Abstract
Background: Due to its low cost, minimal morbidity, quick turnaround time, high specicity, and sensitivity, FNAC of suspected salivary gland lesions is an effective tool for the preoperative diagnosis and management of patients. The "Milan system for reporting salivary gland cytopathology" (MSRSGC) was developed to aid in diagnosis, treatment, and categorization of the risk of malignancy (ROM). The goal of the current investigation was to connect the histological results with the classication of the salivary gland lesions using the Milan system of reporting. Methods: A total of 78 salivary gland lesions were examined clinically over the course of two years in this observational study, their clinical characteristics were correlated with imaging results, they were palpated and aspirated, and their cytological features were assessed, classied according to the MSRSGC, and histopathological results were correlated with those. The cases were examined cytologically, and were Results: divided into the following categories according to the Milan System: non-diagnostic (1.2%), non-neoplastic (23%), atypia of unknown signicance (0%), benign neoplastic tumours (Benign 55.1% SUMP 3.8%), Suspicious of Malignancy (3.8%), and malignancy (14.1%). HPE correlation was available in 58 cases. The ROM was 50 % for SUMP,66.6% for Suspicious for Malignancy and 100% for the Malignant categories whereas the remaining categories had 0% ROM. The FNAC had a diagnostic accuracy of 96.49% , a sensitivity of 87.5% , a specicity of 100% , a positive predictive value of 100%, and a negative predictive value 95.35% of in diagnosing salivary gland abnormalities. Milan Conclusion: System is a standardized, tiered diagnostic reporting structure that places more emphasis on risk stratication than on precise diagnoses, enhances communication with clinicians, and ultimately standardizes patient treatment as a whole
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