关键词: Fine-needle aspiration cytology Salivary gland carcinoma Salivary gland tumor

Mesh : Humans Biopsy, Fine-Needle Cytodiagnosis / methods Diagnosis, Differential Salivary Gland Neoplasms / pathology diagnosis Salivary Glands / pathology

来  源:   DOI:10.1053/j.semdp.2024.04.003

Abstract:
Salivary gland tumors (SGT) display morphological diversity and pose diagnostic challenges. Preoperative fine needle aspiration cytology (FNAC) is a minimally invasive and efficient diagnostic test. However, due to the limited sample size, the final diagnosis may not be established based on FNAC alone. Although cytomorphology and architecture are usually preserved on FNAC, morphologic changes specific to FNAC can complicate the diagnosis. The Milan System for Reporting Salivary Gland Cytopathology categorizes complex FNAC interpretations. Because the cytological diagnosis is closely linked to the histological diagnosis, a multidimensional approach considering the possibility of several differential diagnoses is necessary. From the standpoint of treatment, distinguishing high-grade malignancy from low-grade malignancy is more important than distinguishing malignancy from benign tumors.
摘要:
涎腺肿瘤(SGT)表现出形态多样性并提出诊断挑战。术前细针穿刺细胞学(FNAC)是一种微创、高效的诊断试验。然而,由于样本量有限,最终诊断可能无法仅基于FNAC来确定.尽管FNAC通常保留了细胞形态学和体系结构,FNAC特有的形态学改变会使诊断复杂化.米兰唾液腺细胞病理学报告系统对复杂的FNAC解释进行了分类。因为细胞学诊断与组织学诊断密切相关,考虑多种鉴别诊断的可能性的多维方法是必要的.从治疗的角度来看,区分高级别恶性肿瘤和低级别恶性肿瘤比区分恶性肿瘤和良性肿瘤更为重要.
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