腮腺肿胀中细针抽吸细胞学与组织病理学的诊断准确性比较

Prashant Tripathi, Kunjan Acharya, Shreya Shrivastav, Bigyan Raj Gyawali
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引用次数: 0

摘要

背景:腮腺肿胀的诊断极具挑战性,影像学和针吸细胞学等检查都很有帮助。本研究旨在确定细针穿刺细胞学(FNAC)与组织病理学对腮腺肿胀的诊断准确性:这是一项描述性横断面研究,在加德满都特里布万大学医学院教学医院耳鼻咽喉头颈外科进行,研究人员查阅了七年半期间因腮腺病变接受手术的患者病历。所有细针穿刺细胞学和组织病理学报告齐备的患者均被纳入研究范围。数据以平均值、标准差、比率和百分比表示。数据分析使用 Microsoft excel:研究共纳入 75 名患者。年龄从 9 岁到 78 岁不等,平均年龄为 38.3 17.42 岁。男女比例为 1:1.78。细针穿刺细胞学检查和组织病理学检查的吻合率为 82.7%。细针穿刺细胞学检查的敏感性和特异性分别为 80% 和 95%。同样,阳性预测值和阴性预测值分别为 84% 和 93%。在我们的研究中,细针穿刺细胞学检查对腮腺肿胀的诊断准确率为 91%:在我们的研究中,细针穿刺细胞学对腮腺肿物的诊断准确率非常高。细针穿刺细胞学检查结果有助于决定腮腺病变的治疗方案。
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Diagnostic Accuracy of Fine Needle Aspiration Cytology as Compared to Histopathology in Parotid Gland Swelling.

Background: The diagnosis of parotid swelling is challenging and investigations like imaging and needle aspiration cytology are helpful. The objective of this study was to determine the diagnostic accuracy of fine needle aspiration cytology (FNAC) as compared to the histopathology in parotid gland swelling.

Methods: It was a descriptive cross sectional study carried out in the Department of ENT-Head and Neck Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu by reviewing the medical record charts of the patients who had undergone surgery for parotid lesions during the study period of seven and half years. All patients whose fine needle aspiration cytology and histopathology reports were available were included in the study. The data were presented as mean, standard deviation, ratio and percentages. Microsoft excel was used for data analysis.

Results: There were 75 patients included in the study. The age ranged from nine years to 78 years and the mean age being 38.3 17.42 years. The male to female ratio was 1:1.78. The concordance rate between fine needle aspiration cytology and histopathology was 82.7%. The sensitivity and specificity of the fine needle aspiration cytology were 80% and 95% respectively. Similarly, the positive predictive and negative predictive values were 84% and 93% respectively. The diagnostic accuracy of the fine needle aspiration cytology was 91% for the parotid swelling in our study.

Conclusions: The diagnostic accuracy of fine needle aspiration cytology for parotid swellings in our study was excellent. The result of fine needle aspiration cytology is helpful in deciding management plan for parotid lesions.

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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
81
审稿时长
15 weeks
期刊介绍: The journal publishes articles related to researches done in the field of biomedical sciences related to all the discipline of the medical sciences, medical education, public health, health care management, including ethical and social issues pertaining to health. The journal gives preference to clinically oriented studies over experimental and animal studies. The Journal would publish peer-reviewed original research papers, case reports, systematic reviews and meta-analysis. Editorial, Guest Editorial, Viewpoint and letter to the editor are solicited by the editorial board. Frequently Asked Questions (FAQ) regarding manuscript submission and processing at JNHRC.
期刊最新文献
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