Introduction: Salivary gland swellings are common entity and annual incidence of tumors is 0.5-13.5% per 1 lakh population worldwide. Imaging and aspiration cytology have limited role in accurately diagnosing salivary lesions and hence microscopic diagnosis is essential. Aims and objectives: The aim of the study was to study frequency and histomorphological pattern of salivary gland lesions. Material and Methods: A retrospective study conducted (from January 2017 to December 2019) in Department of Pathology, Government Medical College. All patients diagnosed with (clinically or radiologically) salivary gland lesions were selected. Clinical details and histopathology slides were collected from hospital and histopathology records, respectively. Data obtained were analyzed using appropriate statistical methods. Results: A total of 39 cases were studied and majority of patients belonged to 31-50 years. In current study, tumors were common (53.8%) and benign tumors (76%) outnumbered malignant ones. Chronic sialadenitis (44.4%) was common among non-neoplastic lesions. Conclusion: Salivary gland lesions have morphological diversity and histopathology is crucial in deciding the final management of the patient.
Introduction: Fine needle aspiration cytology (FNAC) is a widely accepted first line of investigation to diagnose the cause of lymphadenopathy. A standardized categorization and reporting system for lymph node cytology was proposed in 20th International Congress of Cytology at Sydney which consisted of 5 categories (L1, L2, L3, L4, L5) with management recommendations for each. Aims and Objective: To review the application of the Sydney system in achieving a uniform standardized approach for classifying and reporting lymph node cytology and to assess the risk of malignancy (ROM) for each category. : A 2 year single institute retrospective study. Clinical details were collected Materials and Methods from the patient records and cytology smears were reviewed by 2 cyto-pathologists as per the Sydney system. Histological correlation was done wherever possible. Statistical analysis was performed. 437 cases Results: were reevaluated, with mean age of 39.66 years, slight male preponderance and cervical lymph node being the most common site. L2/Benign was the most common category with reactive lymphoid hyperplasia being the most common diagnosis and metastatic squamous cell carcinoma was the most common L5/malignant diagnosis. Histopathological correlatio was available for 40 (9.1%) cases and the highest calculated risk of malignancy (ROM) was for L4 and L5 categories (100% each). The diagnostic accuracy of the proposed Sydney system in our study was 96.66%. The Conclusion: proposed Sydney system improves the diagnostic accuracy and standardizes the reporting of lymph node cytopathology. It improves the patient care by giving management recommendation to the clinicians.
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