Both Prospective and Retrospective Role of USG Guided Fnac In Hepatobilliary Pancreatic Lesion In Correlation With Radiological Diagnosis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Background: First reports of fine-needle aspiration cytology (FNAC) as a technique for obtaining diagnostic material date back to the 19th century when, at St Bartholomew’s Hospital, London, aspiration was undertaken on a large mass in the liver by the surgeons Stanley and Earle. USG is operator dependent and has a limitation in obese patients and those with large amount of bowel gas. Computed tomography (CT) is a reliable modality and provides good definition of lesions and facilitates visualization of the entire extent of pancreatic pathology. Aims: To study the role of fine needle aspiration cytology in diagnosis of hepatobilliary and pancreatic lesions of patients attending tertiary care hospital and their correlation with ultra sonography. Materials and Methods: 50 patients presented with intra-abdominal lumps attending the outpatient department as well as admitted in Medicine, Surgery and Gynaecology wards of LLR and associated hospitals, Kanpur. The study was carried out from January 2011 to September 2012. Results: Total 50 patients were suffered with pain abdomen weight loss anemia, and personal history was tobacco and site of swelling was right hypocondrium 50 (100%) each. Out of 50, males were 24 (48%) and females. Male to female ratio was 1:1. Age ranged from 10 to 70 and above years with a mean age of 54 years. Cytological diagnosis out of 50 patients 14 (29.03%) were adenocarcinoma, 3 (3.23%) metastatic adenocarcinoma d/d ?, 2 (3.23%) suggestive of adenocarcinoma /gb, 2 (3.23%) hepatic adenoma, 5 (6.45%) suggestive of metastatic adenocarcinoma d/d hepatocellular carcinoma, 2 (3.23%) suggestive of ? hepatocellular carcinoma d/d ? metastatic adenocarcinoma, 9 (22.58%) metastatic adenocarcinoma, 2 (3.23%) suggestive of neoplastic lesion most likely metastatic adenocarcinoma, 11 (25.81%) metastatic carcinoma. Radiological diagnosis USG out of 50 patients Ca GB 27 (54%), Ca Liver 18 (36%), Ca Liver Sol 3 (6%), Liver Sol 2 (4%). Conclusion: Ultrasound provides a safe, quick, reliable, non-invasive and cost effective tool for screening for hepatobilliary pancreatic lesion.
Authors and Affiliations
Dr. Saumitra Mahendra, Dr. M. P. Mishra
Keywords
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- EP ID EP395517
- DOI 10.9790/0853-1709121624.
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