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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE
A Journal on Internal Medicine and Pharmacology
Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Gazzetta Medica Italiana Archivio per le Scienze Mediche 2004 April;163(2):59-63
Brushing cytology in ulcerative and tumor-like conditions of the maxillofacial region
Tamiolakis D. 1, Thomaidis V. 2, Tsamis J. 2, Lambropoulou M. 1, Kotini A. 3, Papadopoulos N. 1
1 Department of Cytology, Regional Hospital, Alexandroupolis, Greece;
2 Department of Maxillofacial Surgery, Regional Hospital, Alexandroupolis, Greece;
3 Department of Medical Physics, Democritus University of Thrace, Thrace, Greece
Aim. Brushing cytology is a well established diagnostic procedure applied by gynecologists in order to obtain adequate material from a woman’s endocervical canal, by physicians and surgeons to get representative samples of the bronchi, esophagus, stomach, ureteral, renal pelvic and renal calyceal lesions. Our aim is to evaluate its reliability in ulcerative and tumor-like conditions in the maxillofacial region.
Methods. Forthy-three brushings were performed in the Department of Maxillofacial Surgery during the last 12 months and the same number of lesions were documented in the files of the Cytology Department at the Regional Hospital of Alexandroupolis. Thirty-five lesions arose in the maxillofacial skin cover and 8 in the oral mucosa.
Results. Cytology identified 34 malignant tumors (32 primary basal-cell carcinomas and squamous cell carcinomas and 2 metastatic adenocarcinomas from the lung and the prostate gland) and 8 benign lesions (mostly uncommon cystic and inflammatory ones). Histology confirmed 41 cytodiagnoses. Results were calculated with respect to accuracy, sensitivity, and specificity.
Conclusion. Our study provides evidence that an accurate (95.5%) cytological assessment of lesions arising in the maxillofacial skin and mucosal region is possible and will help the clinician to decide proper planning and treatment, for the patient’s benefit.