Accuracy of Core Needle Biopsy Versus Fine Needle Aspiration Cytology for Diagnosing Salivary Gland Tumors.
Accuracy of Core Needle Biopsy Versus Fine Needle Aspiration Cytology for Diagnosing Salivary Gland Tumors.
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DOI：
10.4132/jptm.2015.01.03
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发表时间：
2015-03
影响因子：
2.4
通讯作者：
Cho KJ
中科院分区：
文献类型：
--
作者：
Song IH;Song JS;Sung CO;Roh JL;Choi SH;Nam SY;Kim SY;Lee JH;Baek JH;Cho KJ
粗针穿刺活检是一种用于诊断涎腺病变的相对较新的技术，与细针穿刺细胞学相比，其作用需要进一步完善。我们比较了228例超声引导下粗针穿刺活检和371例细针穿刺活检对大涎腺肿瘤的结果及其术后组织学诊断。粗针穿刺活检的敏感性和肿瘤亚型的准确性明显高于细针穿刺活检，尤其是对于恶性肿瘤。空芯针穿刺活检后无患者发生严重并发症。我们推荐超声引导下的粗针穿刺活检作为涎腺病变患者术前评估的主要诊断工具，特别是当怀疑恶性肿瘤时。
Core needle biopsy is a relatively new technique used to diagnose salivary gland lesions, and its role in comparison with fine needle aspiration cytology needs to be refined. We compared the results of 228 ultrasound-guided core needle biopsy and 371 fine needle aspiration procedures performed on major salivary gland tumors with their postoperative histological diagnoses. Core needle biopsy resulted in significantly higher sensitivity and more accurate tumor subtyping, especially for malignant tumors, than fine needle aspiration. No patient developed major complications after core needle biopsy. We recommend ultrasoundguided core needle biopsy as the primary diagnostic tool for the preoperative evaluation of patients with salivary gland lesions, especially when malignancy is suspected.