Journal of Cytology

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 37  |  Issue : 1  |  Page : 12--17

Fine-needle aspiration cytology of salivary gland lesions: A revised classification based on “Milan system”—4years experience of tertiary care cancer center of South India


Malathi Mukundapai, Neelam Sharma, Akkamahadevi Patil, Champaka Gopal 
 Cytology and Histopathology Division, Kidwai Cancer Center, Bangalore, Karnataka, India

Correspondence Address:
Dr. Neelam Sharma
Flat No-601, Z Block, Shalimar Palms Near Agarwal Public School, Indore - 452 016, Madhya Pradesh
India

Background: Fine-needle aspiration cytology plays role in preoperative diagnosis of any salivary gland mass lesions. Because of heterogeneity of salivary gland lesions and cytomorphology overlap, a uniform 6-tier Milan classification proposed which could be helpful in better communication of reports for patient's management. Methods: Study included 4 years (2011–2015) retrospective data retrieval from cytology department of our Institute, which is a tertiary care cancer center of South India. Histopathology correlation was done wherever possible. Result: Total 253 cases were studied. Histopathological follow-up was available in 115 cases. Cases were categorized as nondiagnostic (1.58%), nonneoplastic (13.43%), benign (30%), atypia (0.8%), and suspicious for malignancy and malignant cytology (51.8%). The risk for malignancy was high for suspicious for malignancy and malignant cytological categories ranged from 96–100%. The sensitivity, specificity, and accuracy for diagnosing malignancy varied from 86.76%, 93.75%, and 89%, respectively. Conclusion: Risk stratification approach in classifying salivary gland cytology aspirate as per Milan system provides a standardized reporting and better communication to clinician.


How to cite this article:
Mukundapai M, Sharma N, Patil A, Gopal C. Fine-needle aspiration cytology of salivary gland lesions: A revised classification based on “Milan system”—4years experience of tertiary care cancer center of South India.J Cytol 2020;37:12-17


How to cite this URL:
Mukundapai M, Sharma N, Patil A, Gopal C. Fine-needle aspiration cytology of salivary gland lesions: A revised classification based on “Milan system”—4years experience of tertiary care cancer center of South India. J Cytol [serial online] 2020 [cited 2020 Feb 27 ];37:12-17
Available from: http://www.jcytol.org/article.asp?issn=0970-9371;year=2020;volume=37;issue=1;spage=12;epage=17;aulast=Mukundapai;type=0