Evaluation Of Role Of USG-Guided FNAC In Intra-Abdominal Masses
Journal Title: IJSR-International Journal Of Scientific Research - Year 2016, Vol 5, Issue 10
Abstract
Background – FNAC of intraabdominal Masses is a routine procedure now a days . Confident diagnosis can be made in combination with other modalities such as USG, CT Scan. It can be substitute to for surgical procedure like diagnostic laparotomy. Aims- To evaluate Utility and diagnostic accuracy of FNAC in diagnosis of intra-abdominal masses Materials and Methods: The study included 273 intraabdominal masses which were detected clinically and raiologically .USG guided FNAC were done Result: Out of 217 adequate abdominal aspirate, 179 (82.4%) were found to be malignant and 7 were ,(3.2%), benign in nature, 19 (8.8%) masses were inflammatory in origin , in 12 ( .5.6%) aspirates, the cells were suspicious of malignancy. In present study most common abdominal malignancy was secondaries in liver 29(16.2%), followed by hepatocellular carcinoma 27(15.0%). Out of 29 cases of secondatory metastasis, 9 (31.2%) were from secondaries of carcinoma of bowel . In this study , overall diagnostics accuracy of 98.3 % was achieved by Ultrasound guided FNAC with sensitivity of 98 % and specificity of 100 %. Predictive value for positive and negative were found to be 100%and 87.50% respectively . Conclusion: FNAC of intrabdominal masses is simple, economical and safe procedure with high sensitivity, specificity , diagnostic accuracy and can be used as routine preoperative procedure for diagnosis and management.
Authors and Affiliations
Dr. Pradip R Butale
Keywords
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