1,720,973 research outputs found

    Fine needle aspiration biopsy of salivary gland lesions. A reappraisal of pitfalls and problems.

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    To assess the diagnostic value of fine needle aspiration biopsy in individual lesions of the salivary glands. STUDY DESIGN: During a 16-year period (1979-1995), 841 salivary gland lesions were investigated by fine needle aspiration with cytologic examination. The lesions affected the parotid gland area in all cases except 85 and 19, respectively, in which the submandibular gland and oral cavity (more often the palate) were involved. RESULTS: Approximately 3% (25/841) of the aspirates were inadequate, and in 97% of cases they represented the result of samplings performed outside our institution. The 816 diagnostic aspirates comprised 245 cases negative for tumor cells (benign cysts, inflammatory, malformed, degenerative lesions), 571 positive for tumor cells (benign; malignant; not otherwise specified [NOS]); metastatic to the salivary gland tissue; or to the intraparotid or periparotid lymph nodes). Among the 245 cases negative for tumor cells, 36 underwent surgery, and the absence of a neoplasm was histologically confirmed in all cases but one (a low grade mucoepidermoid carcinoma, underdiagnosed as a retention cyst). Among the 571 patients having a cytologic diagnosis positive for tumor cells, in 518 the lesion was removed and the tumor nature confirmed. The cytologic diagnosis of a neoplastic lesion demonstrated a good correlation with histology except in an oncocytic adenoma diagnosed as a Warthin's tumor, in a basal cell adenoma diagnosed as pleomorphic adenoma, in a low grade mucoepidermoid carcinoma of the palate diagnosed as a polymorphous low grade adenocarcinoma and in a vegetative intravascular hemangioendothelioma diagnosed as a possible malignant tumor, NOS. CONCLUSION: The accuracy was 97%, the sensitivity to the presence of a tumor 98% and the specificity for absence of a neoplasm 98%. Despite the relative rarity of salivary gland tumors, if established diagnostic criteria are present and strictly observed, the great majority of the common variants of the nonneoplastic and both benign and malignant salivary gland tumors can be diagnosed with a high level of accuracy. There remains a proportion of "problem cases" due to the rarity of the lesions, and in these circumstances the uncertainty must be conveyed to the surgeon openly, leaving the diagnosis open, with a few suggested differential diagnoses

    Juvenile pilocytic astrocytoma of the optic nerve diagnosed by fine needle aspiration biopsy.

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    Abstract Fine needle aspiration biopsy of an orbital mass was performed under CT guidance in a nine-year-old boy presenting with rapidly increasing proptosis of the right eye with lateral displacement and no light perception. The cytologic findings consisted of bipolar astrocytes with cytoplasmic fibrillated processes intermingled with Rosenthal fibers. A cytologic diagnosis of juvenile pilocytic astrocytoma was advanced; this was confirmed by subsequent histologic study of the surgical specimen. The differential diagnosis among juvenile pilocytic astrocytoma, neurilemmoma and meningioma of the optic nerve are discussed

    ORBITAL ECTOPIC LACRIMAL GLAND TISSUE SIMULATING A NEOPLASM - REPORT OF A CASE WITH FINE NEEDLE ASPIRATION BIOPSY DIAGNOSIS

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    A case occurred of sclerosing chronic dacryoadenitis in lobules of ectopic lacrimal gland tissue diagnosed by fine needle aspiration biopsy performed under computed tomographic guidance. This choristomatous lesion caused unilateral proptosis and clinically simulated a neoplasm. This is the first report of cytologic diagnosis of orbital ectopic lacrimal gland tissue using fine needle aspiration biopsy. The potential hazard of regarding glandular inclusions derived from inadvertent use of a needle on a normal lacrimal gland or glands as indicating metastatic neoplasms is stressed

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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