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Anales de Otorrinolaringología Mexicana

2020, Number 1

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Otorrinolaringología 2020; 65 (1)

Efficacy of fine needle aspiration biopsy in salivary gland disease

Morales-Cadena GM, Durán-Ruíz EE, Fonseca-Chávez MG, Valente-Acosta B

Language: Spanish
References: 13
Page: 14-20
PDF size: 183.41 Kb.


ABSTRACT

Objective: To analyze the efficacy of fine needle aspiration biopsy in the diagnosis of the salivary glands diseases and their relationship with the final histopathological result.
Material and Method: A retrospective, descriptive and transversal study done from January 2017 to June 2018. Two groups of patients were formed: the group with disease of the submandibular gland and the second with disease of the parotid gland. The estimation of sensitivity, specificity, predictive values and accuracy was performed for patients who had a positive aspiration biopsy.
Results: The sensitivity of the aspiration biopsy to establish a diagnosis was 36.3%, while the specificity was 40%, the positive predictive value was 57.1% and the negative predictive value was 22.2%. The accuracy of the aspiration biopsy compared with the pathology result was 37.5%.
Conclusions: The aspiration biopsy has wide range results of specificity and sensitivity due to the lack of standardization of cytological results and the vast cytomorphological variety in the lesions that fundamentally affect the parotid gland; however, we consider that it should be performed routinely since it is the only way to acquire experience for executing it and improve the interpretation.


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