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<p>There are various diagnostic modalities available for detecting salivary gland lesions such as Sialography, Computerized Tomography, MRI, and Ultrasound, Fine Needle Aspiration Cytology (FNAC) and incisional biopsy. Fine needle aspiration cytology (FNAC) is generally regarded as a highly accurate diagnostic method, however, there are significant variations in the subtyping of the lesion.The objective of this study was to find the role of MILAN System for Reporting Salivary Gland Cytopathology (MSRSGC) in the evaluation of Major Salivary Gland Lesions. This cross sectional study was done in patients with newly diagnosed visible &amp;/or palpable swellings of Major salivary glands after fulfilling the inclusion &amp; exclusion criteria. The patients were subjected to the detailed ENT Examination and FNAC. All lesions were excised. A total of 72 patients were included out of which 56 had benign lesions while 16 had malignant lesions on final histopathology. The Pearson chi-square test shows a significant result (X<sup>2</sup> = 108.439; p = .001) indicating that most of the HPE findings with Pleomorphic adenoma were correlated with Milan 4a category while Milan 5 and 6 had more number of cases with carcinoma.</p>

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The Role of Milan System for Reporting Salivary Gland Cytopathology (MSRSGC) in the Evaluation of Major Salivary Gland Lesions

  • 期刊论文

  • 发表日期：

    2026年7月11日

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  • Sahil Ahmed,
  • Mohd Umar Shah,
  • Suhail Amin Patigaroo,
  • Mateen Hussain Rathore

摘要

There are various diagnostic modalities available for detecting salivary gland lesions such as Sialography, Computerized Tomography, MRI, and Ultrasound, Fine Needle Aspiration Cytology (FNAC) and incisional biopsy. Fine needle aspiration cytology (FNAC) is generally regarded as a highly accurate diagnostic method, however, there are significant variations in the subtyping of the lesion.The objective of this study was to find the role of MILAN System for Reporting Salivary Gland Cytopathology (MSRSGC) in the evaluation of Major Salivary Gland Lesions. This cross sectional study was done in patients with newly diagnosed visible &/or palpable swellings of Major salivary glands after fulfilling the inclusion & exclusion criteria. The patients were subjected to the detailed ENT Examination and FNAC. All lesions were excised. A total of 72 patients were included out of which 56 had benign lesions while 16 had malignant lesions on final histopathology. The Pearson chi-square test shows a significant result (X2 = 108.439; p = .001) indicating that most of the HPE findings with Pleomorphic adenoma were correlated with Milan 4a category while Milan 5 and 6 had more number of cases with carcinoma.