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Open AccessArticle

A Nomogram to Predict the Outcome of Fine Needle Aspiration Cytology in Head and Neck Masses

1
Department of Otorhinolaryngology and Head and Neck Surgery, Medical University of Vienna, 1090 Vienna, Austria
2
Department of Pathology, Medical University of Vienna, 1090 Vienna, Austria
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Clinical Pathology Laboratory Kaserer, Koperek & Beer, 1030 Vienna, Austria
4
CeMSIIS, Section for Medical Statistics, Medical University Vienna, 1090 Vienna, Austria
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Institute of Head and Neck Diseases, Evangelical Hospital Vienna, 1180 Vienna, Austria
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(12), 2050; https://doi.org/10.3390/jcm8122050
Received: 2 October 2019 / Revised: 7 November 2019 / Accepted: 20 November 2019 / Published: 22 November 2019
(This article belongs to the Section Oncology)
Fine needle aspiration cytology (FNAC) is an important diagnostic tool for tumors of the head and neck. However, non-diagnostic or inconclusive results may occur and lead to delay in treatment. The aim of this study was to evaluate the factors that predict a successful FNAC. A retrospective search was performed to identify all patients who received an FNAC at the Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Vienna. The variables were patients’ age and sex, localization and size of the punctured structure, previous radiotherapy, experience of the head and neck surgeon, experience of the pathologist and the FNAC result. Based on these parameters, a nomogram was subsequently created to predict the probability of accurate diagnosis. After performing 1221 FNACs, the size of the punctured lesion (p = 0.0010), the experience of the surgeon and the pathologist (p = 0.00003) were important factors for a successfully procedure and reliable result. FNACs performed in nodes smaller than 20 mm had a significantly worse diagnostic outcome compared to larger nodes (p = 0.0004). In conclusion, the key factors for a successful FNAC are nodal size and the experience of the head and neck surgeon and the pathologist. View Full-Text
Keywords: nomogram; fine needle aspiration cytology; neck lumps; salivary gland; cancer nomogram; fine needle aspiration cytology; neck lumps; salivary gland; cancer
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Kotowski, U.; Brkic, F.F.; Koperek, O.; Pablik, E.; Grasl, S.; Grasl, M.C.; Erovic, B.M. A Nomogram to Predict the Outcome of Fine Needle Aspiration Cytology in Head and Neck Masses. J. Clin. Med. 2019, 8, 2050.

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