KBB-Forum 2013 , Cilt 12, Sayı 2

ACCURACY OF NON-ULTRASOUND GUIDED FINE-NEEDLE ASPIRATION CYTOLOGY AS THE INITIAL DIAGNOSTIC PROCEDURE

Ümit TUNCEL, MD1; Hasan Mete İNANÇLI, MD2; Melek UYAR, MD1; Gülay BİLİR DİLEK MD3
1A. Yurtarslan Onkoloji Eğitim ve Araştırma Hastanesi, KBB Kliniği, Ankara, Turkey
2Yakın Doğu Üniversitesi, Tıp Fakültesi, KBB Anabilim Dalı, Lefkoşa, Kuzey Kıbrıs TC
3A. Yurtarslan Onkoloji Eğitim ve Araştırma Hastanesi, Patoloji, Ankara, Turkey
Objective: Fine needle aspiration cytology (FNAC) results were compared with the results of excisional biopsy to investigate the diagnostic value. Results were analyzed and compared in literature.

Patients and Methods: During 2005-2009, 145 patients with palpable neck mass were included in our study. Cytological diagnoses of patients were compared with final histology results.

Results: Mean age of patients was 51.5 (14 to 96 years). While fine-needle aspiration cytology results were reported as malign in 72 (49.7%) patients, 93 (64.1%) specimen results were reported as malign. Inadequate material rate was 9.7%. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy values were determined as 83.1%, 91.9%, 95.8%, 70.8, and 85.8% respectively.

Conclusion: We conclude that fine-needle aspiration cytology applied in ENT clinics without guide is still valuable and highly useful diagnostic tool in differential diagnosis of neck masses. The advantages of this technique considered much cheaper and can be applied without losing time. Keywords : Head and neck mass, fine-needle aspiration cytology, sensitivity, specificity