Study of fine needle aspiration cytology of salivary gland according to the Milan system

Abstract

Abstract Background: Fine-needle aspiration cytology (FNAC) of salivary gland lesions is the initial screening test. The Milan System for Reporting Salivary Gland Cytopathology (MSRSGC) classifies FNAC into six categories, which is a simple, convenient and standardized diagnostic method of reporting and also provides management guidelines. The study was encountered in our tertiary care hospital. Aims and Objectives: To study the cytology of salivary gland lesions by Fine Needle Aspiration Cytology and to classify lesions according to The Milan System for Reporting Salivary Gland Cytopathology (MSRSGC). Materials and Methods: This is a prospective study of 100 patients with clinically enlarged salivary gland presented at the G.K. General Hospital, Bhuj, during April 2019 to March 2020. Results: Of 100 cases, 40 cases were nonneoplastic, 52 cases were neoplastic, and 8 cases were unsatisfactory for evaluation. The category II had 40 cases, out of which chronic sialadenitis was the most common cytological diagnosis (20 cases). There were two case in each category IVb and category V. Category IV had 41 cases on cytology. Category VI had eight cases. Conclusions: It is of particular relevance in the head and neck area because of easy accessibility of the target site minimally invasive procedure, excellent patient compliance and thereby help to avoid surgery in nonneoplastic, inflammatory conditions.