Fine-needle aspiration cytology of salivary gland lesions: A revised classification based on “Milan system”—4years experience of tertiary care cancer center of South India
Background: Fine-needle aspiration cytology plays role in preoperative diagnosis of any salivary gland mass lesions. Because of heterogeneity of salivary gland lesions and cytomorphology overlap, a uniform 6-tier Milan classification proposed which could be helpful in better communication of reports...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Journal of Cytology |
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| Online Access: | http://www.jcytol.org/article.asp?issn=0970-9371;year=2020;volume=37;issue=1;spage=12;epage=17;aulast=Mukundapai |
| _version_ | 1818853546836099072 |
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| author | Malathi Mukundapai Neelam Sharma Akkamahadevi Patil Champaka Gopal |
| author_facet | Malathi Mukundapai Neelam Sharma Akkamahadevi Patil Champaka Gopal |
| author_sort | Malathi Mukundapai |
| collection | DOAJ |
| description | Background: Fine-needle aspiration cytology plays role in preoperative diagnosis of any salivary gland mass lesions. Because of heterogeneity of salivary gland lesions and cytomorphology overlap, a uniform 6-tier Milan classification proposed which could be helpful in better communication of reports for patient's management. Methods: Study included 4 years (2011–2015) retrospective data retrieval from cytology department of our Institute, which is a tertiary care cancer center of South India. Histopathology correlation was done wherever possible. Result: Total 253 cases were studied. Histopathological follow-up was available in 115 cases. Cases were categorized as nondiagnostic (1.58%), nonneoplastic (13.43%), benign (30%), atypia (0.8%), and suspicious for malignancy and malignant cytology (51.8%). The risk for malignancy was high for suspicious for malignancy and malignant cytological categories ranged from 96–100%. The sensitivity, specificity, and accuracy for diagnosing malignancy varied from 86.76%, 93.75%, and 89%, respectively. Conclusion: Risk stratification approach in classifying salivary gland cytology aspirate as per Milan system provides a standardized reporting and better communication to clinician. |
| first_indexed | 2024-12-19T07:38:32Z |
| format | Article |
| id | doaj.art-8bbff7a76f504f5ea13a29a0e28ac197 |
| institution | Directory Open Access Journal |
| issn | 0970-9371 |
| language | English |
| last_indexed | 2024-12-19T07:38:32Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Cytology |
| spelling | doaj.art-8bbff7a76f504f5ea13a29a0e28ac1972022-12-21T20:30:32ZengWolters Kluwer Medknow PublicationsJournal of Cytology0970-93712020-01-01371121710.4103/JOC.JOC_68_18Fine-needle aspiration cytology of salivary gland lesions: A revised classification based on “Milan system”—4years experience of tertiary care cancer center of South IndiaMalathi MukundapaiNeelam SharmaAkkamahadevi PatilChampaka GopalBackground: Fine-needle aspiration cytology plays role in preoperative diagnosis of any salivary gland mass lesions. Because of heterogeneity of salivary gland lesions and cytomorphology overlap, a uniform 6-tier Milan classification proposed which could be helpful in better communication of reports for patient's management. Methods: Study included 4 years (2011–2015) retrospective data retrieval from cytology department of our Institute, which is a tertiary care cancer center of South India. Histopathology correlation was done wherever possible. Result: Total 253 cases were studied. Histopathological follow-up was available in 115 cases. Cases were categorized as nondiagnostic (1.58%), nonneoplastic (13.43%), benign (30%), atypia (0.8%), and suspicious for malignancy and malignant cytology (51.8%). The risk for malignancy was high for suspicious for malignancy and malignant cytological categories ranged from 96–100%. The sensitivity, specificity, and accuracy for diagnosing malignancy varied from 86.76%, 93.75%, and 89%, respectively. Conclusion: Risk stratification approach in classifying salivary gland cytology aspirate as per Milan system provides a standardized reporting and better communication to clinician.http://www.jcytol.org/article.asp?issn=0970-9371;year=2020;volume=37;issue=1;spage=12;epage=17;aulast=Mukundapaifine-needle aspiration cytologymilan systemsalivary glandsensitivityspecificity |
| spellingShingle | Malathi Mukundapai Neelam Sharma Akkamahadevi Patil Champaka Gopal Fine-needle aspiration cytology of salivary gland lesions: A revised classification based on “Milan system”—4years experience of tertiary care cancer center of South India Journal of Cytology fine-needle aspiration cytology milan system salivary gland sensitivity specificity |
| title | Fine-needle aspiration cytology of salivary gland lesions: A revised classification based on “Milan system”—4years experience of tertiary care cancer center of South India |
| title_full | Fine-needle aspiration cytology of salivary gland lesions: A revised classification based on “Milan system”—4years experience of tertiary care cancer center of South India |
| title_fullStr | Fine-needle aspiration cytology of salivary gland lesions: A revised classification based on “Milan system”—4years experience of tertiary care cancer center of South India |
| title_full_unstemmed | Fine-needle aspiration cytology of salivary gland lesions: A revised classification based on “Milan system”—4years experience of tertiary care cancer center of South India |
| title_short | Fine-needle aspiration cytology of salivary gland lesions: A revised classification based on “Milan system”—4years experience of tertiary care cancer center of South India |
| title_sort | fine needle aspiration cytology of salivary gland lesions a revised classification based on milan system 4years experience of tertiary care cancer center of south india |
| topic | fine-needle aspiration cytology milan system salivary gland sensitivity specificity |
| url | http://www.jcytol.org/article.asp?issn=0970-9371;year=2020;volume=37;issue=1;spage=12;epage=17;aulast=Mukundapai |
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