Abstract :
Background: Fine needle aspiration cytology (FNAC) is an established modality for cytological assessment of lesions arising from salivary glands. The Milan System for Reporting Salivary Gland Cytopathology (MSRSGC) is a recently introduced 6 tiered classification for reporting salivary gland fine needle aspirates.
To assess the cytological features of salivary gland aspirates and to classify them into different categories of the Milan system.
Materials and Methods: It was an observational study conducted retrospectively in our institution. The salivary gland FNAC cases were retrieved and reviewed. The cytological features were examined, the Milan system criteria were applied and cases were classified.
Results: The study had a total of 69 cases. There were 33 males (48%) and 36 (52%) females. There were 7 cases (10%) in Non diagnostic, 21 cases (30.4%) in Non neoplastic, 6 cases (8.7%) in Atypia of undetermined significance (AUS), 24 cases (34.8%) in Neoplasm: Benign, 1 case (1.4%) in Salivary gland neoplasm of uncertain malignant potential (SUMP), 3 cases (4.3%) in Suspicious for malignancy (SM) and 7 cases (10%) in Malignant categories. Maximum cases were in IV A category followed by category II.
Conclusion: The use of this reporting system is recommended for effective communication among pathologists and clinicians thereby guiding further management.
Keyword :
Milan system, Salivary gland, Cytopathology