A. Jr, Kiviat, N. B. and Duckert, L. G. (1983) Aspiration cytology: an efficient and cost-effective modality. Laryngoscope, 93: 561–564.CrossRefGoogle ScholarPubMed
Young, J. E. M., Archibald, S. D. and Shier, K. J. (1981) Needle aspiration cytologic biopsy in head and neck masses. American Journal of Surgery,, 142:484–489.CrossRefGoogle ScholarPubMed
Zajicek, J. (1974) Aspiration biopsy cytology. Part 1 Cytology of supradiaphragmatic organs. (Ed. Wied, G. L. Monographs in Clinical Cytology Vol 4.) S. Karger, Basel.Google Scholar