Abstract

Introduction: FNAC of salivary is simple, easy, cost-effective investigation that can be used to differentiate benign and malignant lesions. Milan system was introduced to improve the communication between cytopathologists and physicians. Objectives: To diagnose the salivary gland swelling using fine needle aspirations by Milan system of reporting and correlate with histopathology. Materials and methods: Total number of 150 cases of salivary gland lesions were studied from September 2020 to August 2021 in SNMC and HSK hospital. Smears were then stained with H&E, Giemsa and PAP stains. Results: A total 150 patients that underwent FNAC, reported using Milan system of reporting and followed up with histopathological correlation. Results revealed that FNAC was effective in differentiating benign and malignant conditions by using Milan system of reporting. Conclusion: FNAC is a safe, reliable and yet economically effective technique in diagnosing salivary gland lesions. Milan system of reporting is essential to improve the communication between cytopathologists and physicians and gives universal approach in diagnosis and management of salivary gland lesions. So FNAC with Milan system can be used as effective pre-operative investigation in patients with salivary gland lesions.

• 1.   Song SJ, Shafique K, Wong LQ, LiVolsi VA, Montone KT, Baloch Z. The utility of the Milan System as a risk stratification tool for salivary gland fine needle aspiration cytology specimens. Cytopathology.2019.
• 2.   Pujani M, Chauhan V, Agarwal C, Raychaudhuri S, Singh K. A critical appraisal ofthe Milan system for reporting salivary gland cytology (MSRSGC) with histological correlation over a 3-year period: Indian scenario. DiagnCytopathol.2019.
• 3.   Jalaly JB, Farahani SJ, Baloch ZW. The Milan system for reporting salivary gland cytopathology: A comprehensive review of the literature. Diagnostic Cytopathology. 2020:1-10.
• 4.   Faquin WC, Rossi ED et al. The Milan System for Reporting Salivary Gland Cytopathology. Springer International Publishing AG,2018;p1-11,157-169.
• 5.   Pusztaszeri M, Rossi ED, Baloch ZW, Faquin WC. Salivary Gland Fine Needle Aspiration and Introduction of the Milan Reporting System. AdvAnatPathol. 2019 Mar;26(2):84-92
• 6.   Wei S, Layfield LJ, LiVolsi VA, Montone KT, Baloch ZW. Reporting of fine needle aspiration (FNA) specimens of salivary gland lesions: A comprehensive review. DiagnCytopathol. 2017Sep;45(9):820-827.
• 7.   Mukundapai M, Sharma N, Patil A, Gopal C. Fineneedle Aspiration Cytology of Salivary Gland Lesions: A revised classification based on “Milan System” – 4 years experience of Tertiary care cancer center of South India. J cytol.2020;37(1):12-17.
• 8.   Mullen D. Gibbons D. A retrospective comparison of salivary gland fine needleaspiration reporting with the Milan system for reporting salivary gland cytology. Cytopathology. 2020;31:208-214.
• 9.   Viswanathan K, Sung S, Scognamiglio T, Yang GC, Siddiqui MT, Rao RA. The role of the Milan system for reporting salivary gland cytopathology: a 5-year institutional experience. CancerCytopath ol.2018;126(8):541-551.
• 10.   Wu HH, Alruwaii F, Zeng B-R, Cramer HM, Lai C-R, Hang J-F. Application of the Milan system for reporting salivary gland cytopathology: a retrospective 12-year bi-institutional study. Am J ClinPathol.2019;151(6):613-621.

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