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
Related Articles
- EP ID EP452644
- DOI 10.9790/0853-1801182431.
- Views 49
- Downloads 0
Genitourinary Prolapse cases: our experience of managing in a low resource setting.
Background: Genitourinary prolapse is the herniation of pelvic organ through genital hiatus. It is not a very uncommon finding among perimenopausal and postmenopausal women attending our gynaecology OPD. Some of these pa...
A Study on Awareness and Practice regarding Reproductive Tract Infection/Sexually Transmitted infection ( RTI/STI) among Mothers attending Immunization Clinic of a Medical College, Kolkata, West Bengal.
Background: Reproductive tract infection is a global problem including both sexually transmitted infections and non-sexually transmitted infection of reproductive tract. A variety of factors put women at risk of RTIs as...
Considerations Regarding Treatment Options and Technique For Cortically Anchored Implants in the Distal Maxilla
Dental implantology has made possible the replacement and restoration of function, aesthetics and phonetics in the lost dentition. And although, new research in the field of dental implantology and osseointegration has s...
Isolation And Identification of Oral Candida Organism in Precancerous And Cancerous Lesion of Oral Cavity.
Candida may play a role in the etiopathogenesis of premalignant and malignant lesions. The aim of the study was to isolate and identify Candida species from the oral cavity with HiCrome candida differential agar plate. I...
Association of Squamous Cell Carcinoma of lower lip with Xeroderma Pigmentosa – A Devastating disease.
Xeroderma Pigmentosa is a rare inherited autosomal recessive disease characterised by inability to repair DNA damage caused by UV light. Those affected are extremely sensitive to the UV portion of the light. Affected ind...