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Research Paper | Pathology | India | Volume 12 Issue 5, May 2023

Experience of Application of Milan System for Reporting Salivary Gland Cytopathology and Risk Stratification in a Tertiary Care Center in Northeast India

Dr. Projnan Saikia | Dr. Basudev Narah | Dr. Geet Bhuyan

Abstract: Introduction: Fine needle aspiration cytology (FNAC) is a widely accepted tool for preoperative diagnosis and management of salivary gland tumors. Due to the wide range of heterogenicity of salivary gland lesions and cytomorphological overlap, the Milan system for reporting salivary gland cytology (MSRSGC) was introduced to improve communication between cytopathologist and clinician. Materials and methods: A retrospective study was done for the period from January 2021 to December 2022. The study included a total of 104 salivary gland swellings. Clinical data, FNAC specimens, histological and clinical follow - up of cases were done. All the lesions were categorized according to the Milan system for reporting salivary glandcytopathology (MSRSGC). Results: out of the total of 104 cases included in the study histological follow - up was done wherever possible. Distribution of cases into six different categories were ND, NN, AUS, NB, SUMP, SM, M with a ROM of 25%, 4%, 16%, 5%, 33%, 75%, and 100% for each category. Conclusion: MSRSGC a six - category scheme which places salivary gland FNAC into well - defined categories limiting the possibilities of false negative and false positive results.

Keywords: Fine needle aspiration cytology, salivary gland, risk of malignancy, The Milan system

Edition: Volume 12 Issue 5, May 2023,

Pages: 555 - 561