Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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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.
How to cite this article:
Anisha Nazar, Jayasree Geothe and G. Rajan. Diagnostic Utility of Milan System for Reporting Salivary Gland Cytopathology in A Tertiary Care Centre with Histopathological Correlation.
DOI: https://doi.org/10.36478/makrjms.2024.11.686.691
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2024.11.686.691