دورية أكاديمية
أعرض في EDS

Application of the Milan system for reporting salivary gland cytopathology to core needle biopsies of the parotid gland.

التفاصيل البيبلوغرافية
العنوان: Application of the Milan system for reporting salivary gland cytopathology to core needle biopsies of the parotid gland.
المؤلفون: Israel AK; Department of Pathology and Laboratory Medicine, University of Rochester, Rochester, NY, USA., Griffith CC; Department of Anatomic Pathology, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA.
المصدر: Histopathology [Histopathology] 2024 Aug; Vol. 85 (2), pp. 285-294. Date of Electronic Publication: 2024 May 21.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 7704136 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2559 (Electronic) Linking ISSN: 03090167 NLM ISO Abbreviation: Histopathology Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford, Blackwell Scientific Publications.
مواضيع طبية MeSH: Parotid Gland*/pathology, Humans ; Biopsy, Large-Core Needle ; Female ; Male ; Middle Aged ; Aged ; Adult ; Biopsy, Fine-Needle ; Parotid Neoplasms/pathology ; Parotid Neoplasms/diagnosis ; Aged, 80 and over ; Salivary Glands/pathology ; Young Adult ; Cytodiagnosis/methods ; Adolescent ; Cytology
مستخلص: Aims: The Milan system for reporting salivary gland cytopathology was developed by an international group of experts and first published in 2018 with the goal to standardise reporting of salivary gland aspirates. Seven categories with distinct risks of malignancy were proposed. Core needle biopsies (CNB) of salivary glands are also common, but reporting lacks standardisation. Here we explore the feasibility of a Milan-like reporting system on CNB of the parotid gland.
Methods and Results: Our laboratory information system was searched for parotid gland CNBs from 2010 to 2021. Reports were translated into a Milan-like reporting system. When available, CNB findings were correlated with cytology and resection specimens. In order to compare the performance of CNB with fine-needle aspirations (FNA), we established a second cohort of cases consisting of parotid FNA with surgical follow-up. The risk of neoplasia (RON) and risk of malignancy (ROM) was calculated for FNA and CNB Milan categories using cases with follow-up resection. We analysed 100 cases of parotid gland CNB. Of these cases, 32 underwent subsequent resection, while 52 had concurrent FNA. A total of 20 cases had concurrent FNA and underwent follow-up resection. In 63 (63%) cases, a specific diagnosis was provided on CNB, with 18 cases undergoing follow-up resection having an accuracy rate of 94%.
Conclusions: This study confirms the feasible of using a Milan-like system in the setting of parotid gland CNB with differentiation in RON and ROM. CNB allows assessment of architectural features that may allow more specific diagnoses in some cases.
(© 2024 John Wiley & Sons Ltd.)
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فهرسة مساهمة: Keywords: Milan system; core needle biopsy; parotid gland
تواريخ الأحداث: Date Created: 20240522 Date Completed: 20240714 Latest Revision: 20240714
رمز التحديث: 20240715
DOI: 10.1111/his.15200
PMID: 38773807
قاعدة البيانات: MEDLINE
الوصف
تدمد:1365-2559
DOI:10.1111/his.15200