Cytomorphological Evaluation of Liver and Gall Blader Neoplasms: A 3 (Three) Years Study
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 7
Abstract
Introduction: Neoplasms of liver and gall bladder are associated with considerable difficulty as far as definitive cytopathological diagnosis is concerned because of the obvious difficulties in sampling as well as localization of the mass. Image guidance solves this problem to a great extent. The cytomorphological details of cases with gall bladder and neoplasms sampled under image guidance was studied for a period of 3 years and are described in the present article. Material and Methods: Cases with hepatic and gall bladder neoplasm sampled under USG guidance for a period of 3 years from September 2013 to August 2016 at Assam Medical College and Hospital, Dibrugarh were studied. Smears were prepared along with cell block preparation in all possible cases. Results: A total of 51 cases were studied of which gall bladder constituted 58.8% and liver constituted 41.1%. 13.7% of aspirates had insufficient material and 74.5% of cases were diagnosed conclusively. 68.62% were females and most common age group was 50 to 60 years. Gall bladder adenocarcinoma constituted the most common neoplasm with 52.63% of all conclusively diagnosed cases followed by metastatic adenocarcinoma to liver. Conclusions: Image guided F.N.A.C can be used for providing accurate cytomorphological diagnosis in neoplasms of liver and gall bladder which is a minimally invasive procedure as well and can prove invaluable in prompt management of patients with such lesions
Authors and Affiliations
Reena Kouli, Aparna Dutta, Arpita Bhagabati
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