Prospective study to assess the clinical, cytological and histopathological findings of salivary gland lesions

Abstract

Background: The purpose of FNAC is not only to provide a definite specific diagnosis. But it is also used in conjunction with clinical and radiological findings to provide the best possible initial assessment from which management can be planned. Keeping histopathological diagnosis as gold standard sensitivity, specificity and diagnostic accuracy of FNAC was calculated. Thus, the present study aims to correlate cytomorphological features of salivary gland lesions in FNAC and the corresponding histopathology in suspicious malignant cases. Materials & Methods: This is a prospective study done on 50 fine needle aspirates obtained from patients who visit department of pathology in SMS Medical College, Jaipur with various major salivary gland disorders. Patient’s age, clinical history, ultrasonogram findings were recorded. Results: The mean age of patients was 48.3 yrs. The predominance of males about 60% of cases. Impression obtained was that incidence of non-neoplastic and benign lesions were higher (92%) than malignant (8%). Based on cytological findings, among the benign neoplastic lesions, pleomorphic adenoma was the most common constituting about 36%. Mucoepidermoid carcinoma is the most common malignant neoplasm constituting about 2%. The diagnostic accuracy of benign lesions & malignant lesions was predicted to be 87% & 78% respectively.