Abstract

Salivary glands are one of the most common target organs where Fine needle aspiration cytology is performed because of their superficial location and easy accessibility. Many unexplained questions regarding a mass arising in the major salivary gland lesions can be answered by evaluation of FNAC. FNAC of the major salivary gland lesions, determine the need for surgical intervention and assist in planning the appropriate surgical approach prior to resection. Methods and materials: 74 patients with major salivary gland lesions were included in the study. This is a prospective study, undertaken in the Department of Pathology, J.J.M. Medical College, Davangere, during the period of March 2021 to August 2022. 11 cases were available for histopathological examination. Results: Our study included 74 patients with major salivary gland lesions. Age group ranged from 12 years to 80 years with the mean age of 45.50 years. Majority of the patients were encountered in the age group of 31-40 years (31%). Male to Female ratio was 1:1.5. Among the 74 patients, most common benign and malignant neoplastic lesions noted were pleomorphic adenoma 55 cases and mucoepidermoid carcinoma 7 cases respectively. Histopathological correlation was available in 11 cases, in which cytological diagnosis differed in 4 cases. Conclusion: FNAC is a simple and valuable tool for the correct pre-operative distinction between benign and malignancies in the outpatient setting and to avoid unnecessary surgery.

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