CYTOLOGICAL SPECTRUM OF MAJOR SALIVARY GLAND LESIONS ON THE BASIS OF MILAN’S CRITERIA- AN OBSERVATIONAL STUDY IN A TERTIARY CARE HOSPITAL
Main Article Content
Keywords
Fine-needle aspiration cytology; Salivary gland lesions; Milan system; MSRSGC; Pleomorphic adenoma; Mucoepidermoid carcinoma
Abstract
Background: Salivary gland lesions exhibit a wide cytological spectrum ranging from non-neoplastic conditions to malignant neoplasms. Fine-needle aspiration cytology (FNAC) is a simple, cost-effective, and minimally invasive diagnostic technique. The Milan System for Reporting Salivary Gland Cytopathology (MSRSGC) provides a standardized framework with risk-based categorization.
Objectives: To determine the cytological spectrum of major salivary gland lesions and to estimate the sensitivity and specificity of FNAC using the Milan System, with histopathology as the gold standard.
Materials and Methods: A cross-sectional observational study was conducted in the Department of Pathology, Agartala Government Medical College and Gobind Ballabh Pant Hospital, Tripura, over five years (June 2019–May 2024). A total of 280 FNAC cases of major salivary gland lesions were analysed. Smears were reviewed independently by three pathologists and classified into six categories according to the MSRSGC. Cytological findings were correlated with available histopathology.
Results: Males were more commonly affected than females (M:F = 1.43:1). The age ranged from 4 to 85 years (mean 46 years). The parotid gland was the most commonly involved site (85%). The majority of cases belonged to category IVA (benign neoplasm) (41.1%), followed by category II (non-neoplastic) (40.4%) and category VI (malignant) (10%). Pleomorphic adenoma was the most common benign tumor (54.8%), while mucoepidermoid carcinoma was the most common malignant tumor (53.6%). FNAC demonstrated good sensitivity and specificity in differentiating benign from malignant salivary gland neoplasms.
Conclusion: FNAC is a reliable and accurate diagnostic tool for salivary gland lesions. The Milan System enhances uniform reporting and risk stratification, thereby aiding appropriate clinical management. Histopathological correlation remains essential in diagnostically challenging cases.
References
1. Bharti JN, Elhence P, Rao M, Nalwa A, Khera S. Risk stratification by application of Milan system for reporting salivary gland cytopathology: A tertiary care experience. Cytojournal. 2021 Aug 2;18:19.
2. Rossi ED, Faquin WC, Baloch Z, Barkan GA, Foschini MP, Pusztaszeri M, et al. The Milan System for Reporting Salivary Gland Cytopathology: analysis and suggestions of initial survey. Cancer cytopathology. 2017 Oct;125(10):757-66.
3. Rossi ED, Wong LQ, Bizzarro T, Petrone G, Mule A, Fadda G, et al. The impact of FNAC in the management of salivary gland lesions: institutional experiences leading to a risk‐based classification scheme. Cancer cytopathology. 2016 Jun;124(6):388-96.
4. Griffith CC, Pai RK, Schneider F, Duvvuri U, Ferris RL, Johnson JT, et al. Salivary gland tumor fine-needle aspiration cytology: a proposal for a risk stratification classification. American journal of clinical pathology. 2015 Jun 1;143(6):839-53.
5. Wei S, Layfield LJ, LiVolsi VA, Montone KT, Baloch ZW. Reporting of fine needle aspiration (FNA) specimens of salivary gland lesions: a comprehensive review. Diagnostic Cytopathology. 2017 Sep;45(9):820-7.
6. Viswanathan K, Sung S, Scognamiglio T, Yang GC, Siddiqui MT, Rao RA. The role of the Milan System for Reporting Salivary Gland Cytopathology: a 5‐year institutional experience. Cancer Cytopathology. 2018 Aug;126(8):541-51.
7. Gaikwad VP, Anupriya C, Naik LP. Milan system for reporting salivary gland cytopathology–An experience from Western Indian Population. Journal of Cytology. 2020 Apr 1;37(2):93-8.
8. Mairembam P, Jay A, Beale T, Morley S, Vaz F, Kalavrezos N, et al. Salivary gland FNA cytology: role as a triage tool and an approach to pitfalls in cytomorphology. Cytopathology. 2016 Apr;27(2):91-6.
9. Colella G, Cannavale R, Flamminio F, Foschini MP. Fine-needle aspiration cytology of salivary gland lesions: a systematic review. Journal of Oral and Maxillofacial Surgery. 2010 Sep 1;68(9):2146-53.
10. Kala C, Kala S, Khan L. Milan System for Reporting Salivary Gland Cytopathology: An Experience with the Implication for Risk of Malignancy. J Cytol. 2019 Jul-Sep;36(3):160-4.
11. Schmidt RL, Hall BJ, Wilson AR, Lay field LJ. A systematic review and meta-analysis of the diagnostic accuracy of fine-needle aspiration cytology for parotid gland lesions. American journal of clinical pathology. 2011 Jul 1;136(1):45-59.
12. Liu CC, Jethwa AR, Khariwala SS, Johnson J, Shin JJ. Sensitivity, specificity, and posttest probability of parotid fine-needle aspiration: a systematic review and meta-analysis. Otolaryngology--Head and Neck Surgery. 2016 Jan;154(1):9-23.
13. Schmidt RL, Narra KK, Witt BL, Factor RE. Diagnostic accuracy studies of fine-needle aspiration show wide variation in reporting of study population characteristics: implications for external validity. Archives of Pathology and Laboratory Medicine. 2014 Jan 1;138(1):88-97.
14. Song IH, Song JS, Sung CO, Rohm JL, Choi SH, Nam SY, et al. Accuracy of core needle biopsy versus fine needle aspiration cytology for diagnosing salivary gland tumors. Journal of pathology and translational medicine. 2015 Mar;49(2):136.
15. Tyagi R, Dey P. Diagnostic problems of salivary gland tumors. Diagnostic Cytopathology. 2015 Jun;43(6):495-509.
16. Pusztaszeri MP, Faquin WC. Update in salivary gland cytopathology: Recent molecular advances and diagnostic applications. SeminDiagnPathol. 2015;32(4):264–74.
17. Cormier CM, Agarwal S. Utility of the Milan System for Reporting Salivary Gland Cytology, with focus on the incidence and histologic correlates of atypia of undetermined significance (AUS) and salivary gland neoplasm of uncertain malignant potential (SUMP): A 3‐year institutional experience. Cancer Cytopathology. 2022 Apr;130(4):303-12.
18. Barbarite E, Puram SV, Derakhshan A, Rossi ED, Faquin WC, Varvares MA. A Call for Universal Acceptance of the Milan System for Reporting Salivary Gland Cytopathology. Laryngoscope. 2020 Jan;130(1):80-5.
19. Rivera Rolon M, Schnadig VJ, Faiz S, Nawgiri R, Clement CG. Salivary gland fine-needle aspiration cytology with the application of the Milan system for risk stratification and histological correlation: A retrospective 6-year study. Diagn Cytopathol. 2020 Nov;48(11):1067-74.
