Riskbased stratification of salivary gland lesions on cytology. The milan system for reporting salivary gland cytopathology pathcast. May 2017the milan system for reporting salivary gland cytopathology was published jan. Historically, the role of ancillary testing of salivary gland tumors has been limited. Background the milan system for reporting salivary gland cytopathology msrsgc is a 6. Salivary gland cytopathology will use a simplified algorithmic approach based. Salivary gland cytology presents many diagnostic challenges. Risk assessment of salivary gland cytological categories of the. The goal is to produce a practical classification system that will be userfriendly and internationally accepted. The milan system for reporting salivary gland cytopathology msrsgc.
Application of the milan system for reporting salivary gland. The milan system for reporting salivary gland cytology msrsgc has been recently published to help communication between. Salivary gland tumors can begin in any of the salivary glands in your mouth, neck or throat. Faquin is director of head and neck pathology, massachusetts general hospital, and professor of pathology, harvard medical school, boston. Salivary gland fna diagnostics in a reallife setting. Salivary glands make saliva, which aids in digestion, keeps your mouth moist and supports healthy teeth.
The milan system for reporting salivary gland cytopathology. Granulomatous inflammation meibomian gland granulomatous inflammation meibomian gland granulomatous inflammation meibomian gland. Salivary gland tumors symptoms and causes mayo clinic. Abstract background fine needle aspiration fna cytology has been widely used in the preoperative evaluation of salivary gland lesions. Due to those facts, salivary gland cytopathology is one of the most challenging areas of cytology 6. Fineneedle aspiration cytology fnac is a wellestablished technique for evaluation of salivary gland lesions, but because of the. Salivary gland cytology is notoriously challenging, with many diagnostic pitfalls secondary to the overall rarity of salivary neoplasms, the diversity of neoplasms with 42 distinct entities outlined in the current world health organization classification 1, and the frequent morphologic overlap between tumor types. Kurtycz is an associate editor, of the milan system for reporting salivary gland cytopathology.
Fineneedle aspiration cytology fnac is a wellestablished technique for evaluation of salivary gland lesions, but because of the heterogenicity and. An international effort toward improved patient carewhen the roots. Salivary gland tumors are one of the most heterogeneous groups of neoplasms, and salivary gland tumors are one of the most difficult areas of evaluation in cytology. The milan system for reporting salivary gland cytopathology mucinous cyst contents, aspirates with atypia, is composed of 6 general diagnostic categories summarized below. The fna sensitivity is between 86100% with specificity somewhere between 4894%.
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