Journal of Cytology
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Year : 2020  |  Volume : 37  |  Issue : 1  |  Page : 12-17

Fine-needle aspiration cytology of salivary gland lesions: A revised classification based on “Milan system”—4years experience of tertiary care cancer center of South India

Cytology and Histopathology Division, Kidwai Cancer Center, Bangalore, Karnataka, India

Correspondence Address:
Dr. Neelam Sharma
Flat No-601, Z Block, Shalimar Palms Near Agarwal Public School, Indore - 452 016, Madhya Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JOC.JOC_68_18

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Background: Fine-needle aspiration cytology plays role in preoperative diagnosis of any salivary gland mass lesions. Because of heterogeneity of salivary gland lesions and cytomorphology overlap, a uniform 6-tier Milan classification proposed which could be helpful in better communication of reports for patient's management. Methods: Study included 4 years (2011–2015) retrospective data retrieval from cytology department of our Institute, which is a tertiary care cancer center of South India. Histopathology correlation was done wherever possible. Result: Total 253 cases were studied. Histopathological follow-up was available in 115 cases. Cases were categorized as nondiagnostic (1.58%), nonneoplastic (13.43%), benign (30%), atypia (0.8%), and suspicious for malignancy and malignant cytology (51.8%). The risk for malignancy was high for suspicious for malignancy and malignant cytological categories ranged from 96–100%. The sensitivity, specificity, and accuracy for diagnosing malignancy varied from 86.76%, 93.75%, and 89%, respectively. Conclusion: Risk stratification approach in classifying salivary gland cytology aspirate as per Milan system provides a standardized reporting and better communication to clinician.

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