Salivary Gland Fine-Needle Aspiration: The Current and Future Landscape.

Surg Pathol Clin

Division of Anatomic Pathology and Histology, Fondazione Policlinico Universitario "Agostino Gemelli", IRCCS, Rome, Italy. Electronic address:

Published: September 2024

AI Article Synopsis

  • Fine-needle aspiration (FNA) is a valuable method for diagnosing and managing salivary gland lesions, but previously there were inconsistencies in diagnostic reports that caused confusion.
  • In 2015, a group of cytopathologists created the Milan System for Reporting Salivary Gland Cytopathology (MSRSGC) to standardize reporting for FNA specimens.
  • The current trend shows more healthcare professionals using the MSRSGC, with future developments focusing on additional techniques that enhance diagnosis and provide prognostic information.

Article Abstract

Fine-needle aspiration represents a valid tool for the diagnosis/management of salivary gland lesions. The past years assessed the lack of uniform diagnostic reports for salivary cytopathology leading to interpretative issues. In 2015, an international group of cytopathologists developed an evidence-based tiered classification system for reporting salivary gland fine-needle aspiration (FNA) specimens, the "Milan System for Reporting Salivary Gland Cytopathology" (MSRSGC). The present landscape of salivary cytology is represented by the growing adoption of the MSRSGC and the assessment of its diagnostic role. The future landscape is characterized by the increasing role of ancillary techniques for diagnostic and prognostic purposes.

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http://dx.doi.org/10.1016/j.path.2024.04.003DOI Listing

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