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A correlation study of diagnostic fine‐needle aspiration with histologic diagnosis in cystic neck lesions
Author(s) -
Moatamed Neda A.,
Naini Bita V.,
Fathizadeh Payman,
Estrella Julie,
Apple Sophia K.
Publication year - 2009
Publication title -
diagnostic cytopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.417
H-Index - 65
eISSN - 1097-0339
pISSN - 8755-1039
DOI - 10.1002/dc.21088
Subject(s) - medicine , fine needle aspiration , medical diagnosis , histopathology , neck mass , thyroid , radiology , differential diagnosis , nodule (geology) , cytopathology , salivary gland , pathology , biopsy , cytology , paleontology , biology
Abstract The clinical diagnosis of a mass in the neck region encompasses a wide spectrum of differential diagnosis. Fine‐needle aspiration is a quick and safe technique, which can provide useful information for initial assessment and further therapeutic measures. The aim of this retrospective study was to evaluate the performance characteristics of the fine‐needle aspiration (FNA) in cystic neck lesions. Of 142 patients with FNA for cystic neck masses during 2002–2007, 92 cases were selected with a follow‐up histologic diagnosis, excluding the cystic colloid nodule of the thyroid. The cases were divided into salivary gland cystic neck (37 patients) and non‐salivary cystic neck (55 patients) mass groups. False‐positive and false‐negative diagnoses were applied only to the malignant lesions after confirmation by histopathology. In the first group, nine malignant and 28 benign diagnoses were made by FNA; of which three were false‐negative. In the second group, there were nine malignant and 46 benign diagnoses with three false negatives. The overall performance of the FNA showed 76% sensitivity and 100% specificity. In conclusion, FNA of the cystic neck lesions offers an invaluable and highly specific initial diagnostic approach for the management of the patients. Diagn. Cytopathol. 2009. © 2009 Wiley‐Liss, Inc.