A cytological comparison of efficacy of bronchioalveolar lavage, transbronchial needle aspiration and image guided fine needle aspiration for diagnosis of pulmonary lesions in a rural tertiary care centre
Journal Title: Indian Journal of Pathology and Oncology - Year 2018, Vol 5, Issue 1
Abstract
Introduction Pulmonary lesions include a wide variety of benign and malignant conditions of lung pleura mediastinum and vertebrae Lung cancer is a frequently diagnosed cancer worldwide1 Although clinical data location and radiological findings can narrow down the diagnostic possibilities a cytological diagnosis is warranted before initiating the specific treatment for the malignant diseaseAims and Objectives The present study was undertaken with the aim to compare the sensitivity and specificity of bronchioalveolar lavage BAL transbronchial needle aspiration cytology TBNA and imageguided fine needle aspiration cytology FNAC in the evaluation of patients with pulmonary lesionsMaterials and Methods The present study was conducted on 100 patients with pulmonary lesions coming to the department of pulmonary medicine at MMIMSR Mullana For diagnostic purposes various procedures like BAL TBNA and image guided FNAC were performed Cytological examination was carried out in the department of PathologyResults Among 100 cases TBNA was done in 63 cases BAL in 52 cases and image guided FNAC was performed in 37 cases Using these cytological techniques a diagnosis was obtained in 81 cases The sensitivity and specificity of each technique was assesed On cytological evaluation 12 cases had a nonneoplastic diagnosis whereas 69 cases malignancy was diagnosed However in 19 cases no diagnosis was offered The most common diagnosis amongst malignant lesions was nonsmall cell carcinomas Squamous cell carcinoma 28 Adenocarcinoma23 followed by small cell carcinoma 8Conclusion Imageguided FNAC of pulmonary lesions is a simple safe economically viable technique with low morbidity and offers quick and early diagnosis Our study revealed that TBNA and FNAC were comparatively better in the diagnosis when compared to BALKeywords Imageguided Fine Needle Aspiration Cytology Pulmonary Lesions Squamous Cell Carcinoma
Authors and Affiliations
Ivreet Kaur, Eshita Dadwal, Sanjay Bedi, Sameer Singhal, Amit Mittal
Keywords
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- EP ID EP473181
- DOI 10.18231/2394-6792.2018.0009
- Views 45
- Downloads 0
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