Role of fine needle aspiration in the diagnosis of lesions of the oral cavity, oropharynx, and nasopharynx.


Journal Article

The oral cavity, oropharynx and nasopharynx are readily accessible to fine needle aspiration (FNA). This study reviews the author's experience with 93 FNA from these sites: 76 from the oral cavity, eight from the oropharynx, and eight from the nasopharynx. Thirty-nine (42%) of the FNA were positive for malignancy with no false-positive diagnoses. In 15 cases the FNA provided the initial diagnosis of cancer and in 24 cases documented recurrence. Five (5%) of the FNA interpreted as suspicious for malignancy were subsequently proven malignant by biopsy. There were 33 (36%) negative FNA with seven false-negative diagnoses confirmed by biopsies. Fifteen FNA (16%) were unsatisfactory and malignancy was found by biopsy in two of these cases. These results emphasize the importance of repeating the FNA or recommending biopsies in negative and unsatisfactory FNA when clinically indicated to assure accuracy in diagnosis. A positive FNA may be regarded as a definitive diagnostic test and treatment instituted accordingly. No complications resulted from these FNA. This study demonstrates the application, safety, and accuracy of FNA in these anatomic sites.

Full Text

Cited Authors

  • Scher, RL; Oostingh, PE; Levine, PA; Cantrell, RW; Feldman, PS

Published Date

  • December 1988

Published In

Volume / Issue

  • 62 / 12

Start / End Page

  • 2602 - 2606

PubMed ID

  • 3191460

Pubmed Central ID

  • 3191460

Electronic International Standard Serial Number (EISSN)

  • 1097-0142

International Standard Serial Number (ISSN)

  • 0008-543X

Digital Object Identifier (DOI)

  • 10.1002/1097-0142(19881215)62:12<2602::aid-cncr2820621225>;2-9


  • eng