Published: 2017-03-23

A study of fine needle aspiration cytology in salivary gland lesions in a rural population

Anil R. Joshi, Dnyaneshwar S. Jadhav, Balaji D. Baste, Shweta K. Ranka


Background: Fine needle aspiration cytology (FNAC) of suspected salivary gland lesions has an established role in preoperative diagnosis and management of patients. However diverse morphological patterns and overlapping features make it a challenging job, to give a precise diagnosis at times.

Methods: This was a prospective study done from October 2011 to October 2013. Fine needle aspiration cytology was performed in 64 patients with clinically significant salivary gland lesions.

Results: Fine needle aspiration cytology categorized 38 (59.4%) of the salivary gland lesions as neoplastic and 26 (40.6 %) as non- neoplastic lesions. Amongst the neoplastic lesions, 86.9% were benign and 13.2% were malignant cases.

Conclusions: FNAC of the salivary gland is simple, cheap, safe and reliable technique in the primary diagnosis of salivary gland lesions.


FNAC, Salivary gland, Neoplastic, Non-neoplastic

Full Text:



Everson JW, Cawson RA. Salivary gland tumours. A review of 2410 cases with particular reference to histological types, site, age and sex distribution. J Pathol. 1985;46:51-8.

Calearo C, Pastore A, Storchi OF, Polli G. Parotid gland carcinoma: analysis of prognostic factors. Ann Otol Rhinol Laryngol. 1998;107:969-73.

Fulciniti F, Califano L, Zupi A, Vetrani A. Accuracy of fine needle aspiration biopsy in head and neck tumours. J Oral Maxillofac Surg. 1997;55:1094-7.

Kotwal M, Gaikwad S, Patil R, Munshi M. Fnac of salivary gland- a useful tool in preoperative diagnosis or a cytopathologist’s riddle? J Cytol. 2007;24(2):85-8.

Shaha AR, Webber C, DiMaio T, Jaffe BM. Needle aspiration biopsy in salivary gland lesions. Am J Surg. 1990;160:373-6.

Akhter J, Hirachand S Lakhey M. Role of FNAC in the diagnosis of salivary gland swellings. Kat Univ Med J. 2008;6(2):204-8.

Jain C. Fine needle aspiration cytology of salivary gland lesions: a study of 70 cases. Int J Med Pharm Sci. 2013;3(7):1-10.

Gandhi SH, Purohit TM, Purohit MB, Jethwani D, Vidja M. FNAC Diagnosis of salivary gland lesions with histopathological correlation. NJIRM. 2013;4(3):70-7.

Singh Nanda KD, Mehta A, Nanda J. Fine needle aspiration cytology:a reliable tool in the diagnosis of salivary gland lesions. J Oral Pathol Med. 2012;41(1):106-12.

Singh A, Haritwal A, Murali BM. Correlation between cytology and histopathology of the salivary gland. Aus Med J. 2011;4(2):66.

Ashraf A, Shaikh AS, Kamal f, Sarfraz R, Bukhari MH. Diagnostic reliability of FNAC for salivary gland swellings: a comparative study. Diagn Cytopathol. 2009;38:499-504.

Vaidya S, Sinha A, Narayan S, Adhikari S, KC Sabira. A comparative study of fine needle aspiration cytology and histopathology in salivary gland lesions. J Pathol Nepal. 2011;1:108-13.

Kumar SY, Permi HS, Paramesha K, Prasad HL, Teerthanath S, Shetty J, et al. role of fine needle aspiration cytology in salivary gland tumors in correlation with their histopathology: a two year prospective study. J of Clin Diag Res. 2011;5(7):1375-80.

Ahmad S, Lateef M, Ahmad R. Clinico pathological study of primary salivary gland tumors in Kashmir. JK-practitioner. 2002;9(4):231-33.

Fernandes GC, Pandit AA. Diagnosis of salivary gland tumors by FNAC. BHJ. 2000;42(1):108-11.

Roy AD, Deka M, Dutta UC. Fine needle aspiration cytology of salivary gland lesions and its diagnostic pitfalls: a tertiary care centre experience from North East India. J Evol Med Dent Sci. 2013;2(26):4832-9.