Rising Incidence of Pulmonary Adenocarcinoma: Our Experience Using Computed Tomography Guided Transthoracic Fine Needle Aspiration Cytology (CT Guided TT FNAC) at a Tertiary Care Centre, Jaipur
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 1
Abstract
Objectives: Pulmonary malignancies continue to represent a serious health problem and a major consideration in the delivery of health care. Accounts approx.12% of all new cancers. Their frequencies have been changing from SCC to adenocarcinoma in recent years. Study was conducted to identify the changing trend in cytomorphological pattern, to assess the relevance of demographic factors with various pulmonary malignancies & to evaluate the need of precise subtypification and multidisciplinary approach. Materials & Methods: Present prospective descriptive study conducted on n-522 patients of suspected pulmonary mass lesions for a period of 21/2 years. CT guided TT FNAC was done and smears were processed by routine cytochemical techniques. Special stains were used wherever needed. Results: Adequacy of smears found in n-471(90.23%). Age ranged 16 - 90 years (peak 6-7th decades). Primary pulmonary malignancy found in n-398 (76.24%). According to WHO Classification of Lung Tumors 2015 and IASLC/ATS/ERS for cytology, most common type was adenocarcinoma (n-194) 48.75% followed by SCC (n-134) 33.67%. Conclusion: CT guided TTFNAC is safe, simple, fast and reliable technique for the diagnosis of pulmonary mass lesions with > 94 % accuracy and may reach up to 100% if aided with ICC. It should be used as first line investigation. Study suggests the rising incidence of lung adenocarcinomas. Hence more population based studies with multi-disciplinary approaches are needed to establish this rising trend & to channelize the resources for development of molecular and genetic lab setups.
Authors and Affiliations
Kalpana Mangal, Savita Saharan, Alka Mittal, Ajay Yadav, Ranjana Solanki, Kusum Mathur, Nehal Minda
Keywords
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- EP ID EP542297
- DOI 10.21276/ijmrp.2017.3.1.031
- Views 84
- Downloads 0
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