20. Velez Torres JM, Tjendra Y, Zuo Y, Garcia-Buitrago M, Jorda M, Kerr DA, et al. Application of the Milan System for Reporting Salivary Gland Cytopathology: A Single Institutional Experience of 354 Cases with Cytologic-Histologic Correlation. Acta Cytol. 2022;66(6):467-74.
21. Castrodad-Rodríguez CA, Lajara S, Khader SN, Colanta AB, Guerrero DR, El Hussein S, et al. Application of the Milan System for Reporting Salivary Gland Cytopathology: Experience of an academic institution in a tertiary academic medical center. Cancer Cytopathol. 2021 Mar;129(3):204-13.
22. Gudmundsson JK, Ajan A, Abtahi J. The accuracy of fine-needle aspiration cytology for diagnosis of parotid gland masses: a clinicopathological study of 114 patients. J Appl Oral Sci. 2016 Nov-Dec;24(6):561-7.
23. Chirmade J, Kothari K, Naik L, Agnihotri M. Utility of the Milan system for reporting salivary gland cytopathology: A retrospective 5 years study. Diagn Cytopathol. 2021 Apr;49(4):500-8.
24. Karuna V, Gupta P, Rathi M, Grover K, Nigam JS, Verma N. Effectuation to Cognize malignancy risk and accuracy of fine needle aspiration cytology in salivary gland using "Milan System for Reporting Salivary Gland Cytopathology": A 2 years retrospective study in academic institution. Indian J Pathol Microbiol. 2019 Jan-Mar;62(1):11-6.
1. Bharti JN, Elhence P, Rao M, Nalwa A, Khera S. Risk stratification by application of Milan system for reporting salivary gland cytopathology: A tertiary care experience. Cytojournal. 2021 Aug 2;18:19.
2. Rossi ED, Faquin WC, Baloch Z, Barkan GA, Foschini MP, Pusztaszeri M, et al. The Milan System for Reporting Salivary Gland Cytopathology: analysis and suggestions of initial survey. Cancer cytopathology. 2017 Oct;125(10):757-66.
3. Rossi ED, Wong LQ, Bizzarro T, Petrone G, Mule A, Fadda G, et al. The impact of FNAC in the management of salivary gland lesions: institutional experiences leading to a risk‐based classification scheme. Cancer cytopathology. 2016 Jun;124(6):388-96.
4. Griffith CC, Pai RK, Schneider F, Duvvuri U, Ferris RL, Johnson JT, et al. Salivary gland tumor fine-needle aspiration cytology: a proposal for a risk stratification classification. American journal of clinical pathology. 2015 Jun 1;143(6):839-53.
5. Wei S, Layfield LJ, LiVolsi VA, Montone KT, Baloch ZW. Reporting of fine needle aspiration (FNA) specimens of salivary gland lesions: a comprehensive review. Diagnostic Cytopathology. 2017 Sep;45(9):820-7.
6. Viswanathan K, Sung S, Scognamiglio T, Yang GC, Siddiqui MT, Rao RA. The role of the Milan System for Reporting Salivary Gland Cytopathology: a 5‐year institutional experience. Cancer Cytopathology. 2018 Aug;126(8):541-51.
7. Gaikwad VP, Anupriya C, Naik LP. Milan system for reporting salivary gland cytopathology–An experience from Western Indian Population. Journal of Cytology. 2020 Apr 1;37(2):93-8.
8. Mairembam P, Jay A, Beale T, Morley S, Vaz F, Kalavrezos N, et al. Salivary gland FNA cytology: role as a triage tool and an approach to pitfalls in cytomorphology. Cytopathology. 2016 Apr;27(2):91-6.
9. Colella G, Cannavale R, Flamminio F, Foschini MP. Fine-needle aspiration cytology of salivary gland lesions: a systematic review. Journal of Oral and Maxillofacial Surgery. 2010 Sep 1;68(9):2146-53.
10. Kala C, Kala S, Khan L. Milan System for Reporting Salivary Gland Cytopathology: An Experience with the Implication for Risk of Malignancy. J Cytol. 2019 Jul-Sep;36(3):160-4.
11. Schmidt RL, Hall BJ, Wilson AR, Lay field LJ. A systematic review and meta-analysis of the diagnostic accuracy of fine-needle aspiration cytology for parotid gland lesions. American journal of clinical pathology. 2011 Jul 1;136(1):45-59.
12. Liu CC, Jethwa AR, Khariwala SS, Johnson J, Shin JJ. Sensitivity, specificity, and posttest probability of parotid fine-needle aspiration: a systematic review and meta-analysis. Otolaryngology--Head and Neck Surgery. 2016 Jan;154(1):9-23.
13. Schmidt RL, Narra KK, Witt BL, Factor RE. Diagnostic accuracy studies of fine-needle aspiration show wide variation in reporting of study population characteristics: implications for external validity. Archives of Pathology and Laboratory Medicine. 2014 Jan 1;138(1):88-97.
14. Song IH, Song JS, Sung CO, Rohm JL, Choi SH, Nam SY, et al. Accuracy of core needle biopsy versus fine needle aspiration cytology for diagnosing salivary gland tumors. Journal of pathology and translational medicine. 2015 Mar;49(2):136.
15. Tyagi R, Dey P. Diagnostic problems of salivary gland tumors. Diagnostic Cytopathology. 2015 Jun;43(6):495-509.
16. Pusztaszeri MP, Faquin WC. Update in salivary gland cytopathology: Recent molecular advances and diagnostic applications. SeminDiagnPathol. 2015;32(4):264–74.
17. Cormier CM, Agarwal S. Utility of the Milan System for Reporting Salivary Gland Cytology, with focus on the incidence and histologic correlates of atypia of undetermined significance (AUS) and salivary gland neoplasm of uncertain malignant potential (SUMP): A 3‐year institutional experience. Cancer Cytopathology. 2022 Apr;130(4):303-12.
18. Barbarite E, Puram SV, Derakhshan A, Rossi ED, Faquin WC, Varvares MA. A Call for Universal Acceptance of the Milan System for Reporting Salivary Gland Cytopathology. Laryngoscope. 2020 Jan;130(1):80-5.
19. Rivera Rolon M, Schnadig VJ, Faiz S, Nawgiri R, Clement CG. Salivary gland fine-needle aspiration cytology with the application of the Milan system for risk stratification and histological correlation: A retrospective 6-year study. Diagn Cytopathol. 2020 Nov;48(11):1067-74.
20. Velez Torres JM, Tjendra Y, Zuo Y, Garcia-Buitrago M, Jorda M, Kerr DA, et al. Application of the Milan System for Reporting Salivary Gland Cytopathology: A Single Institutional Experience of 354 Cases with Cytologic-Histologic Correlation. Acta Cytol. 2022;66(6):467-74.
21. Castrodad-Rodríguez CA, Lajara S, Khader SN, Colanta AB, Guerrero DR, El Hussein S, et al. Application of the Milan System for Reporting Salivary Gland Cytopathology: Experience of an academic institution in a tertiary academic medical center. Cancer Cytopathol. 2021 Mar;129(3):204-13.
