Update on Salivary Gland Fine-Needle Aspiration and the Milan System for Reporting Salivary Gland Cytopathology.

IF 3.7 3区 医学 Q2 MEDICAL LABORATORY TECHNOLOGY Archives of pathology & laboratory medicine Pub Date : 2024-10-01 DOI:10.5858/arpa.2022-0529-RA
Marc Pusztaszeri, Esther Diana Rossi, William C Faquin
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Abstract

Context.—: Fine-needle aspiration (FNA) is a well-established procedure for the diagnosis and management of salivary gland lesions, despite challenges imposed by salivary gland tumor diversity, complexity, and cytomorphologic overlap. Until recently, the reporting of salivary gland FNA specimens was inconsistent among different institutions throughout the world, leading to diagnostic confusion among pathologists and clinicians. In 2015, an international group of pathologists initiated the development of an evidence-based tiered classification system for reporting salivary gland FNA specimens, the Milan System for Reporting Salivary Gland Cytopathology (MSRSGC). The MSRSGC consists of 6 diagnostic categories, which incorporate the morphologic heterogeneity and overlap among various nonneoplastic, benign, and malignant lesions of the salivary glands. In addition, each MSRSGC diagnostic category is associated with a risk of malignancy and management recommendations.

Objective.—: To review the current status of salivary gland FNA, core needle biopsies, ancillary studies, and the beneficial role of the MSRSGC in providing a framework for reporting salivary gland lesions and guiding clinical management.

Data sources.—: Literature review and personal institutional experience.

Conclusions.—: The main goal of the MSRSGC is to improve communication between cytopathologists and treating clinicians, while also facilitating cytologic-histologic correlation, quality improvement, and research. Since its implementation, the MSRSGC has gained international acceptance as a tool to improve reporting standards and consistency in this complex diagnostic area, and it has been endorsed by the 2021 American Society of Clinical Oncology management guidelines for salivary gland cancer. The large amount of data from published studies using MSRSGC served as a basis for the recent update of the MSRSGC.

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唾液腺细针抽吸术和唾液腺细胞病理学米兰报告系统的最新进展。
背景尽管涎腺肿瘤具有多样性、复杂性和细胞形态学重叠性等特点,但细针穿刺术(FNA)是诊断和治疗涎腺病变的一种行之有效的方法。直到最近,世界各地不同机构对唾液腺 FNA 标本的报告仍不一致,导致病理学家和临床医生在诊断上产生困惑。2015 年,一个由病理学家组成的国际小组发起制定了一套基于证据的分级分类系统,用于报告唾液腺 FNA 标本,即米兰唾液腺细胞病理学报告系统(MSRSGC)。MSRSGC 包括 6 个诊断类别,其中包含了唾液腺各种非肿瘤性、良性和恶性病变的形态异质性和重叠性。此外,MSRSGC 的每个诊断类别都与恶性肿瘤的风险和管理建议相关联:回顾唾液腺 FNA、核心针活检、辅助研究的现状,以及 MSRSGC 在提供唾液腺病变报告框架和指导临床管理方面的有益作用:文献综述和个人机构经验:MSRSGC的主要目标是改善细胞病理学家与临床治疗医生之间的沟通,同时促进细胞学与病理学的相关性、质量改进和研究。自实施以来,MSRSGC 已获得国际认可,成为在这一复杂诊断领域提高报告标准和一致性的工具,并得到了 2021 年美国临床肿瘤学会唾液腺癌管理指南的认可。使用 MSRSGC 的大量已发表研究数据是最近更新 MSRSGC 的基础。
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来源期刊
CiteScore
9.20
自引率
2.20%
发文量
369
审稿时长
3-8 weeks
期刊介绍: Welcome to the website of the Archives of Pathology & Laboratory Medicine (APLM). This monthly, peer-reviewed journal of the College of American Pathologists offers global reach and highest measured readership among pathology journals. Published since 1926, ARCHIVES was voted in 2009 the only pathology journal among the top 100 most influential journals of the past 100 years by the BioMedical and Life Sciences Division of the Special Libraries Association. Online access to the full-text and PDF files of APLM articles is free.
期刊最新文献
New Entities and Concepts in Salivary Gland Tumor Pathology: The Role of Molecular Alterations. Update on Sinonasal Tract Malignancies: Advances in Diagnostic Modalities. Update on Salivary Gland Fine-Needle Aspiration and the Milan System for Reporting Salivary Gland Cytopathology. BRAF Exon 15 Mutations in the Evaluation of Well-Differentiated Epithelial Nephroblastic Neoplasms in Children: A Report From the Children's Oncology Group Study AREN03B2. Neoplastic Progression in Intraductal Papillary Neoplasm of the Bile Duct.
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