Ultrasound-Guided Fine Needle Aspiration Cytology of Gall Bladder Lesions: An Institutional Experience
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Background and objectives: Gallbladder (GB) carcinoma is prevalent in the Gangetic plains of the Eastern Uttar Pradesh and Western Bihar regions of India. The present study was done to assess the utility of ultrasound (US) guided fine needle aspiration (FNA) in diagnosing GB carcinoma. Materials and Methods: A study was conducted over a period of one year from August 2017 to July 2018 in the Department of Pathology and Department of Radiodiagnosis in Indira Gandhi Institute of Medical Sciences, Patna. US guided fine needle aspiration was carried out, and aspirates were drawn, processed and evaluated. Results: Out of 117 aspirations, 93 (79.4%) were adequate, 15 (12.8%) were inconclusive, and 9 (7.6%) were inadequate. The most common carcinoma was adenocarcinoma in 75cases (64.1%). The overall diagnostic adequacy was 92.4%. The common causes of inconclusive cases were necrotic areas, aspiration of reactive hepatocytes adjacent to the GB mass, scant epithelial cells, inflammatory cells and mucus flakes. Histopathology of the GB was available in 24 cases. Conclusion: US guided FNA of gall bladder lesions is a simple, safe, economically prudent technique leading to quick and early diagnosis.
Authors and Affiliations
Shuchismita . , Anju Singh, Bipin Kumar, Ruchi Gupta
Keywords
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- EP ID EP452647
- DOI 10.9790/0853-1801183239.
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