COMPARISON OF CYTOLOGICAL AND HISTOPATHOLOGICAL VALIDATION ON FINE NEEDLE ASPIRATION OF SUPERFICIAL MASSES

Author:

Wang Shang-Lin12,Lee Jih-Jong34,Liao Albert Taiching24

Affiliation:

1. National Taiwan University Veterinary Hospital, College of Bioresources and Agriculture, National Taiwan University, Taipei 10672, Taiwan, ROC

2. Department and Graduate Institute of Veterinary Medicine, School of Veterinary Medicine, National Taiwan University, Taipei 10617, Taiwan, ROC

3. Graduate Institute of Veterinary Clinical Science, School of Veterinary Medicine, National Taiwan University, Taipei 10617, Taiwan, ROC

4. Animal Cancer Center, College of Bioresources and Agriculture, National Taiwan University, Taipei 10617, Taiwan, ROC

Abstract

In this study, we compared the accuracy of using cytological and histopathological methods to diagnose superficial masses, examining the discrepancies between these methods to clarify the clinical usefulness of cytology. Complete agreement (CA) was demonstrated in 62.62% of the masses, partial agreement (PA) in 15.10% of the masses, and disagreement (DA) in 22.28% of the masses. The accuracy in identifying cell origin was 70.05%. When diagnosing neoplasia, cytology exhibited 68.62% sensitivity and 77.22% specificity; its positive predictive value was 92.53% and negative predictive value was 37.42%. The overall agreement in diagnosing malignancy was 70.3%. We accurately diagnosed certain neoplasms based on specific cytological characteristics. Even when handling uncertain samples, cytological examination yielded high sensitivity and positive predictive values for diagnosing malignancy; this should be sufficient for veterinary clinicians to schedule further treatments.

Publisher

World Scientific Pub Co Pte Lt

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