How good are we at fine needle aspiration cytology?

To determine the accuracy of fine needle aspiration cytology conducted within a standard ENT out-patients service (rather than a one-stop neck lump clinic), and also to assess the value of ultrasound guidance during fine needle aspiration cytology. Retrospective study of all patients undergoing fine...

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Bibliographic Details
Published in:Journal of laryngology and otology 2010-07, Vol.124 (7), p.765-766
Main Authors: Carr, S, Visvanathan, V, Hossain, T, Uppal, S, Chengot, P, Woodhead, C J
Format: Article
Language:English
Subjects:
Accuracy
Biological and medical sciences
Biopsy
Biopsy, Fine-Needle - methods
Biopsy, Fine-Needle - standards
Cellular biology
Clinics
Cytology
Exocrine glands
Head & neck cancer
Head and Neck Neoplasms - pathology
Histology
Humans
Lymph Nodes
Lymph Nodes - pathology
Lymphatic system
Medical sciences
Otolaryngology
Otorhinolaryngology. Stomatology
Pathology
Patients
Retrospective Studies
Salivary Glands
Salivary Glands - pathology
Teaching hospitals
Thyroid Gland
Thyroid Gland - pathology
Ultrasonic imaging
Ultrasonography
Ultrasonography, Interventional
United Kingdom
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Summary:To determine the accuracy of fine needle aspiration cytology conducted within a standard ENT out-patients service (rather than a one-stop neck lump clinic), and also to assess the value of ultrasound guidance during fine needle aspiration cytology. Retrospective study of all patients undergoing fine needle aspiration cytology of a neck lump, from 2005 to 2008 in Leeds teaching hospitals. Accuracy of fine needle aspiration cytology, compared with the corresponding histology report of the original surgical specimen, and non-diagnostic fine needle aspiration cytology rates with and without ultrasound. Fine needle aspiration cytology yielded the following respective sensitivity, specificity and accuracy rates: 85, 91 and 87 per cent for lymph nodes; 80, 93 and 89 for salivary glands; and 52, 80 and 69 for thyroid. The proportion of non-diagnostic procedures was 28 per cent, both with and without ultrasound guidance. Cytologist-led fine needle aspiration cytology would have reduced the time to diagnosis and the number of clinic visits per patient. Fine needle aspiration cytology was accurate for predicting malignancy in salivary gland and lymph node lesions, and for diagnosing lymph node pathology. Study results did not support the use of ultrasound guidance during fine needle aspiration cytology.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215109992635