Parotid Kitlelerinin Değerlendirilmesinde İnce İğne Aspirasyon Biyopsisi ile Histopatolojinin Karșılaștırılması

AMAÇ: Parotis kitlelerinde postoperatif histopatolojik sonuçlar referans alınarak ince iğne aspirasyon biyopsisinin (İİAB) tanısal değerini belirlemek.YÖNTEM: Çalı?maya Ankara Atatürk Eğitim ve Ara?tırma Hastanesi 1. Kulak-Burun-Boğaz kliniği tarafından yapılan 33 parotidektomi spesimeninin histopatolojik tanısı ve İİAB sonuçları dahil edildi.BULGULAR: Postoperatif patoloji sonuçları referans alındığında benign ve malign ayrımında İİAB nin duyarlılık, özgüllük, doğru tahmin değeri (PPV-pozitif prediktif value), yanlı? tahmin değeri (NPVnegatif prediktif value) ve yararlılık oranı sırası ile 4/5 (%80), 27/28 (%96,4), 4/5 (%80), 27/28 (%96,4), 31/33 (%93,9) olarak hesaplandı SONUÇ: İİAB parotis kitlelerinde kolay uygulanan, çabuk ve gü- venilir sonuç veren, duyarlılık ve özgüllüğü yüksek, ucuz ve risksiz erken tanı yöntemidir. Çalı?mamızda bulunan yüksek duyarlılık ve özgüllük değerleri literatür verileri ile korelasyon göstermektedir.

Comparison of Fine Needle Aspiration Biopsy and Histopathology in the Evaluation of Parotid Masses

AIM: To determine the diagnostic value of Ş ne needle aspiration biopsy (FNAB) of parotid masses in the basis of postoperative histopathological results.METHODS: The study was conducted in Ankara Atatürk Training and Research Hospital Ş rst Otolaryngology clinics. Thirty-three parotidectomy specimens and FNAB results were included.RESULTS: FNAB sensitivity, speciŞ city, positive predictive value (PPV), negative predictive value (NPV) were calculated as 4/5 (80%), 27/28 (96.4%), 4/5 (80%), 27/28 (96.4%), 31/33 (93.9%), respectively in the basis of postoperative benign and malign pathology results.CONCLUSION: FNAB is an easy, quick, highly speciŞ c and sensitive, cheap and reliable diagnostic technique for parotis masses. In our study, the high sensitivity and speciŞ city values were correlated with literature data

Kaynakça

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