22. Gudmundsson JK, Ajan A, Abtahi J. The accuracy of fine-needle aspiration cytology for diagnosis of parotid gland masses: a clinicopathological study of 114 patients. J Appl Oral Sci. 2016 Nov-Dec;24(6):561-7.
23. Chirmade J, Kothari K, Naik L, Agnihotri M. Utility of the Milan system for reporting salivary gland cytopathology: A retrospective 5 years study. Diagn Cytopathol. 2021 Apr;49(4):500-8.
24. Karuna V, Gupta P, Rathi M, Grover K, Nigam JS, Verma N. Effectuation to Cognize malignancy risk and accuracy of fine needle aspiration cytology in salivary gland using "Milan System for Reporting Salivary Gland Cytopathology": A 2 years retrospective study in academic institution. Indian J Pathol Microbiol. 2019 Jan-Mar;62(1):11-6.
1. Bharti JN, Elhence P, Rao M, Nalwa A, Khera S. Risk stratification by application of Milan system for reporting salivary gland cytopathology: A tertiary care experience. Cytojournal. 2021 Aug 2;18:19.
2. Rossi ED, Faquin WC, Baloch Z, Barkan GA, Foschini MP, Pusztaszeri M, et al. The Milan System for Reporting Salivary Gland Cytopathology: analysis and suggestions of initial survey. Cancer cytopathology. 2017 Oct;125(10):757-66.
3. Rossi ED, Wong LQ, Bizzarro T, Petrone G, Mule A, Fadda G, et al. The impact of FNAC in the management of salivary gland lesions: institutional experiences leading to a risk‐based classification scheme. Cancer cytopathology. 2016 Jun;124(6):388-96.
4. Griffith CC, Pai RK, Schneider F, Duvvuri U, Ferris RL, Johnson JT, et al. Salivary gland tumor fine-needle aspiration cytology: a proposal for a risk stratification classification. American journal of clinical pathology. 2015 Jun 1;143(6):839-53.
5. Wei S, Layfield LJ, LiVolsi VA, Montone KT, Baloch ZW. Reporting of fine needle aspiration (FNA) specimens of salivary gland lesions: a comprehensive review. Diagnostic Cytopathology. 2017 Sep;45(9):820-7.
6. Viswanathan K, Sung S, Scognamiglio T, Yang GC, Siddiqui MT, Rao RA. The role of the Milan System for Reporting Salivary Gland Cytopathology: a 5‐year institutional experience. Cancer Cytopathology. 2018 Aug;126(8):541-51.
7. Gaikwad VP, Anupriya C, Naik LP. Milan system for reporting salivary gland cytopathology–An experience from Western Indian Population. Journal of Cytology. 2020 Apr 1;37(2):93-8.
8. Mairembam P, Jay A, Beale T, Morley S, Vaz F, Kalavrezos N, et al. Salivary gland FNA cytology: role as a triage tool and an approach to pitfalls in cytomorphology. Cytopathology. 2016 Apr;27(2):91-6.
9. Colella G, Cannavale R, Flamminio F, Foschini MP. Fine-needle aspiration cytology of salivary gland lesions: a systematic review. Journal of Oral and Maxillofacial Surgery. 2010 Sep 1;68(9):2146-53.
10. Kala C, Kala S, Khan L. Milan System for Reporting Salivary Gland Cytopathology: An Experience with the Implication for Risk of Malignancy. J Cytol. 2019 Jul-Sep;36(3):160-4.
11. Schmidt RL, Hall BJ, Wilson AR, Lay field LJ. A systematic review and meta-analysis of the diagnostic accuracy of fine-needle aspiration cytology for parotid gland lesions. American journal of clinical pathology. 2011 Jul 1;136(1):45-59.
12. Liu CC, Jethwa AR, Khariwala SS, Johnson J, Shin JJ. Sensitivity, specificity, and posttest probability of parotid fine-needle aspiration: a systematic review and meta-analysis. Otolaryngology--Head and Neck Surgery. 2016 Jan;154(1):9-23.
13. Schmidt RL, Narra KK, Witt BL, Factor RE. Diagnostic accuracy studies of fine-needle aspiration show wide variation in reporting of study population characteristics: implications for external validity. Archives of Pathology and Laboratory Medicine. 2014 Jan 1;138(1):88-97.
14. Song IH, Song JS, Sung CO, Rohm JL, Choi SH, Nam SY, et al. Accuracy of core needle biopsy versus fine needle aspiration cytology for diagnosing salivary gland tumors. Journal of pathology and translational medicine. 2015 Mar;49(2):136.
15. Tyagi R, Dey P. Diagnostic problems of salivary gland tumors. Diagnostic Cytopathology. 2015 Jun;43(6):495-509.
16. Pusztaszeri MP, Faquin WC. Update in salivary gland cytopathology: Recent molecular advances and diagnostic applications. SeminDiagnPathol. 2015;32(4):264–74.
17. Cormier CM, Agarwal S. Utility of the Milan System for Reporting Salivary Gland Cytology, with focus on the incidence and histologic correlates of atypia of undetermined significance (AUS) and salivary gland neoplasm of uncertain malignant potential (SUMP): A 3‐year institutional experience. Cancer Cytopathology. 2022 Apr;130(4):303-12.
18. Barbarite E, Puram SV, Derakhshan A, Rossi ED, Faquin WC, Varvares MA. A Call for Universal Acceptance of the Milan System for Reporting Salivary Gland Cytopathology. Laryngoscope. 2020 Jan;130(1):80-5.
19. Rivera Rolon M, Schnadig VJ, Faiz S, Nawgiri R, Clement CG. Salivary gland fine-needle aspiration cytology with the application of the Milan system for risk stratification and histological correlation: A retrospective 6-year study. Diagn Cytopathol. 2020 Nov;48(11):1067-74.
20. Velez Torres JM, Tjendra Y, Zuo Y, Garcia-Buitrago M, Jorda M, Kerr DA, et al. Application of the Milan System for Reporting Salivary Gland Cytopathology: A Single Institutional Experience of 354 Cases with Cytologic-Histologic Correlation. Acta Cytol. 2022;66(6):467-74.
21. Castrodad-Rodríguez CA, Lajara S, Khader SN, Colanta AB, Guerrero DR, El Hussein S, et al. Application of the Milan System for Reporting Salivary Gland Cytopathology: Experience of an academic institution in a tertiary academic medical center. Cancer Cytopathol. 2021 Mar;129(3):204-13.
22. Gudmundsson JK, Ajan A, Abtahi J. The accuracy of fine-needle aspiration cytology for diagnosis of parotid gland masses: a clinicopathological study of 114 patients. J Appl Oral Sci. 2016 Nov-Dec;24(6):561-7.
23. Chirmade J, Kothari K, Naik L, Agnihotri M. Utility of the Milan system for reporting salivary gland cytopathology: A retrospective 5 years study. Diagn Cytopathol. 2021 Apr;49(4):500-8.
