CAJ | 학술논문

目的：评价术前细针穿刺细胞学检查（ FNAC）对腮腺肿瘤的诊断价值。方法回顾性分析56例术前行FNAC的腮腺肿瘤患者，将FNAC结果与术后组织病理结果进行比较。结果 FNAC结果：56例腮腺肿瘤患者中，诊断为良性肿瘤38例，恶性肿瘤12例，未能明确6例。与术后病理学结果相比，FNAC诊断良性肿瘤真阴性36例，假阴性2例。 FNAC诊断恶性肿瘤的敏感性为85．7％，特异性为94．7％，阳性预测值为85．7％，阴性预测值为94．7％，准确度为92．3％。结论 FNAC是腮腺肿瘤性疾病经济、快速、安全和准确率高的诊断手段。
목적：평개술전세침천자세포학검사（ FNAC）대시선종류적진단개치。방법회고성분석56례술전행FNAC적시선종류환자，장FNAC결과여술후조직병리결과진행비교。결과 FNAC결과：56례시선종류환자중，진단위량성종류38례，악성종류12례，미능명학6례。여술후병이학결과상비，FNAC진단량성종류진음성36례，가음성2례。 FNAC진단악성종류적민감성위85．7％，특이성위94．7％，양성예측치위85．7％，음성예측치위94．7％，준학도위92．3％。결론 FNAC시시선종류성질병경제、쾌속、안전화준학솔고적진단수단。
Objective To evaluate the diagnostic value of preoperative fine needle aspiration cytology ( FNAC) in pa-rotid gland lesions .Methods The retrospective analysis of 56 patients with parotid neoplasms who underwent preoperative FNAC diagnosis was conducted , and then their FNAC results were compared with the postoperative histopathologic results . Results FNAC results:among 56 patients , 38 cases were diagnosed as benign lesions , 12 cases were malignant and 6 cases were suspicious .Compared with the conventional histopathologic resluts , FNAC showed that 36 cases were true-nega-tive and 2 cases were false-negative regarding detection of malignant tumors .The FNAC diagnosis achieved a sensitivity of 85.7%, a specificity of 94.7%, the positive predictive value (PPV) of 85.7%, NPV of 94.7%and diagnostic accuracy of 92.3%.Conclusion FNAC is an economical, fast, safe and diagnostic tool with rare complications and high diagnos-tic accuracy in the diagnosis of parotid gland tumors .