ASSESSMENT OF CLINICAL PARAMETERS OF LUNG LESIONS AND THEIR ASSOCIATION WITH CT GUIDED FNAC DIAGNOSIS
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2017, Vol 5, Issue 5
Abstract
Background: The early and accurate diagnosis obtained by CT-guided FNAC helps to formulate immediate, effective management of thoracic mass lesions. The present study was planned to assess clinical parameters of lung lesions and their association with CT guided FNAC diagnosis. Materials and method: The study was conducted on 100 patients of either sex presenting (indoor and outdoor) to Department of Chest and Tuberculosis, Government Medical College and Rajindra Hospital, Patiala with signs and symptoms of respiratory illness and who were having thoracic lesions confirmed by chest radiograph and CT scan.A comparison was made between the cytological diagnosis and probable diagnosis made on basis of clinical and radiological features and the results were evaluated at the end of study. Results: Patients below age of 40 years were 23 in number, patients between age of 40 and 60 years were 47 in number, patients above age 60 years were 30 in number. Out of 100 patients, 29 were females and 71 were males. 72 patients out of 100 were having cough as one of their chief complaint; 41 patients out of 100 were having fever as one of their chief complaint; 37 patients out of 100 were having breathlessness as one of their chief complaint; 34 patients out of 100 were having chest pain as one of their chief complaint; 13 patients out of 100 were having hemoptysis as one of their chief complaint; 4 patients out of 100 were having hoarseness of voice as one of their chief complaint. Out of 16 cases of acute infection/inflammation, 5 were present in age range A (<40 years), 4 were present in age range B (40 to 60 years) and 7 were present in age range C (> 60 years of age). Conclusion: Majority of the patients who underwent CT guided FNAC were in the middle age group and 2/3rd of patients were males. The habit of smoking is strongly associated with malignant lung lesions confirmed by CT guided FNAC. Cough was the most common symptom present among patients in this study.
Authors and Affiliations
Parul Mrigpuri, Amitesh Gupta
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