24. Karuna V, Gupta P, Rathi M, Grover K, Nigam JS, Verma N. Effectuation to Cognize malignancy risk and accuracy of fine needle aspiration cytology in salivary gland using "Milan System for Reporting Salivary Gland Cytopathology": A 2 years retrospective study in academic institution. Indian J Pathol Microbiol. 2019 Jan-Mar;62(1):11-6.
1. Bharti JN, Elhence P, Rao M, Nalwa A, Khera S. Risk stratification by application of Milan system for reporting salivary gland cytopathology: A tertiary care experience. Cytojournal. 2021 Aug 2;18:19.
2. Rossi ED, Faquin WC, Baloch Z, Barkan GA, Foschini MP, Pusztaszeri M, et al. The Milan System for Reporting Salivary Gland Cytopathology: analysis and suggestions of initial survey. Cancer cytopathology. 2017 Oct;125(10):757-66.
3. Rossi ED, Wong LQ, Bizzarro T, Petrone G, Mule A, Fadda G, et al. The impact of FNAC in the management of salivary gland lesions: institutional experiences leading to a risk‐based classification scheme. Cancer cytopathology. 2016 Jun;124(6):388-96.
4. Griffith CC, Pai RK, Schneider F, Duvvuri U, Ferris RL, Johnson JT, et al. Salivary gland tumor fine-needle aspiration cytology: a proposal for a risk stratification classification. American journal of clinical pathology. 2015 Jun 1;143(6):839-53.
5. Wei S, Layfield LJ, LiVolsi VA, Montone KT, Baloch ZW. Reporting of fine needle aspiration (FNA) specimens of salivary gland lesions: a comprehensive review. Diagnostic Cytopathology. 2017 Sep;45(9):820-7.
6. Viswanathan K, Sung S, Scognamiglio T, Yang GC, Siddiqui MT, Rao RA. The role of the Milan System for Reporting Salivary Gland Cytopathology: a 5‐year institutional experience. Cancer Cytopathology. 2018 Aug;126(8):541-51.
7. Gaikwad VP, Anupriya C, Naik LP. Milan system for reporting salivary gland cytopathology–An experience from Western Indian Population. Journal of Cytology. 2020 Apr 1;37(2):93-8.
8. Mairembam P, Jay A, Beale T, Morley S, Vaz F, Kalavrezos N, et al. Salivary gland FNA cytology: role as a triage tool and an approach to pitfalls in cytomorphology. Cytopathology. 2016 Apr;27(2):91-6.
9. Colella G, Cannavale R, Flamminio F, Foschini MP. Fine-needle aspiration cytology of salivary gland lesions: a systematic review. Journal of Oral and Maxillofacial Surgery. 2010 Sep 1;68(9):2146-53.
10. Kala C, Kala S, Khan L. Milan System for Reporting Salivary Gland Cytopathology: An Experience with the Implication for Risk of Malignancy. J Cytol. 2019 Jul-Sep;36(3):160-4.
11. Schmidt RL, Hall BJ, Wilson AR, Lay field LJ. A systematic review and meta-analysis of the diagnostic accuracy of fine-needle aspiration cytology for parotid gland lesions. American journal of clinical pathology. 2011 Jul 1;136(1):45-59.
12. Liu CC, Jethwa AR, Khariwala SS, Johnson J, Shin JJ. Sensitivity, specificity, and posttest probability of parotid fine-needle aspiration: a systematic review and meta-analysis. Otolaryngology--Head and Neck Surgery. 2016 Jan;154(1):9-23.
13. Schmidt RL, Narra KK, Witt BL, Factor RE. Diagnostic accuracy studies of fine-needle aspiration show wide variation in reporting of study population characteristics: implications for external validity. Archives of Pathology and Laboratory Medicine. 2014 Jan 1;138(1):88-97.
14. Song IH, Song JS, Sung CO, Rohm JL, Choi SH, Nam SY, et al. Accuracy of core needle biopsy versus fine needle aspiration cytology for diagnosing salivary gland tumors. Journal of pathology and translational medicine. 2015 Mar;49(2):136.
15. Tyagi R, Dey P. Diagnostic problems of salivary gland tumors. Diagnostic Cytopathology. 2015 Jun;43(6):495-509.
16. Pusztaszeri MP, Faquin WC. Update in salivary gland cytopathology: Recent molecular advances and diagnostic applications. SeminDiagnPathol. 2015;32(4):264–74.
17. Cormier CM, Agarwal S. Utility of the Milan System for Reporting Salivary Gland Cytology, with focus on the incidence and histologic correlates of atypia of undetermined significance (AUS) and salivary gland neoplasm of uncertain malignant potential (SUMP): A 3‐year institutional experience. Cancer Cytopathology. 2022 Apr;130(4):303-12.
18. Barbarite E, Puram SV, Derakhshan A, Rossi ED, Faquin WC, Varvares MA. A Call for Universal Acceptance of the Milan System for Reporting Salivary Gland Cytopathology. Laryngoscope. 2020 Jan;130(1):80-5.
19. Rivera Rolon M, Schnadig VJ, Faiz S, Nawgiri R, Clement CG. Salivary gland fine-needle aspiration cytology with the application of the Milan system for risk stratification and histological correlation: A retrospective 6-year study. Diagn Cytopathol. 2020 Nov;48(11):1067-74.
20. Velez Torres JM, Tjendra Y, Zuo Y, Garcia-Buitrago M, Jorda M, Kerr DA, et al. Application of the Milan System for Reporting Salivary Gland Cytopathology: A Single Institutional Experience of 354 Cases with Cytologic-Histologic Correlation. Acta Cytol. 2022;66(6):467-74.
21. Castrodad-Rodríguez CA, Lajara S, Khader SN, Colanta AB, Guerrero DR, El Hussein S, et al. Application of the Milan System for Reporting Salivary Gland Cytopathology: Experience of an academic institution in a tertiary academic medical center. Cancer Cytopathol. 2021 Mar;129(3):204-13.
22. Gudmundsson JK, Ajan A, Abtahi J. The accuracy of fine-needle aspiration cytology for diagnosis of parotid gland masses: a clinicopathological study of 114 patients. J Appl Oral Sci. 2016 Nov-Dec;24(6):561-7.
23. Chirmade J, Kothari K, Naik L, Agnihotri M. Utility of the Milan system for reporting salivary gland cytopathology: A retrospective 5 years study. Diagn Cytopathol. 2021 Apr;49(4):500-8.
24. Karuna V, Gupta P, Rathi M, Grover K, Nigam JS, Verma N. Effectuation to Cognize malignancy risk and accuracy of fine needle aspiration cytology in salivary gland using "Milan System for Reporting Salivary Gland Cytopathology": A 2 years retrospective study in academic institution. Indian J Pathol Microbiol. 2019 Jan-Mar;62(1):11-6.
