ROLE OF FINE NEEDLE CYTOLOGY IN THE DIAGNOSIS OF HEAD & NECK MASS LESIONS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 19
Abstract
[b]CONTEXT:[/b] Although head and neck masses are fairly common clinical presentation, it may be the only, or one of several nonspecific findings in serious illnesses like lymphoma or metastatic cancer. Thus, the need to efficiently differentiate patients with serious illness from those with self-limited disease arises. Fine Needle Aspiration Cytology (FNAC) helps in the early and accurate diagnosis especially where approach for interventional biopsy is limited. [b]AIMS[/b]: To diagnose various head and neck mass lesions via FNAC and correlating the results with clinical and histo pathological diagnosis. [b]SETTINGS & DESIGN:[/b] The study was conducted in Shyam Shah Medical College and associated Sanjay Gandhi Memorial Hospital, Rewa (MP), on 406 patients who presented with head and neck swellings. [b]METHODS & MATERIAL:[/b] A complete general and systemic examination was carried out. FNAC was carried out on 406 subjects while biopsy was done for 123 lesions. The predictive value for FNAC was retrospectively correlated with biopsy results. [b]RESULTS[/b]: In the current study, 372 diagnoses clinically correlated to 406 cytological diagnoses. The most common head and neck swellings were Cervical Lymph Node lesions (346) followed by Salivary Gland lesions(37), while the remaining 23 were other head and neck lesions. Out of the 123 biopsies performed, 111 were correctly diagnosed by FNAC itself. Inflammatory lesions (301) accounted for 86.99% of all cervical lymph node lesions. Demographic profile revealed a higher tendency of malignant lymph node lesions in Males (68.9%) and in the older (>50years) age group (55.6%); benign lesions were more common in the young (<20years) [26.2%]. Similarly, Salivary Gland lesions (37) were mostly benign (32) and had a male predilection. 100% accuracy was achieved in the diagnosis of adenomas. Among other head and neck lesions, Lipomas were most common (30.4%) achieving a cytological accuracy of 80%. Through this study, the Sensitivity (76.67%), Specificity (94.62%), Positive Predictive Value (82.14%) and Accuracy (90.2%) for FNAC was obtained. [b]CONCLUSION[/b]: FNAC achieved a diagnostic accuracy of 90.2%, and provides the advantage of being less complicated, cheap, and produces a faster result compared to biopsy. Its accuracy, thus, matches histopathology in providing an unequivocal diagnosis.
Authors and Affiliations
Rifat Qureishi, Usmani M. H, Singh U . R, Shaunak Valame, Pushpendra Shukla
Keywords
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- EP ID EP122657
- DOI 10.14260/jemds/2015/478
- Views 217
- Downloads 0
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