Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The aim of the present investigation was to determine the utility of FNAC in planning parotid gland surgery. This observational study was conducted at the Pathology Department over a period of 2 years from March 2015‐ March 2017. A sample size of 200 patients was examined in this period. All patients had US‐guided FNAC after clinical assessment. Only Institute‐performed FNAC was examined for uniform and comparable data. A computerized database stored demographic and clinical data, including age, sex, prior surgery, timing of symptoms, cytological and histological findings, lesion location and volume, histological sample margin involvement, and relapses. Out of the 200 patients examined, 42 cases (21%) were non‐diagnostic (Milan category I), 144 cases (72%) were reported as non‐neoplastic / inflammatory (Milan category II) and 14 cases (7%) were reported as malignant (Milan category VI). Pleomorphic adenoma (Milan category IV) was reported in 90 individuals (56.25%) and Warthin's tumor (Milan category IV) was reported in 40 (25%) cases. FNAC has 82% sensitivity and 98% specificity. Overall diagnosis accuracy was 97%, with 96% accuracy for reporting malignancy and 82% for benign lesions on FNAC. FNAC malignancy PPV and NPV were 92% and 98% respectively. Our research demonstrates that FNAC is a safe and effective tool in making a preoperative diagnosis in parotid tumors and in planning the further course of management.
How to cite this article:
Rohini S. Doshetty, Akriti Kashyap and S.P. Rashmi. The Utility of FNAC in Planning Parotid Gland Surgery: An Observational Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.456.459
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.456.459