2. Rossi ED, Faquin WC, Baloch Z, Barkan GA, Foschini MP, Pusztaszeri M, et al. The Milan System for Reporting Salivary Gland Cytopathology: analysis and suggestions of initial survey. Cancer cytopathology. 2017 Oct;125(10):757-66.
3. Rossi ED, Wong LQ, Bizzarro T, Petrone G, Mule A, Fadda G, et al. The impact of FNAC in the management of salivary gland lesions: institutional experiences leading to a risk‐based classification scheme. Cancer cytopathology. 2016 Jun;124(6):388-96.
4. Griffith CC, Pai RK, Schneider F, Duvvuri U, Ferris RL, Johnson JT, et al. Salivary gland tumor fine-needle aspiration cytology: a proposal for a risk stratification classification. American journal of clinical pathology. 2015 Jun 1;143(6):839-53.
5. Wei S, Layfield LJ, LiVolsi VA, Montone KT, Baloch ZW. Reporting of fine needle aspiration (FNA) specimens of salivary gland lesions: a comprehensive review. Diagnostic Cytopathology. 2017 Sep;45(9):820-7.
6. Viswanathan K, Sung S, Scognamiglio T, Yang GC, Siddiqui MT, Rao RA. The role of the Milan System for Reporting Salivary Gland Cytopathology: a 5‐year institutional experience. Cancer Cytopathology. 2018 Aug;126(8):541-51.
7. Gaikwad VP, Anupriya C, Naik LP. Milan system for reporting salivary gland cytopathology–An experience from Western Indian Population. Journal of Cytology. 2020 Apr 1;37(2):93-8.
8. Mairembam P, Jay A, Beale T, Morley S, Vaz F, Kalavrezos N, et al. Salivary gland FNA cytology: role as a triage tool and an approach to pitfalls in cytomorphology. Cytopathology. 2016 Apr;27(2):91-6.
9. Colella G, Cannavale R, Flamminio F, Foschini MP. Fine-needle aspiration cytology of salivary gland lesions: a systematic review. Journal of Oral and Maxillofacial Surgery. 2010 Sep 1;68(9):2146-53.
10. Kala C, Kala S, Khan L. Milan System for Reporting Salivary Gland Cytopathology: An Experience with the Implication for Risk of Malignancy. J Cytol. 2019 Jul-Sep;36(3):160-4.
11. Schmidt RL, Hall BJ, Wilson AR, Lay field LJ. A systematic review and meta-analysis of the diagnostic accuracy of fine-needle aspiration cytology for parotid gland lesions. American journal of clinical pathology. 2011 Jul 1;136(1):45-59.
12. Liu CC, Jethwa AR, Khariwala SS, Johnson J, Shin JJ. Sensitivity, specificity, and posttest probability of parotid fine-needle aspiration: a systematic review and meta-analysis. Otolaryngology--Head and Neck Surgery. 2016 Jan;154(1):9-23.
13. Schmidt RL, Narra KK, Witt BL, Factor RE. Diagnostic accuracy studies of fine-needle aspiration show wide variation in reporting of study population characteristics: implications for external validity. Archives of Pathology and Laboratory Medicine. 2014 Jan 1;138(1):88-97.
14. Song IH, Song JS, Sung CO, Rohm JL, Choi SH, Nam SY, et al. Accuracy of core needle biopsy versus fine needle aspiration cytology for diagnosing salivary gland tumors. Journal of pathology and translational medicine. 2015 Mar;49(2):136.
15. Tyagi R, Dey P. Diagnostic problems of salivary gland tumors. Diagnostic Cytopathology. 2015 Jun;43(6):495-509.
16. Pusztaszeri MP, Faquin WC. Update in salivary gland cytopathology: Recent molecular advances and diagnostic applications. SeminDiagnPathol. 2015;32(4):264–74.
17. Cormier CM, Agarwal S. Utility of the Milan System for Reporting Salivary Gland Cytology, with focus on the incidence and histologic correlates of atypia of undetermined significance (AUS) and salivary gland neoplasm of uncertain malignant potential (SUMP): A 3‐year institutional experience. Cancer Cytopathology. 2022 Apr;130(4):303-12.
18. Barbarite E, Puram SV, Derakhshan A, Rossi ED, Faquin WC, Varvares MA. A Call for Universal Acceptance of the Milan System for Reporting Salivary Gland Cytopathology. Laryngoscope. 2020 Jan;130(1):80-5.
19. Rivera Rolon M, Schnadig VJ, Faiz S, Nawgiri R, Clement CG. Salivary gland fine-needle aspiration cytology with the application of the Milan system for risk stratification and histological correlation: A retrospective 6-year study. Diagn Cytopathol. 2020 Nov;48(11):1067-74.
20. Velez Torres JM, Tjendra Y, Zuo Y, Garcia-Buitrago M, Jorda M, Kerr DA, et al. Application of the Milan System for Reporting Salivary Gland Cytopathology: A Single Institutional Experience of 354 Cases with Cytologic-Histologic Correlation. Acta Cytol. 2022;66(6):467-74.
21. Castrodad-Rodríguez CA, Lajara S, Khader SN, Colanta AB, Guerrero DR, El Hussein S, et al. Application of the Milan System for Reporting Salivary Gland Cytopathology: Experience of an academic institution in a tertiary academic medical center. Cancer Cytopathol. 2021 Mar;129(3):204-13.
22. Gudmundsson JK, Ajan A, Abtahi J. The accuracy of fine-needle aspiration cytology for diagnosis of parotid gland masses: a clinicopathological study of 114 patients. J Appl Oral Sci. 2016 Nov-Dec;24(6):561-7.
23. Chirmade J, Kothari K, Naik L, Agnihotri M. Utility of the Milan system for reporting salivary gland cytopathology: A retrospective 5 years study. Diagn Cytopathol. 2021 Apr;49(4):500-8.
24. Karuna V, Gupta P, Rathi M, Grover K, Nigam JS, Verma N. Effectuation to Cognize malignancy risk and accuracy of fine needle aspiration cytology in salivary gland using "Milan System for Reporting Salivary Gland Cytopathology": A 2 years retrospective study in academic institution. Indian J Pathol Microbiol. 2019 Jan-Mar;62(1):11-6.
1. Bharti JN, Elhence P, Rao M, Nalwa A, Khera S. Risk stratification by application of Milan system for reporting salivary gland cytopathology: A tertiary care experience. Cytojournal. 2021 Aug 2;18:19.
2. Rossi ED, Faquin WC, Baloch Z, Barkan GA, Foschini MP, Pusztaszeri M, et al. The Milan System for Reporting Salivary Gland Cytopathology: analysis and suggestions of initial survey. Cancer cytopathology. 2017 Oct;125(10):757-66.
3. Rossi ED, Wong LQ, Bizzarro T, Petrone G, Mule A, Fadda G, et al. The impact of FNAC in the management of salivary gland lesions: institutional experiences leading to a risk‐based classification scheme. Cancer cytopathology. 2016 Jun;124(6):388-96.
4. Griffith CC, Pai RK, Schneider F, Duvvuri U, Ferris RL, Johnson JT, et al. Salivary gland tumor fine-needle aspiration cytology: a proposal for a risk stratification classification. American journal of clinical pathology. 2015 Jun 1;143(6):839-53.
