Role of Fine Needle Aspiration Cytology in the Initial Diagnosis of Superficial Soft Tissue Lesions
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 3
Abstract
Introduction: The diagnosis with exact categorization of superficial true soft tissue lesions has been mired in controversy. With time FNAC has proven a useful tool for the diagnosis of soft tissue lesions for primary workup and planning treatment options of soft tissue lesions. Material and Methods: A prospective 1 year study was conducted to evaluate the efficacy of FNAC as a primary initial investigation for the diagnosis of superficial soft tissue lesions. Result: The sensitivity and specificity for benign lesions was 100% and 93% respectively whereas malignant soft tissue lesions showed sensitivity of 94% and specificity was only 50%. FNAC is highly reliable as an initial diagnostic tool for the diagnostic workup of superficial soft tissue lesions. A definite cytological diagnosis must be based on precise correlation of the cytological findings and results of ancillary studies with the clinical and radiographic data. To increase the specificity of malignant lesions, ancillary techniques like immunocytochemistry, FISH are recommended and can only be dealt at a specialized sarcoma center. Conclusion: FNAC in the primary work-up of soft tissue lesions has definite several major advantages that certainly outweigh its limitations
Authors and Affiliations
Siddiqie Hassan Adil, Banday Musharaf Bilal, Sharma Poonam, Suri Vijay
Keywords
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