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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2004 April;163(2):59-63

Copyright © 2004 EDIZIONI MINERVA MEDICA

language: English

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


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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.

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