5. Wei S, Layfield LJ, LiVolsi VA, Montone KT, Baloch ZW. Reporting of fine needle aspiration (FNA) specimens of salivary gland lesions: a comprehensive review. Diagnostic Cytopathology. 2017 Sep;45(9):820-7.
6. Viswanathan K, Sung S, Scognamiglio T, Yang GC, Siddiqui MT, Rao RA. The role of the Milan System for Reporting Salivary Gland Cytopathology: a 5‐year institutional experience. Cancer Cytopathology. 2018 Aug;126(8):541-51.
7. Gaikwad VP, Anupriya C, Naik LP. Milan system for reporting salivary gland cytopathology–An experience from Western Indian Population. Journal of Cytology. 2020 Apr 1;37(2):93-8.
8. Mairembam P, Jay A, Beale T, Morley S, Vaz F, Kalavrezos N, et al. Salivary gland FNA cytology: role as a triage tool and an approach to pitfalls in cytomorphology. Cytopathology. 2016 Apr;27(2):91-6.
9. Colella G, Cannavale R, Flamminio F, Foschini MP. Fine-needle aspiration cytology of salivary gland lesions: a systematic review. Journal of Oral and Maxillofacial Surgery. 2010 Sep 1;68(9):2146-53.
10. Kala C, Kala S, Khan L. Milan System for Reporting Salivary Gland Cytopathology: An Experience with the Implication for Risk of Malignancy. J Cytol. 2019 Jul-Sep;36(3):160-4.
11. Schmidt RL, Hall BJ, Wilson AR, Lay field LJ. A systematic review and meta-analysis of the diagnostic accuracy of fine-needle aspiration cytology for parotid gland lesions. American journal of clinical pathology. 2011 Jul 1;136(1):45-59.
12. Liu CC, Jethwa AR, Khariwala SS, Johnson J, Shin JJ. Sensitivity, specificity, and posttest probability of parotid fine-needle aspiration: a systematic review and meta-analysis. Otolaryngology--Head and Neck Surgery. 2016 Jan;154(1):9-23.
13. Schmidt RL, Narra KK, Witt BL, Factor RE. Diagnostic accuracy studies of fine-needle aspiration show wide variation in reporting of study population characteristics: implications for external validity. Archives of Pathology and Laboratory Medicine. 2014 Jan 1;138(1):88-97.
14. Song IH, Song JS, Sung CO, Rohm JL, Choi SH, Nam SY, et al. Accuracy of core needle biopsy versus fine needle aspiration cytology for diagnosing salivary gland tumors. Journal of pathology and translational medicine. 2015 Mar;49(2):136.
15. Tyagi R, Dey P. Diagnostic problems of salivary gland tumors. Diagnostic Cytopathology. 2015 Jun;43(6):495-509.
16. Pusztaszeri MP, Faquin WC. Update in salivary gland cytopathology: Recent molecular advances and diagnostic applications. SeminDiagnPathol. 2015;32(4):264–74.
17. Cormier CM, Agarwal S. Utility of the Milan System for Reporting Salivary Gland Cytology, with focus on the incidence and histologic correlates of atypia of undetermined significance (AUS) and salivary gland neoplasm of uncertain malignant potential (SUMP): A 3‐year institutional experience. Cancer Cytopathology. 2022 Apr;130(4):303-12.
18. Barbarite E, Puram SV, Derakhshan A, Rossi ED, Faquin WC, Varvares MA. A Call for Universal Acceptance of the Milan System for Reporting Salivary Gland Cytopathology. Laryngoscope. 2020 Jan;130(1):80-5.
19. Rivera Rolon M, Schnadig VJ, Faiz S, Nawgiri R, Clement CG. Salivary gland fine-needle aspiration cytology with the application of the Milan system for risk stratification and histological correlation: A retrospective 6-year study. Diagn Cytopathol. 2020 Nov;48(11):1067-74.
20. Velez Torres JM, Tjendra Y, Zuo Y, Garcia-Buitrago M, Jorda M, Kerr DA, et al. Application of the Milan System for Reporting Salivary Gland Cytopathology: A Single Institutional Experience of 354 Cases with Cytologic-Histologic Correlation. Acta Cytol. 2022;66(6):467-74.
21. Castrodad-Rodríguez CA, Lajara S, Khader SN, Colanta AB, Guerrero DR, El Hussein S, et al. Application of the Milan System for Reporting Salivary Gland Cytopathology: Experience of an academic institution in a tertiary academic medical center. Cancer Cytopathol. 2021 Mar;129(3):204-13.
22. Gudmundsson JK, Ajan A, Abtahi J. The accuracy of fine-needle aspiration cytology for diagnosis of parotid gland masses: a clinicopathological study of 114 patients. J Appl Oral Sci. 2016 Nov-Dec;24(6):561-7.
23. Chirmade J, Kothari K, Naik L, Agnihotri M. Utility of the Milan system for reporting salivary gland cytopathology: A retrospective 5 years study. Diagn Cytopathol. 2021 Apr;49(4):500-8.
24. Karuna V, Gupta P, Rathi M, Grover K, Nigam JS, Verma N. Effectuation to Cognize malignancy risk and accuracy of fine needle aspiration cytology in salivary gland using "Milan System for Reporting Salivary Gland Cytopathology": A 2 years retrospective study in academic institution. Indian J Pathol Microbiol. 2019 Jan-Mar;62(1):11-6.
1. Bharti JN, Elhence P, Rao M, Nalwa A, Khera S. Risk stratification by application of Milan system for reporting salivary gland cytopathology: A tertiary care experience. Cytojournal. 2021 Aug 2;18:19.
2. Rossi ED, Faquin WC, Baloch Z, Barkan GA, Foschini MP, Pusztaszeri M, et al. The Milan System for Reporting Salivary Gland Cytopathology: analysis and suggestions of initial survey. Cancer cytopathology. 2017 Oct;125(10):757-66.
3. Rossi ED, Wong LQ, Bizzarro T, Petrone G, Mule A, Fadda G, et al. The impact of FNAC in the management of salivary gland lesions: institutional experiences leading to a risk‐based classification scheme. Cancer cytopathology. 2016 Jun;124(6):388-96.
4. Griffith CC, Pai RK, Schneider F, Duvvuri U, Ferris RL, Johnson JT, et al. Salivary gland tumor fine-needle aspiration cytology: a proposal for a risk stratification classification. American journal of clinical pathology. 2015 Jun 1;143(6):839-53.
5. Wei S, Layfield LJ, LiVolsi VA, Montone KT, Baloch ZW. Reporting of fine needle aspiration (FNA) specimens of salivary gland lesions: a comprehensive review. Diagnostic Cytopathology. 2017 Sep;45(9):820-7.
6. Viswanathan K, Sung S, Scognamiglio T, Yang GC, Siddiqui MT, Rao RA. The role of the Milan System for Reporting Salivary Gland Cytopathology: a 5‐year institutional experience. Cancer Cytopathology. 2018 Aug;126(8):541-51.
