Role of FNAC Using Imaging Techniques in Diagnosing the Lung Lesions
Journal Title: Indian Journal of Pathology: Research and Practice - Year 2017, Vol 6, Issue 1
Abstract
Background and Objectives: FNAC play a vital role in evaluating pulmonary lesion. Its diagnostic accuracy is high in diagnosing lung cancer. From therapeutic view it is essential to categorize small cell lung carcinoma(SCLC) from Non small cell lung carcinoma. However recent targeted therapy emphasizes classification of NSCLC into different categories like squamous cell carcinoma(SQC), adenocarcinoma(AC) and Poorly differentiated carcinoma(PDC). The present study highlights utility of FNAC in diagnosing and categorizing lung cancer into various groups on which patient management is based. Materials and Methods: Present study is a prospective descriptive study. A total 25 FNAC of lung lesions under therapeutic guidance were included in the study. FNA smears were further stained and detailed cytomorphological study was done. Cytological parameters which were were studied include cellularity, cell arrangement, cell morphology and background material. Results: Mean age of the patients was 60.08years, 88% were males and 12% were females. Imaging technique used in 88% cases was ultrasonography and in 12% cases CT was used. In 8% cases aspirate was inadequate to comment. FNA diagnosis in 80% cases was positive for malignancy. Among malignant cases 35% were adenocarcinoma, 30% were squamous cell carcinoma, 25% were poorly differentiated carcinoma and 10% cases were metastasis. Conclusion: FNA is highly reliable method in not only distinguishing SCLC from NSCLC, but also categorizes NSCLC into SQC, AC and with the help of ancillary techniques one could even know the line of differentiation of PDC which really helps in patient management.
Authors and Affiliations
Jayasree K
Keywords
Related Articles
- EP ID EP462249
- DOI 10.21088/ijprp.2278.148X.6117.20
- Views 91
- Downloads 0
Analysis of Fine Needle Aspiration Cytology (FNAC) and Histopathological Correlation of Breast Lesions with Significance of Cytological Scoring System in Breast Tumors
Introduction: With growing awareness in the general population, patients with breast lumps are commonly approaching the clinicians. Fine needle aspiration cytology (FNAC) is accepted as the most sensitive, safe and cost...
Comparison of the Fluorescent Method and Conventional Ziehl–Neelsen Method in the Detection of Acid Fast Bacilli in Lymphnode Aspirates
Introduction: Tuberculosis (TB) is a major health problem in developing countries. The most common presentation of extrapulmonary TB is peripheral lymphadenopathy. Fine needle aspiration cytology (FNAC) is a most useful...
Blood Transfusion Services and Utility of Blood and its Components at Teritiary Care Center
Background and AIM: Blood transfusion services aim at providing adequate, safe and quality blood to meet the demands for clinical blood transfusion. The aim of the blood utilization management system is to optimize the u...
Histopathological Spectrum of Prostatic Lesions with Special Emphasis on Mimickers of Malignancy
Introduction: Blood transfusion saves millions of life around the world. However knowledge regarding the same in the young and healthy population is not adequate. Aims and Objectives: To study the knowledge, attitude and...
Papillary Lesions of Breast: An Experience in a Tertiary Care Centre
Introduction: Papillary lesions are a group of lesions characterized by presence of papillae supported by fibrovascular cores lined by epithelial cells with or without myoepithelial cells. This group of lesions span spec...