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Multimed
On-line version ISSN 1028-4818
Abstract
ESTRADA SARMIENTO, Manuel and AGUILAR FONSECA, Yinet de los Ángeles. Clinical-cytological correlation of cervical congenital cysts. Multimed [online]. 2023, vol.27 Epub Sep 04, 2023. ISSN 1028-4818.
Cysts constitute a pathological cavity lined by a defined connective tissue wall and with an epithelial tapestry. The objective was to determine the correlation of clinical and cytological diagnoses in congenital cervicofacial cysts. A retrospective study of patients with clinical, cytological and/or histological diagnosis of thyroglossal, branchial and demodé cysts, attended at the Carlos Manuel de Céspedes University Hospital in Bayamo, for five years, was conducted. We calculated the sensitivity, specificity and safety of clinical diagnosis and fine needle aspiration biopsy (FNAC) for each cyst. The clinical diagnosis was 93.3%, 60.0% and 100.0% for branchial thyroglossal and dermoid cysts respectively. We found a greater tendency to clinical error in branchial cysts, where the most frequent confusions occur with inflammatory lymphadenopathy. The diagnosis by fine needle aspiration was 93.3% and 60% for thyroglossal and branchial cysts respectively. It was concluded that clinical diagnosis is sometimes not sufficient, so it is necessary to resort to complementary diagnostic means, such as fine needle aspiration biopsy; However, this test is not 100% safe.
Keywords : Tyroglossal cyst; Gilliom; Dermoid cyst; Needle biopsy.