7. Gaikwad VP, Anupriya C, Naik LP. Milan system for reporting salivary gland cytopathology–An experience from Western Indian Population. Journal of Cytology. 2020 Apr 1;37(2):93-8.
8. Mairembam P, Jay A, Beale T, Morley S, Vaz F, Kalavrezos N, et al. Salivary gland FNA cytology: role as a triage tool and an approach to pitfalls in cytomorphology. Cytopathology. 2016 Apr;27(2):91-6.
9. Colella G, Cannavale R, Flamminio F, Foschini MP. Fine-needle aspiration cytology of salivary gland lesions: a systematic review. Journal of Oral and Maxillofacial Surgery. 2010 Sep 1;68(9):2146-53.
10. Kala C, Kala S, Khan L. Milan System for Reporting Salivary Gland Cytopathology: An Experience with the Implication for Risk of Malignancy. J Cytol. 2019 Jul-Sep;36(3):160-4.
11. Schmidt RL, Hall BJ, Wilson AR, Lay field LJ. A systematic review and meta-analysis of the diagnostic accuracy of fine-needle aspiration cytology for parotid gland lesions. American journal of clinical pathology. 2011 Jul 1;136(1):45-59.
12. Liu CC, Jethwa AR, Khariwala SS, Johnson J, Shin JJ. Sensitivity, specificity, and posttest probability of parotid fine-needle aspiration: a systematic review and meta-analysis. Otolaryngology--Head and Neck Surgery. 2016 Jan;154(1):9-23.
13. Schmidt RL, Narra KK, Witt BL, Factor RE. Diagnostic accuracy studies of fine-needle aspiration show wide variation in reporting of study population characteristics: implications for external validity. Archives of Pathology and Laboratory Medicine. 2014 Jan 1;138(1):88-97.
14. Song IH, Song JS, Sung CO, Rohm JL, Choi SH, Nam SY, et al. Accuracy of core needle biopsy versus fine needle aspiration cytology for diagnosing salivary gland tumors. Journal of pathology and translational medicine. 2015 Mar;49(2):136.
15. Tyagi R, Dey P. Diagnostic problems of salivary gland tumors. Diagnostic Cytopathology. 2015 Jun;43(6):495-509.
16. Pusztaszeri MP, Faquin WC. Update in salivary gland cytopathology: Recent molecular advances and diagnostic applications. SeminDiagnPathol. 2015;32(4):264–74.
17. Cormier CM, Agarwal S. Utility of the Milan System for Reporting Salivary Gland Cytology, with focus on the incidence and histologic correlates of atypia of undetermined significance (AUS) and salivary gland neoplasm of uncertain malignant potential (SUMP): A 3‐year institutional experience. Cancer Cytopathology. 2022 Apr;130(4):303-12.
18. Barbarite E, Puram SV, Derakhshan A, Rossi ED, Faquin WC, Varvares MA. A Call for Universal Acceptance of the Milan System for Reporting Salivary Gland Cytopathology. Laryngoscope. 2020 Jan;130(1):80-5.
19. Rivera Rolon M, Schnadig VJ, Faiz S, Nawgiri R, Clement CG. Salivary gland fine-needle aspiration cytology with the application of the Milan system for risk stratification and histological correlation: A retrospective 6-year study. Diagn Cytopathol. 2020 Nov;48(11):1067-74.
20. Velez Torres JM, Tjendra Y, Zuo Y, Garcia-Buitrago M, Jorda M, Kerr DA, et al. Application of the Milan System for Reporting Salivary Gland Cytopathology: A Single Institutional Experience of 354 Cases with Cytologic-Histologic Correlation. Acta Cytol. 2022;66(6):467-74.
21. Castrodad-Rodríguez CA, Lajara S, Khader SN, Colanta AB, Guerrero DR, El Hussein S, et al. Application of the Milan System for Reporting Salivary Gland Cytopathology: Experience of an academic institution in a tertiary academic medical center. Cancer Cytopathol. 2021 Mar;129(3):204-13.
22. Gudmundsson JK, Ajan A, Abtahi J. The accuracy of fine-needle aspiration cytology for diagnosis of parotid gland masses: a clinicopathological study of 114 patients. J Appl Oral Sci. 2016 Nov-Dec;24(6):561-7.
23. Chirmade J, Kothari K, Naik L, Agnihotri M. Utility of the Milan system for reporting salivary gland cytopathology: A retrospective 5 years study. Diagn Cytopathol. 2021 Apr;49(4):500-8.
24. Karuna V, Gupta P, Rathi M, Grover K, Nigam JS, Verma N. Effectuation to Cognize malignancy risk and accuracy of fine needle aspiration cytology in salivary gland using "Milan System for Reporting Salivary Gland Cytopathology": A 2 years retrospective study in academic institution. Indian J Pathol Microbiol. 2019 Jan-Mar;62(1):11-6.
1. Bharti JN, Elhence P, Rao M, Nalwa A, Khera S. Risk stratification by application of Milan system for reporting salivary gland cytopathology: A tertiary care experience. Cytojournal. 2021 Aug 2;18:19.
2. Rossi ED, Faquin WC, Baloch Z, Barkan GA, Foschini MP, Pusztaszeri M, et al. The Milan System for Reporting Salivary Gland Cytopathology: analysis and suggestions of initial survey. Cancer cytopathology. 2017 Oct;125(10):757-66.
3. Rossi ED, Wong LQ, Bizzarro T, Petrone G, Mule A, Fadda G, et al. The impact of FNAC in the management of salivary gland lesions: institutional experiences leading to a risk‐based classification scheme. Cancer cytopathology. 2016 Jun;124(6):388-96.
4. Griffith CC, Pai RK, Schneider F, Duvvuri U, Ferris RL, Johnson JT, et al. Salivary gland tumor fine-needle aspiration cytology: a proposal for a risk stratification classification. American journal of clinical pathology. 2015 Jun 1;143(6):839-53.
5. Wei S, Layfield LJ, LiVolsi VA, Montone KT, Baloch ZW. Reporting of fine needle aspiration (FNA) specimens of salivary gland lesions: a comprehensive review. Diagnostic Cytopathology. 2017 Sep;45(9):820-7.
6. Viswanathan K, Sung S, Scognamiglio T, Yang GC, Siddiqui MT, Rao RA. The role of the Milan System for Reporting Salivary Gland Cytopathology: a 5‐year institutional experience. Cancer Cytopathology. 2018 Aug;126(8):541-51.
7. Gaikwad VP, Anupriya C, Naik LP. Milan system for reporting salivary gland cytopathology–An experience from Western Indian Population. Journal of Cytology. 2020 Apr 1;37(2):93-8.
8. Mairembam P, Jay A, Beale T, Morley S, Vaz F, Kalavrezos N, et al. Salivary gland FNA cytology: role as a triage tool and an approach to pitfalls in cytomorphology. Cytopathology. 2016 Apr;27(2):91-6.
