A STUDY OF ULTRASOUND-GUIDED FINE NEEDLE ASPIRATION CYTOLOGY IN VARIOUS INTRAABDOMINAL AND PELVIC LUMPS WITH HISTOPATHOLOGICAL CORRELATION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 6
Abstract
BACKGROUND In surgical practice evaluation of deep, abdomino-pelvic masses or focal lesions involving abdominal sites is often difficult and challenging. Distinction between malignant and non-malignant lesions and particularly inflammatory lesions is vital for patient management. It is mandatory to make a documentary evidence of the nature of the lesion before the institution of therapy and for the prognosis. Nowadays, FNAC is a very good alternative for surgical procedures like diagnostic laparotomy. Aims and Objectives- To study the cytomorphological features, age and sex distribution of intra-abdominal lesions; to categorise them as inflammatory, benign and malignant lesions with histopathological correlation; and to evaluate the sensitivity, specificity and diagnostic accuracy. MATERIALS AND METHODS It is a descriptive type of study that included 94 patients with clinically or sonologically diagnosed abdomino-pelvic masses. FNAC was performed under US guidance. The aspirates were smeared into a minimum of 2 slides and they were routinely stained with H and E, MGG stain. RESULTS In this study, 94 cases of intra-abdominal lumps were subjected to USG guided FNAC. Out of 94 cases there were 68 (72.4%) malignant, 10 (10.6%) benign, 11 (11.7%) inflammatory and 05 (5.3%) unsatisfactory smears. In our study, liver and the gall bladder were the most common sites. Adenocarcinomas and hepatocellular carcinomas were the most common malignant lesions. This study showed 91.4% sensitivity, 100% specificity, 100% positive predictive value, 83.3% negative predictive value and diagnostic accuracy of 94%. CONCLUSION Intra-abdominal FNAC is widely accepted as a simple, economical and a safe OPD procedure in the presence of expert cytopathologist with high sensitivity, specificity and diagnostic accuracy, and it can be used as important diagnostic tool for a preoperative diagnosis and management of intra-abdominal lesions.
Authors and Affiliations
Neetu Purwar, Anita Omhare, Swapnil Gupta, Lubna Khan, Prem Kumar Singh
Keywords
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- EP ID EP399019
- DOI 10.14260/jemds/2018/170
- Views 60
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