Role of guided Fine needle aspiration cytology in diagnosis of abdominopelvic masses
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 8
Abstract
Introduction: The introduction of modern diagnostic imaging techniques, mainly ultrasonography (USG) has enabled the detection, location and sampling of lesions at the site that are inaccessible to surgical biopsies and are considered as first step in the investigation, thereby, quickly satisfying the avidity of clinicians for a rapid diagnosis. We hereby report FNAC findings in guided FNA of abdominopelvic masses and their histopathological correlation at a tertiary care hospital. Aims: To assess the utility of guided Fine Needle Aspiration Cytology (FNAC) and biopsy as an initial diagnostic modality in patients with abdominopelvic masses. Material and Methods: The study included 63 palpable and non- palpable abdominopelvic masses, which were detected clinically or radiologically. Ultrasonography/ Computed Tomography guided FNAC was done. Papanicolaou stain, H&E stain and Giemsa stains were used. Results: Out of 63 images guided FNACs of abdominopelvic masses, non-neoplastic lesions were found in four patients and neoplastic in 56 patients. Of these 56 cases, 12 were benign and 44 malignant. In three cases, FNAC was inconclusive. Mean age of patients was 43.6 years with 30 (47.6%) males and 33 (52.38%) females. The most common organ involved was liver (15 cases) followed by ovary (13 cases). The most common malignant lesion in the liver was Hepatocellular carcinoma. Overall, the sensitivity of this study was 90.47% and specificity 100%. Conclusions: Guided FNAC is simple, safe and cost-effective procedure that can be utilized preoperatively, for frozen section and follow-up.
Authors and Affiliations
Sushma Bharti
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