%0 Journal Article
%T Biopsia por aspiraci¨®n con aguja fina en el s¨ªndrome ad¨¦nico cervical cr¨®nico
%A N¨¦lido Gonz¨¢lez Fern¨¢ndez
%A Victoriano Mach¨ªn Gonz¨¢lez
%A Dulce Mar¨ªa Quesada Mesa
%A Mar¨ªa Teresa Palm¨®n D¨ªaz
%J Revista Cubana de Cirug¨ªa
%D 1997
%I Editorial Ciencias M¨¦dicas
%X Con el objetivo de determinar en nuestro medio el valor de la citolog¨ªa aspirativa con aguja fina, al evaluar una linfadenopat¨ªa cervical asintom¨¢tica, como procedimiento diagn¨®stico preliminar, se realiz¨® un estudio de 40 pacientes que acudieron a la consulta de otorrinolaringolog¨ªa del Hospital Clinicoquir¨²rgico Docente "Joaqu¨ªn Albarr¨¢n", durante el a o 1994, en los cuales se practic¨® primero biopsia aspirativa con aguja fina y posteriormente la extirpaci¨®n quir¨²rgica de los ganglios afectados para evaluar los diagn¨®sticos citopatol¨®gicos realizados. El 72,5 % de los pacientes ten¨ªan m¨¢s de 50 a os y el 62,5 % era del sexo masculino. Se diagnosticaron lesiones metast¨¢sicas en el 45 %, tumores primarios en el 20 %, adenitis aguda en 7,5 %. En la correlaci¨®n se encontraron 2 falsos positivos (5 %) e igual n¨²mero de falsos negativos. La eficacia del m¨¦todo fue de 90 %, sensibilidad de 92,3 % y especialidad de 85,75 %. Los ¨ªndices predictivos positivos y negativos fueron 92,3 y 85,7 % Forty patients who were attended at the Otorrhinolaryngology Service of "Joaqu¨ªn Albarr¨¢n" Teaching Clinical and Surgical Hospital during 1994 were studied with the aim of determine in our environment the value of fine needle aspiration cytology when evaluating an asymptomatic cervical lymphoadenopathy. First, patients underwent a fine needle aspiration biopsy and afterwards they were submitted to a surgical removal of the affected ganglia to assess the cytopathologic diagnoses performed. 72.5 % of patients were over 50 years of age and 62.5 % were male. Metastatic lesions were diagnosed in 45 %, primary tumors in 20 %, and acute adenitis in 7.5 %. In the correlation, 2 false positive results were found (5 %) and an equal number of false negative results. The effectiveness of the method was found to be of 90 %, sensitivity was 92.3 %, and specificity was of 85.75 %. Positive and negative predictive indexes were 92.3 and 85.7 %
%K GANGLIOS SIMPATICOS
%K GANGLIOS SIMPATICOS
%K BIOPSIA CON AGUJA
%K METASTASIS DEL NEOPLASMA
%K CARCINOMA DE CELULAS ESCAMOSAS
%K LINFADENITIS
%K TRASTORNOS LINFOPROLIFERATIVOS
%K GANGLIA
%K SYMPATHETIC
%K GANGLIA
%K SYMPATHETIC
%K BIOPSY N
%K EEDLE
%K NEOPLASMS METASTASIS
%K CARCINOMA SQUAMOUS CELL
%K LYMPHADENITIS
%K LYMPHOPROLIFERATIVE DISORDERS
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74931997000200003