唾液腺穿刺吸引細胞診のピットフォール  唾液腺の穿刺吸引細胞診  嚢胞性病変におけるピットフォール

書誌事項

タイトル別名
  • Diagnostic pitfalls on aspiration cytology of salivary gland. Diagnostic Aspiration cytology of the salivary gland. Pitfall of cystic conditions.
  • pitfall of cystic conditions
  • 嚢胞性病変におけるピットフォール

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抄録

Aspiration cytology in cystic conditions of the salivary gland have low diagnostic accuracy because of frequent false negative cases and low-grade malignant tumors. We reviewed such cases, and divided cystic conditions into 4 categories-mucus-rich, hyalin materials, basalioid cell, and squamous cells. We discuss differential diagnoses and diagnostic pitfalls in each category. If materials were insufficient for diagnosis, reaspiration of solid areas or subsequent reaspiration should be done. In such cases, we should not report “no malignancy”. It was difficult to diagnose lowgrade mucoepidermoid carcinoma, even if tumor cells were aspirated. In cystic conditions, it is important to observe all materials in detail, especially the background, and to be aware of diagnostic pitfalls. Cystic conditions associated with inflammation and/or an unusual solid mass and arising from ectopic salivary glands should be also noted as pitfalls.

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