ROLE OF FINE NEEDLE ASPIRATION CYTOLOGY IN DIAGNOSIS OF SALIVARY GLANDS NEOPLASM WITH HISTOLOGICAL AND CLINICAL CORRELATION

Dr. Devendu Bose, Dr. Mushtaque Ahmad Ansari

Abstract


Salivary gland tumors are heterogenous group of neoplasm in head and neck area. The tumors have complex morphological appearance and
different clinical behaviour, a fact that render their diagnosis difficult. Though histopathological diagnosis is gold standard for confirmation of fine
needle aspiration cytology (FNAC) findings, FNAC is an excellent first-line tool in providing an early diagnosis.
The present study is to elucidate the features of salivary gland neoplasm with respect to age, gender, site and clinical presentation, and to correlate
the cytopathological feature of salivary gland neoplasm with their histopathological findings.
The present study was done at the Department of Pathology, Rajendra Institute of medical sciences, Ranchi between July,2018 to September 2019.
FNAC was done using 24 gauge needle and 10 ml syringe and smears were stained with Haematoxylin & Eosin (H&E) and Giemsa stains.
Histopathology was assessed on routine H&E stained paraffin sections. Cyto-histo correlation was done and overall diagnostic accuracy was
calculated.
The diagnostic accuracy of FNAC in salivary gland neoplasm was 92.3%. Mean age was 47.8yrs with range from 10-78 years; with male
preponderance and parotid was found to be the most common site for salivary gland neoplasm. The most common neoplastic lesion was
pleomorphic adenoma.
Fine Needle Aspiration Cytology is thus a safe, reliable, quick, convenient and accurate method of diagnosis and should be considered as one of the
first line of investigations in the evaluation of salivary gland lesions.


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