Med Bull Sisli Etfal Hosp. 2013; 47(4): 177-180 | DOI: 10.5350/SEMB2013470403

Correlation between fine needle aspiration biopsy and histological finding of parotid masses

Hüseyin Günizi¹, Kenan Güney^2
1Hakkari State University, Hakkari, Turkey
²Faculty of Medicine, Akdeniz University, Istanbul, Turkey

Objectives: We aimed to determine the value and accuracy of ultrasound guided fine needle aspiration bipsy (FNAB) in diagnosis of parotid masses.
Material and Methods: Data from patients who were operated for parotid masses at our clinic and on who underwent preoperative ultrasound guided FNAB was analyzed retrspectively between 2003-2009. Fine-needle aspiration biopsy as a diagnostic test specificity, sensitivity values were calculated.
Results: Thirty-eight of the patients (%58) were male and 28 (%42) were female with a mean age of 48 (18-81). FNAB was benign at 54 patients and malign at 12 patients. We did not have any nondiagnostic values. Fifty-five of the 66 patients (%83) were reported as benign and 11 of the patients (%17) were reported as malign at postoperatif postoperative pathological examination. The sensitivity, specificity,positive predictive and negative predictive rates were %64, %91, %58, %93.
Conclusion: Ultrasound guided FNAB is a reliable method of preoperatively assessing parotid masses

Keywords: Parotid Mass, fine needle aspiration biopsy, specificity, sensivity, ultrasound

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Parotis kitlelerinde ince iðne aspirasyon biyopsisi ve histolojik bulgularý arasýndaki korelasyon

Hüseyin Günizi¹, Kenan Güney^2
1Hakkari Devlet Hastanesi, Hakkari
²Akdeniz Üniversitesi, Týp Fakültesi, Ýstanbul

Amaç: Ultrason eþliðinde ince iðne aspirasyon biyopsisinin (ÝÝAB), parotis bezi hastalýklarýnda benignmalign ayýrýmýndaki tanýsal deðeri ve doðruluðunu belirlemek.
Yöntem: 2003-2009 yýllarý arasýnda, parotiste kitle nedeniyle baþvuran ve cerrahi tedavi öncesi ultrason eþliðinde ÝÝAB yapýlan 66 parotiste kitle vakasýnýn histopatolojik sonuçlarý retrospektif olarak incelendi. ÝÝAB’nin tanýsal bir test olarak spesifite, sensivite deðerleri hesaplandý.
Bulgular: Hastalarýn 38 tanesi (%58) erkek, 28 tanesi (%42) kadýn olup yaþ ortalamasý 48 (18-81) idi. ÝÝAB sonucu 54 hastada benign, 12 hastada malign idi. Hiç nondiagnostik olarak belirtilen ÝÝAB sonucumuz yoktu. Postoperatif patolojide 66 hastanýn 55’inde (%83) benign, 11’inde (%17) malign rapor edildi. Çalýþmamýzda yapýlan ÝÝAB’nin sensivite deðeri, spesifite deðeri, pozitif ve negatif prediktif deðeri sýrasýyla %64, %91, %58 ve %93 olarak hesaplanmýþtýr.
Sonuç: Ultrason eþliðinde ÝÝAB, preoperatif parotis kitlelerinin deðerlendirilmesinde güvenilir bir yöntemdir.

Anahtar Kelimeler: Parotis Kitlesi, Ýnce Ýðne Aspirasyon Biyopsisi, Spesifite, Sensivite, Yararlýlýk, Ultrason

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