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Fine Needle Aspiration: An Atraumatic Method to Diagnose Head and Neck Masses

BACKGROUND: Patients presenting with a mass require tissue biopsy for histological diagnosis and treatment. Fine needle aspiration (FNA) is offered as an atraumatic, well tolerated, and inexpensive method for obtaining a biopsy from these lesions. OBJECTIVES: In this study we evaluated the accuracy...

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Autores principales: Akhavan-Moghadam, Jamal, Afaaghi, Mahdi, Maleki, Ali Reza, Saburi, Amin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3864395/
https://www.ncbi.nlm.nih.gov/pubmed/24350168
http://dx.doi.org/10.5812/traumamon.10541
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author Akhavan-Moghadam, Jamal
Afaaghi, Mahdi
Maleki, Ali Reza
Saburi, Amin
author_facet Akhavan-Moghadam, Jamal
Afaaghi, Mahdi
Maleki, Ali Reza
Saburi, Amin
author_sort Akhavan-Moghadam, Jamal
collection PubMed
description BACKGROUND: Patients presenting with a mass require tissue biopsy for histological diagnosis and treatment. Fine needle aspiration (FNA) is offered as an atraumatic, well tolerated, and inexpensive method for obtaining a biopsy from these lesions. OBJECTIVES: In this study we evaluated the accuracy of FNA as an atraumatic method among patients with nonthyroidal masses for diagnosis of neoplastic masses compared to open surgery. PATIENTS AND METHODS: In a cross-sectional study, 65 patients with a head and neck masses (nonthyroidal) referred to us from 2004 to 2009. Those who had both FNA and open biopsy (the gold standard) were assessed for specificity, sensitivity, positive and negative predictive values of FNA in diagnoses. RESULTS: Sixty-five cases with both definite diagnoses of open biopsy and FNA were assessed. The mean (± standard deviation) age of patients was 39.96 ± 19.69 years (range 10 to 82 years). Twenty-five (40.8%) subjects were categorized as malignant neoplasms, 16 (19.4%) as benign neoplasms, and 24 (39.8%) as non-neoplastic lesions. The sensitivity, specificity, positive and also negative predictive values of FNA in the diagnosis of neoplastic masses were 95%, 85%, 92.68%, and 91.66% respectively, and the diagnostic accuracy was 92.3%. CONCLUSIONS: It seems that FNA is a useful atraumatic diagnostic technique with a high diagnostic accuracy which can provide a highly sensitive diagnosis with low false positive diagnoses in patients with nonthyroidal masses.
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spelling pubmed-38643952013-12-17 Fine Needle Aspiration: An Atraumatic Method to Diagnose Head and Neck Masses Akhavan-Moghadam, Jamal Afaaghi, Mahdi Maleki, Ali Reza Saburi, Amin Trauma Mon Research Article BACKGROUND: Patients presenting with a mass require tissue biopsy for histological diagnosis and treatment. Fine needle aspiration (FNA) is offered as an atraumatic, well tolerated, and inexpensive method for obtaining a biopsy from these lesions. OBJECTIVES: In this study we evaluated the accuracy of FNA as an atraumatic method among patients with nonthyroidal masses for diagnosis of neoplastic masses compared to open surgery. PATIENTS AND METHODS: In a cross-sectional study, 65 patients with a head and neck masses (nonthyroidal) referred to us from 2004 to 2009. Those who had both FNA and open biopsy (the gold standard) were assessed for specificity, sensitivity, positive and negative predictive values of FNA in diagnoses. RESULTS: Sixty-five cases with both definite diagnoses of open biopsy and FNA were assessed. The mean (± standard deviation) age of patients was 39.96 ± 19.69 years (range 10 to 82 years). Twenty-five (40.8%) subjects were categorized as malignant neoplasms, 16 (19.4%) as benign neoplasms, and 24 (39.8%) as non-neoplastic lesions. The sensitivity, specificity, positive and also negative predictive values of FNA in the diagnosis of neoplastic masses were 95%, 85%, 92.68%, and 91.66% respectively, and the diagnostic accuracy was 92.3%. CONCLUSIONS: It seems that FNA is a useful atraumatic diagnostic technique with a high diagnostic accuracy which can provide a highly sensitive diagnosis with low false positive diagnoses in patients with nonthyroidal masses. Kowsar 2013-10-13 2013-12 /pmc/articles/PMC3864395/ /pubmed/24350168 http://dx.doi.org/10.5812/traumamon.10541 Text en Copyright © 2013, Trauma Research Center http://creativecommons.org/licenses/by/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Akhavan-Moghadam, Jamal
Afaaghi, Mahdi
Maleki, Ali Reza
Saburi, Amin
Fine Needle Aspiration: An Atraumatic Method to Diagnose Head and Neck Masses
title Fine Needle Aspiration: An Atraumatic Method to Diagnose Head and Neck Masses
title_full Fine Needle Aspiration: An Atraumatic Method to Diagnose Head and Neck Masses
title_fullStr Fine Needle Aspiration: An Atraumatic Method to Diagnose Head and Neck Masses
title_full_unstemmed Fine Needle Aspiration: An Atraumatic Method to Diagnose Head and Neck Masses
title_short Fine Needle Aspiration: An Atraumatic Method to Diagnose Head and Neck Masses
title_sort fine needle aspiration: an atraumatic method to diagnose head and neck masses
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3864395/
https://www.ncbi.nlm.nih.gov/pubmed/24350168
http://dx.doi.org/10.5812/traumamon.10541
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