C. T. Guided Fine Needle Aspiration Cytology of Solitary Lung Lesions: Cytological Versus Histological Correlation
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Background and objectives: Lung cancer is the most frequent and one of the most deadly cancer types with an incidence of 1.8 million cases per year. The present study was done to know the cytomorphological diversity of localised lung lesions and its correlation with histological findings. Materials and Methods: A study was conducted over a period of one year from August 2017 to July 2018 in the Department of Pathology and Department of Radiodiagnosis in Indira Gandhi Institute of Medical Sciences, Patna. Computed tomography (CT) guided fine needle aspiration cytology (FNAC) was carried out, and aspirates were drawn, examined, and compared with their histological diagnoses. Results: A total of 58 cases presented as solitary lung masses out of which 56 cases (96.5%) were consistent with malignancy, and 2 cases (3.4%) benign on clinical and radiological evaluation. On cytological evaluation of 58 cases, 55 cases (94.8%) were considered malignant, 2 (3.4%) of them benign and 1 cases (1.7%) were inadequate for diagnosis. The diagnostic adequacy in current series is 98.27%. By cytology, the most common malignant lesion was adenocarcinoma (42.1%) followed by squamous cell carcinoma (24.5%), non small cell carcinoma (10.5%) adenosquamous carcinoma (5.2%), and lymphoid neoplasm (5.2%). Out of the 58 cases in which cytological evaluation was done, biopsy was performed in 43 cases. Histopathological findings were concordant with cytomorphological findings in most of the cases. Conclusion: CT guided FNA of lung lesions is a simple, safe, economically prudent technique associated with low morbidity and leading to quick and early diagnosis even in cases where biopsy is not feasible.
Authors and Affiliations
Shuchismita . , Anju Singh, Bipin Kumar, Ruchi Gupta
Keywords
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- EP ID EP452644
- DOI 10.9790/0853-1801182431.
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