Cytological Study of Abdominal Lymph Nodes by Fine Needle Aspiration under Image Guidance
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 12
Abstract
ABSTRACT Introduction: Fine Needle Aspiration Cytology (FNAC) has become simple, safe, speedy, cost-effective, accurate and more diagnostic after advancement in imaging techniques. Sensitivity of image guided FNAC of intra-abdominal lymph nodes is relatively high. Ancillary techniques on FNAC material may increase the accuracy of diagnosis. Aim: To evaluate adequacy of material, cytologic assessment of samples obtained by image-guided aspiration and side effect/complication on account of the procedure. Materials and Methods: Image guided FNAC were performed on 60 patients which include retroperitoneal and abdominal nodes. A sterile 3.5/5-MHz micro convex sector probe was used for localisation of the node. FNAC was performed using a 0.7-0.9 mm needle with stylet removed and attached to a 20mL syringe and FNAC handle after the needle was visualised in the lesion. For each case a minimum of 4-5 smears were made and two observers without bias interpreted the smears. Results: A total of 60 patients were aspirated, of which adequate material for cytologic diagnosis was obtained in 58(96.6%) patients with a similar diagnostic accuracy. The 6th and 7th decade accounted for approximately half of the cases. Male to female ratio in our study was 2.16:1 (41:19). Most common cytologic diagnosis was metastasis 22(37%) followed by Non-Hodgkin lymphoma 17(28%) and followed by tubercular etiology seen in 16(27%) cases. All patients were followed by six monthly period for five years to further validate the study. Conclusion: Image-guided FNAC has a pivotal role, and is a cost-effective tool for establishing tissue diagnosis as a primary investigative modality. It is also helpful and accurate in follow-up of patients with a known malignant disease, thereby avoiding surgical intervention.
Authors and Affiliations
Rajeev Ranjan, Umesh Kumar Paliwal, Abhishek Anand
Keywords
Related Articles
- EP ID EP525856
- DOI 10.7860/JCDR/2018/37873.12329
- Views 84
- Downloads 0
N-Terminal-pro Brain Natriuretic Peptide in Assessing the Severity of Stable Coronary Artery Disease
ABSTRACT Introduction: Coronary Artery Disease (CAD) occurs due to atherosclerosis which results in progressive narrowing of coronary artery lumen. N-Terminal pro Brain Natriuretic Peptide (NT-proBNP) has been used as a...
Domestic Violence against Women – An Unsolved Issue: A Community Based Study in an Urban Slum of Kolkata, India
Introduction: Domestic Violence against women is still an unsolved issue in India, though, it is an important public health problem contributing to physical, mental illness and low quality of life. Aim: The study was und...
Single Loading Low Dose MgSo4 Regimen: A Simple, Safe and Effective Alternative to Pritchard’s Regimen for Indian Women
Introduction: Magnesium sulphate is the anticonvulsant of choice in prevention and control of eclamptic convulsions. Pritchard’s regimen is the most popular time-tested regimen used. However, owing to concerns of toxicit...
A Study of the Status of Students’ Social Health at Kermanshah University of Medical Sciences and the Role of Demographic Variables
ABSTRACT Inroduction: Given the significance of social health among people from all walks of life in societies, paying attention to the status of students’ social health is of the essence. Aim: The present study aimed to...
Biochemical Markers of Liver Function in Smoking and Non-Smoking Alcohol-Dependent Males
ABSTRACT Introduction: Various biochemical parameters in blood have been proposed as biomarkers of alcoholism. There is paucity of studies on alcohol biomarkers of saliva, particularly in alcohol-dependent smokers. Aim:...