International Journal of Oral and Maxillofacial Surgery
Clinical PaperHead and Neck OncologyAnalysis of efficacy and safety of core-needle biopsy versus fine-needle aspiration cytology in patients with cervical lymphadenopathy and salivary gland tumour
Section snippets
Materials and methods
This retrospective study was conducted at a tertiary medical institution and was approved by the Institutional Review Board of Korea University. The medical records of patients with cervical lymphadenopathy or salivary gland tumour who visited Korea University Guro Hospital from January 2005 to December 2015 were reviewed. As CNB presents technical difficulties in paediatric patients, only patients aged 15 years or older were enrolled in the study. Only patients with at least 2 years of follow-up
Results
A total of 278 patients were included in this study. To confirm the disease, 112 patients underwent FNAB as an initial diagnostic method, and 166 underwent CNB. Gender and age did not differ significantly between the FNAC and CNB groups. Lesion location and final diagnosis differed significantly. Table 1 summarizes other clinical information.
During the study period, 184 patients presented with cervical lymphadenopathy. Of these, 62 patients underwent FNAC as an initial diagnostic method (Fig. 1
Discussion
FNAC plays an important role in diagnosing cervical lymphadenopathy and salivary gland tumour. Because a thin needle is used to draw specimens for histologic examination, FNAC is easy to perform and more tolerable. Physicians can use the cytologic results of FNAC to distinguish critical diseases, including malignant tumours and tuberculosis, from benign tumours or self-limiting inflammatory diseases. FNAC provides important clues to diagnose disease or select the next procedure to confirm the
Funding
None.
Ethical approval
This study was approved by Institutional Review Board of Korea University (2011-11-0026).
Patient consent
Not required.
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