@article{MAKHILLRJMS2024181131805,
    title = {Diagnostic Utility of Milan System for Reporting Salivary Gland Cytopathology in A Tertiary Care Centre with Histopathological Correlation},
    journal = {Research Journal of Medical Sciences},
    volume = {18},
    number = {11},
    pages = {686-691},
    year = {2024},
    issn = {1815-9346},
    doi = {makrjms.2024.11.686.691},
    url = {https://makhillpublications.co/view-article.php?issn=1815-9346&doi=makrjms.2024.11.686.691},
    author = {Anisha,Jayasree and},
    keywords = {Milan System, Salivary Gland, Cytopathology, Fine Needle Aspiration Cytology, Histopathological Correlation, Diagnostic Accuracy},
    abstract = {The Milan System for Reporting Salivary Gland Cytopathology (MSRSGC)
is a standardized classification system designed to improve the diagnostic
accuracy of fine needle aspiration cytology (FNAC) for salivary gland
lesions. It aids in risk stratification and management decisions by
categorizing lesions from benign to malignant. To evaluate the diagnostic
utility of the Milan System for Reporting Salivary Gland Cytopathology in
a tertiary care center in Tamil Nadu, with histopathological correlation.
This prospective observational study was conducted at a tertiary care
hospital in Tamil Nadu. A total of 120 patients with suspected salivary
gland lesions were enrolled. FNAC was performed on all patients, and the
cytological findings were categorized using the Milan system.
Histopathological diagnosis was obtained for each case after surgical
excision or biopsy. The sensitivity, specificity, positive predictive value
(PPV), and negative predictive value (NPV) of the Milan system were
calculated based on the histopathological results. The study found that
the Milan system demonstrated a sensitivity of 92%, specificity of 89%,
PPV of 91%, and NPV of 88%. A strong correlation was noted between the
cytological and histopathological findings, with the system effectively
distinguishing between benign and malignant lesions. The system showed
high accuracy in categorizing lesions in categories IV and V, which
typically present diagnostic challenges. The Milan system for reporting
salivary gland cytopathology is a reliable tool for the diagnostic evaluation
of salivary gland lesions. It aids in accurate diagnosis and risk
stratification, improving clinical management in a tertiary care setting in
Tamil Nadu.}
    }