[Fine needle aspiration in salivary gland tumors: specificity and sensitivity].
Neoplasms of salivary glands represent almost 3% of all head and neck tumors. Proper surgical treatment depends upon accurate histological findings, especially in the case of malignant lesions. As such, knowledge of correct cytological findings prior to surgery is important for therapeutic planning. This is not easily established since it is usually based only on the patients' clinical history and imaging exams


OBJECTIVE
To evaluate results obtained from fine needle aspiration biopsy (FNAB), comparing them to the histological findings of the respective surgical specimens and analyzing the sensitivity, specificity and accuracy of this method in relation to the diagnosis of malignancy or benignancy.


METHODS
Retrospective study with the medical records of 73 patients who had salivary gland neoplasms and were submitted to FNAB and surgical treatment.


RESULTS
Data disclosed that values of sensitivity were 87.9 % and specificity 85.7 % for diagnosis of benign tumors. For malignant tumors 42.5 % of sensitivity and 98.3 of specificity, were observed. Overall values of accuracy were, respectively, 85.7 % and 87.8 % for positive and negative predictive values in the diagnosis of malignancy by FNAB.


CONCLUSIONS
It was shown that FNAB, as supplementary diagnostic method, can be useful for preoperative evaluation and surgical planning especially for malignant neoplasms.
Departamento de Cirurgia da Faculdade de Ciências Médicas da Santa Casa de São Paulo, Rua Dr. Cesário Mota Júnior 112, Vila Buarque, CEP 01221-020 São Paulo, SP, Brazil. cabpesc@santacasasp.org.br
Antonio José
AJ
Gonçalves
Marcelo Benedito
MB
Menezes
Norberto Kodi
NK
Kavabata
Antonio Augusto Tupinambá
AA
Bertelli
Ricardo Antenor de Souza e
RA
Souza
Daniel
D
Joelsons
D008949:Adenoma, Pleomorphic / Q000473:pathology* / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D044963:Biopsy, Fine-Needle / Q000592:standards*; D002648:Child; D005188:False Negative Reactions; D005189:False Positive Reactions; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010306:Parotid Gland / Q000473:pathology; D010307:Parotid Neoplasms / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D012468:Salivary Gland Neoplasms / Q000473:pathology* / Q000601:surgery; D012680:Sensitivity and Specificity; D013363:Submandibular Gland / Q000473:pathology; D013365:Submandibular Gland Neoplasms / Q000473:pathology / Q000601:surgery