FNA Diagnostic Value in Patients with Neck Masses in Two Teaching Hospitals in Iran

  • Minoo Saatian Department of Pathology, Bu-Ali Hospital, School of Medicine, Azad University of Tehran, Tehran, Iran.
  • Banafsheh Moradmand Badie Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, Iran.
  • Sogol Shahriari Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, Iran.
  • Fahimeh Fattahi Department of Biology, Shahed University of Medical Sciences, Tehran, Iran.
  • Mehrnaz Rasoolinejad Iranian Research Center for HIV/AIDS, Tehran University of Medical Sciences, Tehran, Iran.
Keywords: FNA, Mass, Diagnostic test

Abstract

The FNA (fine needle aspiration) procedure is simple, inexpensive, available and a safe method for the diagnosis of a neck mass. FNA has numerous advantages over open surgical biopsies as an initial diagnostic tool; therefore we decided to compare the accuracy of this method with open biopsy. This Retrospective as well as Descriptive study comparing preoperative FNA results with existing data in the Pathology Department in Bu-Ali and Amir Alam Hospitals. Our study included 100 patients with neck masses of which 22 were thyroid masses, 31 were salivary gland masses, and 47 were other masses. Age ranged from 3 years to 80 years with the mean age of 42.6 years. There were 59 men and 41 women. The Sensitivity was 72%, Specificity 87%, PPV 85%, NPV 75% and diagnostic Accuracy 79%. In this study we had also26% false negative and 15% false positive. FNA is a valuable diagnostic tool in the management of neck masses; also it has been used for staging and planning of treatment for the wide and metastatic malignancy. This technique reduces the need for more invasive and costly procedures. According to the high sensitivity and high accuracy in this study, FNA can be used as the first step of diagnoses test in neck masses.

References

Carroll CM, Nazeer U, Timon CI. The accuracy of fineneedle aspiration biopsy in the diagnosis of head and neck masses. Ir J Med Sci 1998;167(3):149-51.

Arda IS, Yildirim S, Demirhan B, Firat S. Fine needle aspiration biopsy of thyroid nodules. Arch Dis Child 2001;85:313-7.

Martinek A, Dvorackova J, Honka M, Horacek J, Klvana P. Importance of guided fine needle aspiration cytologym(FNAC) for the diagnostics of thyroid nodules-own experience. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2004;148(1):45-50.

Cap J, Ryska A, Rehorkova P, Hovorkova E, Kerekes Z, Pohnetalova D. Sensitivity and specificity of the fine needle aspiration biopsy of the thyroid: clinical point of view. Clin Endocrinol (Oxf) 1999;51(4):509-15.

Sangalli G, Serio G, Zampatti C, Bellotti M, Lomuscio G. Fine needle aspiration cytology of the thyroid: a comparison of 5469 cytological and final histological diagnoses. Cytopathology 2006;17(5):245-50.

Que Hee CG, Perry CF. Fine-needle aspiration cytology of parotid tumours: is it useful? ANZ J Surg 2001;71(6):345-8.

Ellison E, LaPuerta P, Martin SE. Supraclavicular masses: results of a series of 309 cases biopsied by fine needle aspiration. Head Neck 1999;21(3):239-46.

Baloch ZW, Sack MJ, Yu GH, Livolsi VA, Gupta PK. Fine-needle aspiration of thyroid: an institutional experience. Thyroid 1998; 8(7):565-9.

Hamming JF, Vriens MR, Goslings BM, Songun I, Fleuren GJ, van de Velde CJ. Role of fine-needle aspiration biopsy and frozen section examination in determining the extent of thyroidectomy. World J Surg 1998;22(6):575-9.

Leonard N, Melcher DH. To operate or not to operate? The value of fine needle aspiration cytology in the assessment of thyroid swellings. J Clin Pathol 1997;50(11):941-3.

How to Cite
1.
Saatian M, Moradmand Badie B, Shahriari S, Fattahi F, Rasoolinejad M. FNA Diagnostic Value in Patients with Neck Masses in Two Teaching Hospitals in Iran. Acta Med Iran. 49(2):85-88.
Section
Articles