Abstract
Objective: The objective of this study was to evaluate the validity of FNAC as a diagnostic investigation for salivary gland lesions (SGL) and to discuss the spectrum of SGL in our setup. Materials and Methods: In the Pathology department of Ayub medical college and Advance laboratory Abbottabad, 82 salivary gland FNAC cases from Jan 2018 to June 2020 were studied to identify their cytological characteristic and correlated with histopathological findings. Results: In this study, 82 patients with salivary gland swellings were included. The age range from 24-73 years with a mean age of 47 SD13yrs, with male to female ratio of 1.8:1. Among 82 cases non-neoplastic lesions constituted about 21 cases, neoplastic cases were 61. Out of which 52 cases were of pleomorphic adenoma,2 cases of within’s tumor, 3 cases were of adenoid cystic carcinoma, 2 mucoepidermoid carcinomas low grade, one each acinic cell carcinoma and follicular lymphoma. Histopathological correlation was available in all the neoplastic cases. Conclusion: FNAC is an accurate and effective modality in terms of sensitivity, specificity, and accuracy for diagnosing the SGL. Owing to its safety, affordability, and quick results, it should be considered as an investigation of the first choice for SGL before devising a definitive management plan. On the other hand, due to the overlap between the cytological features of certain salivary gland tumors, tissue biopsy for histopathology examination is the gold standard.
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