Cytopathological study of salivary gland lesions based on the Milan classification of reporting

Background: Fine needle aspiration cytology (FNAC) is a minimally invasive, outpatient department-based procedure. FNAC of the salivary gland (SG) reduces the risk of fistula formation as compared to biopsy. Aims and Objectives: This study aimed to report SG lesions as per Milan’s classification and correlate FNAC and histopathology findings. Materials and Methods: The observational study was conducted in the pathology department of Narendra Modi Medical College for 2 years (2023–2024). The statistical analysis was done on parameters such as age, sex, and diagnosis to derive results and conclusions. Results: Out of the total 1533 FNAC received in Narendra Modi Medical College, 50 SG FNAC were done. The age of patients ranged from 8 to 83 years, with the maximum number of patients in the age group of 51–60 years. The mean age of the patient was 49.5 years. Female patients were slightly more affected than males. The parotid gland was the most common site involved. Benign neoplastic tumors and non-neoplastic lesions were the most common SG lesions in the present study. There were four cases of malignant tumors. Mucoepidermoid tumors and squamous cell carcinoma were present in equal numbers. Out of 50 FNACs, histopathological follow-up was found in 18 cases. Discordance was found in three cases. Conclusion: The Milan system of reporting provides a uniform standardized reporting pattern and helps clinicians in deciding the management of the patient.