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Volume 13 Issue 8 (August) 2024

Original Articles

FNAC based Cytomorphological Spectrum of Salivary Gland Lesions: A Prospective Study in a Tertiary Care Centre in Chhattisgarh
Dr. Parisha Singh, Dr. Mili Patel, Dr. Reena Banerjee, Dr. RK Chandrakar

Background: Salivary Gland swellings may be due to inflammation, cyst or neoplasm. Annual incidence rate of Salivary gland tumors varies between 0.4-13.5 cases/100,000 individuals with the majority of them being benign. Fine Needle Aspiration is a simple, cost-effective, reliable and minimally invasive procedure and is widely used for preoperative diagnosis of salivary gland lesions. It provides valuable information for planning appropriate management. The present study aims to evaluate the Cytomorphological spectrum of Salivary gland lesions using FNAC as a diagnostic tool. Materials and methods: This Prospective Observational study was carried out in the Cytology section of Pathology Department at ShriShankaracharya Institute of Medical Sciences, Bhilai for a period of two years using FNAC technique as per standard protocol. The cases were segregated into Non neoplastic, Benign and Malignant categories on the basis of their cytological features. Histopathological correlation was made where available. Results: A total of 75 cases of salivary gland lesions were aspirated for a period of two year. The age of patients ranged from to 7-78 years with mean age of 45.5yrs .Overall male:female ratio was 1.34:1. Parotid Gland was most common(61.3%) salivary gland involved. There were 46.6% cases of non-neoplastic lesions and 53.4% cases of neoplastic lesions. Chronic Sialadenitis, Pleomorphic Adenoma and Mucoepidermoid Carcinoma were most common non-neoplastic, benign and malignant lesion respectively in the study. Cyto-Histopathological cases showed 91.6 % concordance. Conclusion: FNA cytology is safe, time saving and relatively accurate technique to evaluate salivary gland lesions and provides useful information on the management of salivary gland lesions and identification of malignancy. It helps in deciding the type and extent of surgery, also preventing unnecessary surgery in cases of nonneoplastic lesions.

 
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