TY - JOUR
T1 - The Milan System for Reporting Salivary Gland Cytopathology
T2 - proposed modifications to improve clinical utility
AU - Mazzola, Francesco
AU - Gupta, Ruta
AU - Luk, Peter P.
AU - Palme, Carsten
AU - Clark, Jonathan R.
AU - Low, Tsu Hui (Hubert)
PY - 2019/8/1
Y1 - 2019/8/1
N2 - Background: Fine-needle aspiration of a salivary gland lesion is a well-established diagnostic procedure that aids management decisions. Recently, the Milan System for Reporting Salivary Gland Cytopathology (MSRSGC) classification has been proposed in order to improve the reproducibility and communication in the management of salivary gland lesions. Methods: A total of 375 patient's cytological reports collected between January 2010 and December 2017 were reviewed and reclassified according to MSRSGC and a risk of malignancy was calculated for each of the category. Results: The rate of malignancy in MSRSGC classification was 19.0%, 11.8%, 25.0%, 5.5%, 50.0%, 71.4%, and 94.6% for each of the category (I, II, III, IVa, IVb, V, and VI), respectively. Conclusion: The MSRSGC classification is a valuable tool in everyday practice. The modified version of MSRSGC aims to improve the surgical relevance and facilitate uniform management.
AB - Background: Fine-needle aspiration of a salivary gland lesion is a well-established diagnostic procedure that aids management decisions. Recently, the Milan System for Reporting Salivary Gland Cytopathology (MSRSGC) classification has been proposed in order to improve the reproducibility and communication in the management of salivary gland lesions. Methods: A total of 375 patient's cytological reports collected between January 2010 and December 2017 were reviewed and reclassified according to MSRSGC and a risk of malignancy was calculated for each of the category. Results: The rate of malignancy in MSRSGC classification was 19.0%, 11.8%, 25.0%, 5.5%, 50.0%, 71.4%, and 94.6% for each of the category (I, II, III, IVa, IVb, V, and VI), respectively. Conclusion: The MSRSGC classification is a valuable tool in everyday practice. The modified version of MSRSGC aims to improve the surgical relevance and facilitate uniform management.
KW - cytology
KW - fine-needle aspiration
KW - head and neck tumors
KW - Milan classification
KW - salivary gland
UR - http://www.scopus.com/inward/record.url?scp=85062610785&partnerID=8YFLogxK
U2 - 10.1002/hed.25732
DO - 10.1002/hed.25732
M3 - Article
C2 - 30838744
AN - SCOPUS:85062610785
SN - 1043-3074
VL - 41
SP - 2566
EP - 2573
JO - Head and Neck
JF - Head and Neck
IS - 8
ER -