9. Colella G, Cannavale R, Flamminio F, Foschini MP. Fine-needle aspiration cytology of salivary gland lesions: a systematic review. Journal of Oral and Maxillofacial Surgery. 2010 Sep 1;68(9):2146-53.
10. Kala C, Kala S, Khan L. Milan System for Reporting Salivary Gland Cytopathology: An Experience with the Implication for Risk of Malignancy. J Cytol. 2019 Jul-Sep;36(3):160-4.
11. Schmidt RL, Hall BJ, Wilson AR, Lay field LJ. A systematic review and meta-analysis of the diagnostic accuracy of fine-needle aspiration cytology for parotid gland lesions. American journal of clinical pathology. 2011 Jul 1;136(1):45-59.
12. Liu CC, Jethwa AR, Khariwala SS, Johnson J, Shin JJ. Sensitivity, specificity, and posttest probability of parotid fine-needle aspiration: a systematic review and meta-analysis. Otolaryngology--Head and Neck Surgery. 2016 Jan;154(1):9-23.
13. Schmidt RL, Narra KK, Witt BL, Factor RE. Diagnostic accuracy studies of fine-needle aspiration show wide variation in reporting of study population characteristics: implications for external validity. Archives of Pathology and Laboratory Medicine. 2014 Jan 1;138(1):88-97.
14. Song IH, Song JS, Sung CO, Rohm JL, Choi SH, Nam SY, et al. Accuracy of core needle biopsy versus fine needle aspiration cytology for diagnosing salivary gland tumors. Journal of pathology and translational medicine. 2015 Mar;49(2):136.
15. Tyagi R, Dey P. Diagnostic problems of salivary gland tumors. Diagnostic Cytopathology. 2015 Jun;43(6):495-509.
16. Pusztaszeri MP, Faquin WC. Update in salivary gland cytopathology: Recent molecular advances and diagnostic applications. SeminDiagnPathol. 2015;32(4):264–74.
17. Cormier CM, Agarwal S. Utility of the Milan System for Reporting Salivary Gland Cytology, with focus on the incidence and histologic correlates of atypia of undetermined significance (AUS) and salivary gland neoplasm of uncertain malignant potential (SUMP): A 3‐year institutional experience. Cancer Cytopathology. 2022 Apr;130(4):303-12.
18. Barbarite E, Puram SV, Derakhshan A, Rossi ED, Faquin WC, Varvares MA. A Call for Universal Acceptance of the Milan System for Reporting Salivary Gland Cytopathology. Laryngoscope. 2020 Jan;130(1):80-5.
19. Rivera Rolon M, Schnadig VJ, Faiz S, Nawgiri R, Clement CG. Salivary gland fine-needle aspiration cytology with the application of the Milan system for risk stratification and histological correlation: A retrospective 6-year study. Diagn Cytopathol. 2020 Nov;48(11):1067-74.
20. Velez Torres JM, Tjendra Y, Zuo Y, Garcia-Buitrago M, Jorda M, Kerr DA, et al. Application of the Milan System for Reporting Salivary Gland Cytopathology: A Single Institutional Experience of 354 Cases with Cytologic-Histologic Correlation. Acta Cytol. 2022;66(6):467-74.
21. Castrodad-Rodríguez CA, Lajara S, Khader SN, Colanta AB, Guerrero DR, El Hussein S, et al. Application of the Milan System for Reporting Salivary Gland Cytopathology: Experience of an academic institution in a tertiary academic medical center. Cancer Cytopathol. 2021 Mar;129(3):204-13.
22. Gudmundsson JK, Ajan A, Abtahi J. The accuracy of fine-needle aspiration cytology for diagnosis of parotid gland masses: a clinicopathological study of 114 patients. J Appl Oral Sci. 2016 Nov-Dec;24(6):561-7.
23. Chirmade J, Kothari K, Naik L, Agnihotri M. Utility of the Milan system for reporting salivary gland cytopathology: A retrospective 5 years study. Diagn Cytopathol. 2021 Apr;49(4):500-8.
24. Karuna V, Gupta P, Rathi M, Grover K, Nigam JS, Verma N. Effectuation to Cognize malignancy risk and accuracy of fine needle aspiration cytology in salivary gland using "Milan System for Reporting Salivary Gland Cytopathology": A 2 years retrospective study in academic institution. Indian J Pathol Microbiol. 2019 Jan-Mar;62(1):11-6.
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Jan 20, 2026
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Dr. Tushar Ghosh, Dr. Kulashekhar Bhattacharjee, Dr. Kamal Kali Das, Dr. Alpana Banerjee, Dr. Sumana Ghosh, & Dr. Abhijit Datta. (2026). CYTOLOGICAL SPECTRUM OF MAJOR SALIVARY GLAND LESIONS ON THE BASIS OF MILAN’S CRITERIA- AN OBSERVATIONAL STUDY IN A TERTIARY CARE HOSPITAL. Journal of Population Therapeutics and Clinical Pharmacology, 33(1), 764 to 773. https://doi.org/10.53555/k9h56c31
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Author Biographies
Dr. Tushar Ghosh
MD Pathology, Senior Resident, Dept. of Pathology, Agartala Government Medical College & Gobind Ballabh Pant Hospital, Agartala (Tripura), 799006, India, Email:[email protected]
Dr. Kulashekhar Bhattacharjee
MD Pathology, Associate Professor, Dept. of Pathology, Agartala Government Medical College & Gobind Ballabh Pant Hospital, Agartala (Tripura), 799006, India, Email:[email protected]
Dr. Kamal Kali Das
MD Pathology, Tutor, Dept. of Pathology, Agartala Government Medical College & Gobind Ballabh Pant Hospital,Agartala (Tripura), 799006, India, Email:[email protected]
Dr. Alpana Banerjee
MD Pathology, Associate Professor, Dept. of Pathology, Agartala Government Medical College & Gobind Ballabh Pant Hospital, Agartala (Tripura), 799006, India, Email:[email protected]
Dr. Sumana Ghosh
MD Pathology, Assistant Professor, Dept. of Pathology, Agartala Government Medical College & Gobind Ballabh Pant Hospital, Agartala (Tripura), 799006, India, Email:[email protected]
Dr. Abhijit Datta
MD Pathology, Professor & HOD, Dept. of Pathology, Agartala Government Medical College & Gobind Ballabh Pant Hospital, Agartala (Tripura), 799006, India, Email:[email protected]
How to Cite
Dr. Tushar Ghosh, Dr. Kulashekhar Bhattacharjee, Dr. Kamal Kali Das, Dr. Alpana Banerjee, Dr. Sumana Ghosh, & Dr. Abhijit Datta. (2026). CYTOLOGICAL SPECTRUM OF MAJOR SALIVARY GLAND LESIONS ON THE BASIS OF MILAN’S CRITERIA- AN OBSERVATIONAL STUDY IN A TERTIARY CARE HOSPITAL. Journal of Population Therapeutics and Clinical Pharmacology, 33(1), 764 to 773. https://doi.org/10.53555/k9h56c31
