Original Research Article
Year: 2018 | Month: May | Volume: 8 | Issue: 5 | Pages: 75-81
Image Guided Fine Needle Aspiration Cytology of Abdominal, Pelvic and Thoracic Lesions- Analysis of 125 Cases
Mrinalini Singh1, Sanjay Kumar Das2, Shekhar Kumar Mehta3
1Lecturer, Department of Pathology, Birat Medical College and Teaching Hospital, Tankisinwari, Morang Nepal
2Medical Officer, Sriram Diagnostic Clinic, Biratnagar, Morang Nepal
3Consultant Radiologist, Department of Radiology, Life Guard Hospital Private Limited Biratnagar, Morang Nepal
Corresponding Author: Mrinalini Singh
ABSTRACT
Background – Ultrasonography (USG) and Computed Tomography (CT) scan is a safe and well known procedure for diagnosis of masses which are nonpalpable and deep seated in the body.
Methods – This is a retrospective study done in Life guard hospital private limited and Sriram diagnostic clinic in Biratnagar, Morang Nepal for the period of three years, January 2012 to February 2015. Fine needle aspiration cytology (FNAC) under USG /CT guided was performed in total 125 cases including 113 abdominal- pelvic cases and 12 thoracic cases. The smears were made, stained with both papanicolaou and giemsa stain and the slides were examined under light microscope. In cases where it was necessary Ziehl Neelsen (Z-N) stain for acid fast bacilli (AFB) was done.
Results – One hundred and twenty five (125) image guided FNAC were performed. Of total 125 cases, 76 (60.8%) cases were malignant, 3 (2.4%) benign, 37 (29.6%) inflammatory, 5 (4%) inadequate, and 4 (3.2%) suspicious for malignancy. Maximum number of cases were from liver 47 (37.6%) followed by intraabdominal lymph nodes 38 (30.4), gall bladder 12 (9.6%), lungs 12 (9.6%) , intestine 9 (7.2%), stomach 3 (2.4%), ovary 2 (1.6%), pancreas 1 (0.8%) and kidney 1 (0.8%).
Conclusions- USG / CT-guided FNA cytology plays an important role in diagnosis of nonpalpable abdominal, pelvic and thoracic deep seated lesions. It is safe, outpatient procedure for rapid diagnosis of malignancy.
Key words: Computed Tomography Scan, Fine Needle Aspiration Cytology, Nonpalpable, Ultrasonography