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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 38(4); 1995 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1995;38(4): 593-8.
Diagnostic Significance of Fine-Needle Aspiration Cytology and Frozen Section Biopsy in Slivary Gland Masses
Hyung Seok Lee, MD, Hyun Soo Kim, MD, Sung Kun Kim, MD, Chul Won Park, MD, and Sun Kon Kim, MD
Department Otolaryngology, College of Medicine, Hanyang University, Seoul, Korea
타액선종물에 대한 세침흡인세포검사와 동결절편생검의 진단적 의의
이형석 · 김현수 · 김성근 · 박철원 · 김선곤
한양대학교 의과대학 이비인후과학교실

A swelling in the region of salivary glands may result from inflammations or tumors. These lesions may not always be accurately diagnosed on clinical findings alone, and the final diagnosis is often hepled by histologic examination of the excised lesions. The fine-needle aspiration cytology(FNAC) and frozen section biopsy(FS) have proved to be a valuable aid in the diagnosis of salivary gland lesions. The review of the value of FS diagnosis in the surgical treatment of salivary gland disease suggests that FS diagnosis alone should not determine the surgical management of salivary gland disease. Rather, it has been suggested that the clinical characterization of the disease, the history, FNAC diagnosis and surgical judgment should be given equal consideration if FS diagnosis is in doubt. We examined the relative accuracy of the fine-needle aspiration cytology and frozen section biopsy in the diagnosis of salivary gland tumors through the retrospective analysis of 107 patients with salivary gland masses from March 1988 to July 1993. 1) The fine-needle aspiration cytology were performed in 107 patients, and completely and accurately diagnosed in 93(86.9%) of them, including 25(100%) of 25 nonneoplastic lesions, 58(87.9%) of 66 benign tumors, and 10(62.5%) of 16 malignant tumors. 2) Both fine-needle aspiration cytology and frozen section biopsy were performed in 26 of 107 patients. Among them 18 cases(69.2%) were correctly diagnosed by fine-needle aspiration cytology, and 17 cases(65.4%) by frozen section biopsy. So the comparative accuracy of FNAC and FS was similar. 3) FS diagnosis at surgery offers no information regarding optimal preoperative treatment planning. But the information obtained by FNAC allows for preoperative patient management and better overall treatment planning. FNAC is a useful adjunct in the work-up of salivary gland tumors and is poimally used when there is a good rapport between the pathologist and the surgeon.

Keywords: Fine needle aspiration cytologyFrozen section biopsySalivary gland.
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