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Abstract
Background: Salivary tumour is one of the most frequent tumour of the head, face and neck region. The diagnosis and classification of salivary tumour are complicated and in many cases it is quite difficult to differentiate the diseases just basing on the clinical signs and imaging diagnosis. The international researches have shown that cytology played a meaningful role in practice for the early diagnosis and orientating the suitable treatment. This study aims to classify the cytology and histopathology of salivary tumours, 2. To assess the role of cytology in the diagnosis of salivary tumours compared with histopathology.
Methods: Cross-sectional research on 74 patients diagnosed by cytology and histopathology at the Hospital of Hue University of Medicine and Pharmacy from 07.2022 to 12.2023.
Results: Cytology: most of them were benign 97.3% (72/74 cases) including Milan group IV 60.8% (pleomorphic adenomas 28.4%, Warthin’s tumour 13.5%, other adenomas 18.9), Milan group II 36.5% (inflammation 16.2%, cystic lesions 14.9% and the less frequent ones encompassing fibro-lipoma, reactive lymph nodes); 2/74 were Milan group VI (2.7%). Histopathology: 71/74 cases (95.9%) were benign, in which two most frequent types of tumour were pleomorphic adenomas and Warthin’s tumour (41.9%, 40.5%), the less ones including cystic tumours, lipoma, lympho – epithelial tumour, basal cell adenoma; 3/74 cases (4.1%) were malignant with the subtypes such as mucoepidermoid carcinoma, adenoid cystic carcinoma and acinic cell carcinoma; Cytology plays a meaningful role in the diagnosis of salivary tumour with the sensitivity, specificity and accuracy were 33,3%, 98,6%, 95,9% respectively.
Conclusions: Cytology was valuable in the diagnosis of salivary tumour with the very high specificity (98.6%) so we should apply this method in practice for the early diagnosis and suitable treatment.
Key words: Salivary tumour, parotid salivary gland, cytology, histopathology, pleomorphic adenoma, mucoepidermoid carcinoma
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| Published | 01-01-2025 | |
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| Issue | Vol. 16 No. 6 (2024) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.16.6.9 | |
| Keywords | Từ khóa: U tuyến nước bọt, tuyến nước bọt mang tai, tế bào học, mô bệnh học, u tuyến đa hình, ung thư típ vảy - nhầy |
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