Skip to main content
Log in

Fine-needle aspiration cytology of salivary gland tumours: a 10-year retrospective analysis

  • Original Article
  • Published:
Oral and Maxillofacial Surgery Aims and scope Submit manuscript

Abstract

Introduction

The aim of this study was to evaluate the sensitivity, specificity, diagnostic accuracy, positive predictive value (PPV) and negative predictive value (NPV) of fine-needle aspiration cytology (FNAC) of salivary gland tumours performed at a tertiary cancer hospital over a time period of 10 years.

Materials and methods

A retrospective analysis was carried out between 1995 and 2004 to review the cases of patients with salivary gland tumours who had undergone pre-operative FNA and for whom definite histology was either by tru-cut biopsy or by histopathological examination of the operative specimen.

Results

A total of 107 cases of salivary gland tumours were treated during that period, but only 82 cases diagnosed by FNAC could be correlated with histological and clinical data and were considered for this study. The sensitivity, specificity, diagnostic accuracy, PPV and NPV were estimated considering 54 benign and 28 malignant cases. Sensitivity was 90% (28/31), specificity was 98% (54/55), diagnostic accuracy was 95.1% (82/86), PPV was 96% and NPV was 94%.

Discussion

This study confirms that FNA cytology is a technique that offers high sensitivity, specificity and diagnostic accuracy in salivary gland tumour diagnosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Cohen MB, Reznicek MJ, Miller TR (1992) Fine-needle aspiration biopsy of the salivary glands. PatholAnnu 27:213–245

    Google Scholar 

  2. Stewart CJ, MacKenzie K, McGarry GW, Mowat A (2000) Fine-needle aspiration cytology of salivary gland: a review of 341 cases. Diagn Cytopathol 22(3):139–146

    Article  PubMed  CAS  Google Scholar 

  3. Carrillo JF, Ramirez R, Flores L, Ramirez-Ortega MC, Arrecillas MD, Ibarra M, Sotelo R, Ponce-de-Leon S, Onate-Ocana LF (2009) Diagnostic accuracy of fine needle aspiration biopsy in preoperative diagnosis of patients with parotid gland masses. J Surg Oncol 100:133–138

    Article  PubMed  Google Scholar 

  4. Riley N, Allison R, Stevenson S (2005) Fine-needle aspiration cytology in parotid masses: our experience in Canterbury, New Zealand. ANZ J Surg 75:144–146

    Article  PubMed  Google Scholar 

  5. Gal R (1996) Fine needle aspiration of the salivary glands: a review. Oper Tech Otolaryngol Head Neck Surg 7:323–326

    Article  Google Scholar 

  6. Gao N, Li Y, Li LJ, Wen YM (2009) Clinical analysis of head and neck cancer cases in south-west China 1953–2002. J Int Med Res 37:189–197

    PubMed  CAS  Google Scholar 

  7. Gehrking E, Gehrking I, Moubayed P (2007) Surgery of benign tumors of the parotid gland: the value of fine needle aspiration cytology. HNO 55:195–201

    Article  PubMed  CAS  Google Scholar 

  8. Klijanienko J, Viehl P (1997) Fine needle sampling of salivary gland lesion IV. Review of 50 cases of mucoepidermoid carcinoma with histologic correlation. Diagn Cytopathol 17:93–98

    Google Scholar 

  9. Viguer JM, Jimenez-Heffernan JA, Vicandi B, Lopez-Ferrer P, Limeres MA, Navarro M (2005) Cytologic diagnostic accuracy in pleomorphic adenomas of the salivary glands during 2 periods. Acta Cytol 51(1):16–20

    Article  Google Scholar 

  10. Klijanienko J, Naggar AK, Viehl P (1999) Fine needle sampling in 26 carcinoma ex-pleomorphic adenomas: diagnostic pitfalls and clinical considerations. Diagn Cytopathol 21:163–166

    Article  PubMed  CAS  Google Scholar 

  11. Colella G, Cannavale R, Flamminto F, Foschini MP (2010) Fine needle aspiration cytology of salivary gland lesions: a systematic review. J Oral Maxillofac Surg 68:2146–2153

    Article  PubMed  Google Scholar 

  12. Parwani AV, Ali SZ (2003) Diagnostic accuracy and pitfalls in fine-needle aspiration interpretation of Warthin tumor. Cancer 99(3):166–171

    Article  PubMed  Google Scholar 

  13. Zbären P, Schär C, Hotz MA, Loosli H (2001) Value of fine-needle aspiration cytology of parotid gland masses. Laryngoscope 111:1989–1992

    Article  PubMed  Google Scholar 

  14. Mihashi H, Kawahara A, Kage M, Kojiro M, Nakashima T, Umeno H, Sakamoto K, Chiziwa H (2006) Comparison of preoperative fine-needle aspiration cytology diagnosis and histopathological diagnosis of salivary gland tumors. Kurume Med J 53:23–27

    Article  PubMed  Google Scholar 

  15. Weinberger MS, Rosenberg WW, Meurer WT, Robbins KT (1992) Fine-needle aspiration of parotid gland lesions. Head Neck 14(6):483–487

    Article  PubMed  CAS  Google Scholar 

  16. Bartels S, Talbot M, DiTomasso J, Everts EC, Andersen PE, Wax MK, Cohen JI (2000) The relative value of fine-needle aspiration and imaging in the preoperative evaluation of parotid masses. Head Neck 22:781–786

    Article  PubMed  CAS  Google Scholar 

  17. Lim CM, They J, Loh KS, Chao SS, Lim LHY, Tan LKS (2007) Fine needle aspiration cytology in the evaluationof parotid tumours. ANZ J Surg 77:742–744

    Article  PubMed  Google Scholar 

  18. Moriniere S, Perie S, St Guily JL (2007) Primary and non-primary parotidmalignancies: comparison of treatment modalities and outcomes. Eur Arch Otorhinolaryngol 264:1231–1237

    Article  PubMed  Google Scholar 

  19. Paris J, Facon F, Pascal T, Chrestian MA (2005) Preoperative diagnostic values of fine-needle cytology an dMRI in parotid gland tumors. Eur Arch Otorhinolaryngol 262:27–31

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Aris Ntomouchtsis.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kechagias, N., Ntomouchtsis, A., Valeri, R. et al. Fine-needle aspiration cytology of salivary gland tumours: a 10-year retrospective analysis. Oral Maxillofac Surg 16, 35–40 (2012). https://doi.org/10.1007/s10006-011-0291-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10006-011-0291-8

Keywords

Navigation