Cytoponction ganglionnaire cervicale : facteurs influençant le taux d’échec

Rammeh, Soumaya; Rejeb, Helmi Ben; M’farrej, M.K.; Znaidi, Nadia; Farzaneh, Farah; Ferjaoui, M.; Zermani, R

doi:10.1016/j.revsto.2014.02.002

Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chiru

2014

DOI: 10.1016/j.revsto.2014.02.002

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Cytoponction ganglionnaire cervicale : facteurs influençant le taux d’échec

Soumaya Rammeh¹,

Helmi Ben Rejeb²,

M.K. M’farrej³

et al.

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Cited by 5 publications

(2 citation statements)

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confidence: 99%

“…In a review by Rammeh et al [ 3 ], FNAC for head and neck masses was inconclusive in 17.7% of cases, while literature review found a rate range of 3%–30% [ 4 , 5 ]. This rate largely depends on the experience of cytotechnologists and cytopathologists [ 4 , 5 ]. There are fewer inconclusive cases when experienced cytopathologists perform the procedure, evaluate the samples, and recognize inadequate aspirates.…”

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A stepwise approach to fine needle aspiration cytology of lymph nodes

Chong¹,

Park

Jeong

et al. 2023

J Pathol Transl Med

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The cytological diagnosis of lymph node lesions is extremely challenging because of the diverse diseases that cause lymph node enlargement, including both benign and malignant or metastatic lymphoid lesions. Furthermore, the cytological findings of different lesions often resemble one another. A stepwise diagnostic approach is essential for a comprehensive diagnosis that combines: clinical findings, including age, sex, site, multiplicity, and ultrasonography findings; low-power reactive, metastatic, and lymphoma patterns; high-power population patterns, including two populations of continuous range, small monotonous pattern and large monotonous pattern; and disease-specific diagnostic clues including granulomas and lymphoglandular granules. It is also important to remember the histological features of each diagnostic category that are common in lymph node cytology and to compare them with cytological findings. It is also essential to identify a few categories of diagnostic pitfalls that often resemble lymphomas and easily lead to misdiagnosis, particularly in malignant small round cell tumors, poorly differentiated squamous cell carcinomas, and nasopharyngeal undifferentiated carcinoma. Herein, we review a stepwise approach for fine needle aspiration cytology of lymphoid diseases and suggest a diagnostic algorithm that uses this approach and the Sydney classification system.

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confidence: 99%

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confidence: 99%

A stepwise approach to fine needle aspiration cytology of lymph nodes

Chong¹,

Park

Jeong

et al. 2023

J Pathol Transl Med

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Accuracy of fine‐needle aspiration cytology of head and neck masses

Rammeh

Romdhane

Sassi

et al. 2018

Diagnostic Cytopathology

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Background Head and neck masses are a common presentation in daily practice and can be challenging to both clinicians and cytopathologists. Fine needle aspiration cytology (FNAC) is a widely used method for the diagnosis of head and neck masses. The aim of the study was to assess our institutional experience of the accuracy of FNAC in the diagnosis of head and neck masses. Methods A total of 1262 FNACs were conducted from January 2013 to December 2016 and subdivided into benign and malignant categories. The thyroid and salivary glands FNACs were classified according to the Bethesda System for Reporting Thyroid cytopathology and to the Milan System for Reporting Salivary Gland Cytopathology respectively. The measures of diagnostic accuracy of FNAC were determined taking histology as a gold standard. Results A total of 7 false negative (FN) and 6 false positive (FP) FNACs were identified. Overall sensitivity and specificity of FNAC for a malignant diagnosis were 92% and 94.4%, respectively. Accuracy of FNACs of head and neck masses was 93.5% for all sites. The salivary gland group had the highest rate of FN (2.8%). All FP were reported in the thyroid group. These cases were cytologically classified suspicious for malignancy (n = 3) and papillary carcinoma (n = 3) and proved to be lymphocytic thyroiditis on final histology. Among the most common locations, cytology of lymph nodes provided the best sensitivity (98.2%). Salivary glands as well as lymph nodes had the best specificity (100%). Conclusion FNAC of head and neck masses has a high accuracy allowing a correct therapeutic management. However, this accuracy depends on the anatomic location of the mass.

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Tuberculosis in the Head and Neck: Changing Trends and Age‐Related Patterns

et al. 2021

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To evaluate changing trends in patient collectives, age-related patterns of manifestation, and diagnostic pathways of patients with extrapulmonary head and neck tuberculosis (TB), and to provide strategies to fasten diagnosis in these patients.Study design: Case control study. Methods: A 10-year retrospective analysis of 35 patients diagnosed with extrapulmonary TB in the head and neck at a tertiary university institution from 2009 to 2019, with special focus on the influence of the patient's age on consideration of TB and clinical patterns.Results: The vast majority of patients younger than 40 years had their origin in countries with high TB burden (P = .0003), and TB was considered very early as a differential diagnosis (P = .0068), while most patients older than 40 years were domestic citizens initially suspected for a malignancy, who more often had an underlying immunosuppressive condition (0.0472). Most frequent manifestations in both groups were the lymph nodes, larynx, and oropharynx. Surprisingly, no differences in the rates of open TB or history of TB infection in the family anamnesis were found. Conclusion:The two groups of patients found most often are younger patients migrating from regions with high TB burden and elderly domestic patients suffering from immunosuppressive conditions, with the latter often being misdiagnosed as malignancies. TB remains an important but difficult differential diagnosis, due to the initially unspecific symptoms and the great variety in the presentation of manifestations in the head and neck.

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Cytoponction ganglionnaire cervicale : facteurs influençant le taux d’échec

Cited by 5 publications

References 4 publications

A stepwise approach to fine needle aspiration cytology of lymph nodes

A stepwise approach to fine needle aspiration cytology of lymph nodes

Accuracy of fine‐needle aspiration cytology of head and neck masses

Tuberculosis in the Head and Neck: Changing Trends and Age‐Related Patterns

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