Interobserver variability in the interpretation of fine-needle aspiration biopsy of head and neck masses

B. R. Peters, V. J. Schnadig, F. B. Quinn, J. A. Hokanson, P. Zaharopoulos, M. M. McCracken, C. M. Stiernberg, L. Des Jardins

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Fine-needle aspiration biopsy is gaining acceptance as a clinically useful tool. We set out to evaluate the accuracy of fine-needle aspiration biopsy at our institution by measuring the interobserver variability in cytopathologic interpretation, and by measuring the agreement between cytopathologic and histologic diagnosis. In a prospective study, 253 aspirations were performed on head and neck masses by the otolaryngology service. Specimens were interpreted independently by two cytopathologists (V.J.S. and P.Z.), and interpretations were compared with the surgical histopathologic diagnosis when available. The interobserver variability between cytopathologists was 8% with a specificity of 96% and a sensitivity of 97%. We conclude that fine-needle aspiration biopsy is a safe and useful tool in the diagnosis of head and neck masses. In the diagnosis of epithelial cysts and squamous epithelial malignancies, fine-needle aspiration biopsy is as accurate as open biopsy.

Original languageEnglish (US)
Pages (from-to)1438-1442
Number of pages5
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume115
Issue number12
StatePublished - 1989

Fingerprint

Observer Variation
Fine Needle Biopsy
Neck
Head
Otolaryngology
Cysts
Prospective Studies
Biopsy
Neoplasms

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Peters, B. R., Schnadig, V. J., Quinn, F. B., Hokanson, J. A., Zaharopoulos, P., McCracken, M. M., ... Des Jardins, L. (1989). Interobserver variability in the interpretation of fine-needle aspiration biopsy of head and neck masses. Archives of Otolaryngology - Head and Neck Surgery, 115(12), 1438-1442.

Interobserver variability in the interpretation of fine-needle aspiration biopsy of head and neck masses. / Peters, B. R.; Schnadig, V. J.; Quinn, F. B.; Hokanson, J. A.; Zaharopoulos, P.; McCracken, M. M.; Stiernberg, C. M.; Des Jardins, L.

In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 115, No. 12, 1989, p. 1438-1442.

Research output: Contribution to journalArticle

Peters, BR, Schnadig, VJ, Quinn, FB, Hokanson, JA, Zaharopoulos, P, McCracken, MM, Stiernberg, CM & Des Jardins, L 1989, 'Interobserver variability in the interpretation of fine-needle aspiration biopsy of head and neck masses', Archives of Otolaryngology - Head and Neck Surgery, vol. 115, no. 12, pp. 1438-1442.
Peters BR, Schnadig VJ, Quinn FB, Hokanson JA, Zaharopoulos P, McCracken MM et al. Interobserver variability in the interpretation of fine-needle aspiration biopsy of head and neck masses. Archives of Otolaryngology - Head and Neck Surgery. 1989;115(12):1438-1442.
Peters, B. R. ; Schnadig, V. J. ; Quinn, F. B. ; Hokanson, J. A. ; Zaharopoulos, P. ; McCracken, M. M. ; Stiernberg, C. M. ; Des Jardins, L. / Interobserver variability in the interpretation of fine-needle aspiration biopsy of head and neck masses. In: Archives of Otolaryngology - Head and Neck Surgery. 1989 ; Vol. 115, No. 12. pp. 1438-1442.
@article{5821d3d0a63f41f0a849df429c76cdf3,
title = "Interobserver variability in the interpretation of fine-needle aspiration biopsy of head and neck masses",
abstract = "Fine-needle aspiration biopsy is gaining acceptance as a clinically useful tool. We set out to evaluate the accuracy of fine-needle aspiration biopsy at our institution by measuring the interobserver variability in cytopathologic interpretation, and by measuring the agreement between cytopathologic and histologic diagnosis. In a prospective study, 253 aspirations were performed on head and neck masses by the otolaryngology service. Specimens were interpreted independently by two cytopathologists (V.J.S. and P.Z.), and interpretations were compared with the surgical histopathologic diagnosis when available. The interobserver variability between cytopathologists was 8{\%} with a specificity of 96{\%} and a sensitivity of 97{\%}. We conclude that fine-needle aspiration biopsy is a safe and useful tool in the diagnosis of head and neck masses. In the diagnosis of epithelial cysts and squamous epithelial malignancies, fine-needle aspiration biopsy is as accurate as open biopsy.",
author = "Peters, {B. R.} and Schnadig, {V. J.} and Quinn, {F. B.} and Hokanson, {J. A.} and P. Zaharopoulos and McCracken, {M. M.} and Stiernberg, {C. M.} and {Des Jardins}, L.",
year = "1989",
language = "English (US)",
volume = "115",
pages = "1438--1442",
journal = "JAMA Otolaryngology - Head and Neck Surgery",
issn = "2168-6181",
publisher = "American Medical Association",
number = "12",

}

TY - JOUR

T1 - Interobserver variability in the interpretation of fine-needle aspiration biopsy of head and neck masses

AU - Peters, B. R.

AU - Schnadig, V. J.

AU - Quinn, F. B.

AU - Hokanson, J. A.

AU - Zaharopoulos, P.

AU - McCracken, M. M.

AU - Stiernberg, C. M.

AU - Des Jardins, L.

PY - 1989

Y1 - 1989

N2 - Fine-needle aspiration biopsy is gaining acceptance as a clinically useful tool. We set out to evaluate the accuracy of fine-needle aspiration biopsy at our institution by measuring the interobserver variability in cytopathologic interpretation, and by measuring the agreement between cytopathologic and histologic diagnosis. In a prospective study, 253 aspirations were performed on head and neck masses by the otolaryngology service. Specimens were interpreted independently by two cytopathologists (V.J.S. and P.Z.), and interpretations were compared with the surgical histopathologic diagnosis when available. The interobserver variability between cytopathologists was 8% with a specificity of 96% and a sensitivity of 97%. We conclude that fine-needle aspiration biopsy is a safe and useful tool in the diagnosis of head and neck masses. In the diagnosis of epithelial cysts and squamous epithelial malignancies, fine-needle aspiration biopsy is as accurate as open biopsy.

AB - Fine-needle aspiration biopsy is gaining acceptance as a clinically useful tool. We set out to evaluate the accuracy of fine-needle aspiration biopsy at our institution by measuring the interobserver variability in cytopathologic interpretation, and by measuring the agreement between cytopathologic and histologic diagnosis. In a prospective study, 253 aspirations were performed on head and neck masses by the otolaryngology service. Specimens were interpreted independently by two cytopathologists (V.J.S. and P.Z.), and interpretations were compared with the surgical histopathologic diagnosis when available. The interobserver variability between cytopathologists was 8% with a specificity of 96% and a sensitivity of 97%. We conclude that fine-needle aspiration biopsy is a safe and useful tool in the diagnosis of head and neck masses. In the diagnosis of epithelial cysts and squamous epithelial malignancies, fine-needle aspiration biopsy is as accurate as open biopsy.

UR - http://www.scopus.com/inward/record.url?scp=0024814793&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024814793&partnerID=8YFLogxK

M3 - Article

C2 - 2684248

AN - SCOPUS:0024814793

VL - 115

SP - 1438

EP - 1442

JO - JAMA Otolaryngology - Head and Neck Surgery

JF - JAMA Otolaryngology - Head and Neck Surgery

SN - 2168-6181

IS - 12

ER -