Utility of Cytology in Surgical Camps done in a Rural Hospital in Maharashtra, India
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 7
Abstract
Introduction: Cytology is being used commonly for pre and intra operative diagnosis to know the nature of the lesion and extent of surgical margins. It is very useful in surgical camps held in rural areas serving the tribal’s, where the patients are inadvertently lost to follow up, and hence it becomes difficult for operating surgeons to plan the course of action especially in cases of borderline or frankly malignant lesions Aim: This study was undertaken to evaluate the usefulness of cytology in diagnosing lesions in a surgical camp held in a rural hospital. Material and Methods: The study was conducted on material obtained from a rural hospital in Maharashtra and included 40 tribal patients posted for surgery. Detailed clinical history and significant findings were noted. FNAC ( Fine needle aspiration cytology) was performed a day before the surgery. FNAC smears were fixed in absolute alcohol & stained with rapid PAP and rapid Hematoxylin and Eosin stain. Cytological diagnosis on FNA aspirate smears was given in all cases. Scrape cytology was done on operated specimens immediately after surgery. A histopathological examination and correlation with cytology was done later. Results: The present study included 40 cases. The diagnostic accuracy of the FNAC was found to be 94.4% while that of scrape cytology was found to be 97.2%. Conclusion: FNAC and Scrape cytology have an advantage of being simple, quick, safe and accurate methods for the preoperative and immediate postoperative diagnosis of patients operated in surgical camps done at rural hospitals in remote areas of our country.
Authors and Affiliations
Dr. Anne Wilkinson
Keywords
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