Cell Blocks and the Milan System for Reporting Salivary Gland Cytopathology: A Meta-Analysis.
Aada Närhi, David Kalfert, Henri Lagerstam et al.
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In 30 seconds
This meta-analysis evaluated the distribution of Milan System for Reporting Salivary Gland Cytopathology (MSRSGC) categories and their associated risks of malignancy (ROM) in salivary gland fine-needle aspirations (FNAs) using cell block preparations. Analyzing five studies with 1132 FNA samples, the overall ROM for malignant categories was found to be 97.7%.
Key findings
- Pooled ROM for malignant (MN) category was 97.7%.
- Distribution of samples: 21.9% non-diagnostic (ND), 30.0% benign neoplasm (BN).
- ROM for suspicious for malignancy (SM) was 84.8%.
- ROM for atypia of undetermined significance (AUS) was 26.3%.
Why it matters
Understanding the distribution and risks of malignancy associated with MSRSGC categories can enhance diagnostic accuracy in salivary gland lesions, guiding clinical decision-making and management strategies.