Fine Needle Aspiration Cytology (FNAC) as a Diagnostic Procedure in Palpable Lesions of Head and Neck Region

ABSTRACT Aim Palpable masses in the head and neck region can arise from various structures, such as lymph node, thyroid gland, major and minor salivary glands, soft tissues, blood vessels, and neural structures. Fine needle aspiration cytology (FNAC) is a simple, quick, inexpensive first-line method to evaluate such swellings and thus confirm the diagnosis. This study correlates aspiration cytology as an indispensable tool in diagnosing various head and neck swellings and their prevalence with respect to age, sex, site of origin, and nature of those masses. Materials and methods This study was done from January 2007 to December 2013 in the Department of Otorhinolaryngology and Department of Pathology. All the patients presenting with various head and neck swellings underwent FNAC, and the results were correlated with anatomical sites and frequency of occurrence and categorized into various clinicopathological groups. Results This study included 1,272 cases who were evaluated by FNAC for head and neck swellings. In this study, 32 patients presented with frank abscesses, 36 cases with submandibular region swellings, seven cases with submental swellings, 70 cases with various swellings in the neck and postauricular area, 47 cases with various facial and scalp swellings, two cases from oral cavity, 74 cases with parotid masses, 680 cases with lymphadenopathy, and 324 cases with thyroid lesions. Conclusion Fine needle aspiration cytology is a useful, reliable, cost-effective, and valuable diagnostic tool for the initial evaluation and diagnostic categorization of all superficial and deep-seated lesions in the head and neck region as it is a fairly sensitive and specific procedure in addition to being simple, rapid, accurate, and without any significant complications and above all without affecting the underlying tissue morphology altogether How to cite this article Pandey AK, Bhardwaj A, Maithani T, Kishore S, Singh VP. Distributive Analysis of Head and Neck Swellings with Their Cytopathological Correlation. Int J Otorhinolaryngol Clin 2016;8(3):89-96.

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Fine-needle aspiration cytology of pilomatrixoma: A short series of three cases

CytoJournal ◽

10.4103/1742-6413.144689 ◽

2014 ◽

Vol 11 ◽

pp. 30 ◽

Cited By ~ 8

Author(s):

Jitendra Singh Nigam ◽

Savitri Singh

Keyword(s):

Head And Neck ◽

Fine Needle Aspiration ◽

Fine Needle Aspiration Cytology ◽

Histopathological Examination ◽

Neck Region ◽

Middle Finger ◽

Needle Aspiration ◽

Aspiration Cytology ◽

Fine Needle ◽

Needle Aspiration Cytology

Pilomatrixoma (PMX) (pilomatricoma, calcifying epithelioma of Malherbe) is a benign tumor with differentiation toward the hair matrix cells and is common in head and neck region. It is most commonly seen in the first two decades of life and presents as a subcutaneous, small, asymptomatic firm solitary nodule. Fine-needle aspiration cytology (FNAC) has been described as an important preoperative diagnostic investigation though on cytology the diagnosis of PMX is sometimes difficult and misdiagnosed. We describe two patients with gradually increasing asymptomatic swelling on pinna and middle finger. FNAC was done and a diagnosis of PMX was given, further confirmed by histopathological examination. The present cases highlight the importance of FNAC in considering PMX as differential diagnosis of dermal or subcutaneous nodules in locations other than head and neck. Cytopathologists who play an important role in the preliminary diagnosis should keep in mind the variability of the cellular composition of these types of lesions to avoid misdiagnosis.

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Prospective Study of Fine Needle Aspiration Cytology of Lymph Nodes of The Head And Neck Region over a 2 Year Period with Histopathological Correlation

PARIPEX-INDIAN JOURNAL OF RESEARCH ◽

10.15373/22501991/feb2014/78 ◽

2012 ◽

Vol 3 (2) ◽

pp. 229-231

Author(s):

Dr.Satish Arakeri ◽

◽

Dr.Gandhi N Dr.Gandhi N

Keyword(s):

Prospective Study ◽

Fine Needle Aspiration ◽

Fine Needle Aspiration Cytology ◽

Neck Region ◽

Needle Aspiration ◽

Aspiration Cytology ◽

Head And Neck Region ◽

Fine Needle ◽

Histopathological Correlation ◽

Needle Aspiration Cytology

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Fine Needle Aspiration Cytology as a Diagnostic Procedure in Head and Neck Swellings in Rural Population of Hapur Region (U.P.), India

Indian Journal of Public Health Research & Development ◽

10.5958/0976-5506.2017.00313.8 ◽

2017 ◽

Vol 8 (4) ◽

pp. 54

Author(s):

Amit Kumar Nirmal ◽

Harsimrat Singh ◽

Payal Vadehra ◽

Jay Kant Jha

Keyword(s):

Head And Neck ◽

Fine Needle Aspiration ◽

Rural Population ◽

Fine Needle Aspiration Cytology ◽

Diagnostic Procedure ◽

Needle Aspiration ◽

Aspiration Cytology ◽

Fine Needle ◽

Needle Aspiration Cytology

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Pattern of pediatric fine needle aspiration cytology and its utility in management of head and neck swellings in a tertiary hospital in northwestern Nigeria

Annals of African Medical Research ◽

10.4081/aamr.2019.53 ◽

2019 ◽

Vol 2 (1) ◽

Cited By ~ 1

Author(s):

Hafsat Umar Ibrahim ◽

Halima Kabir ◽

Yusuf Ibrahim

Keyword(s):

Head And Neck ◽

Fine Needle Aspiration ◽

Predictive Value ◽

Fine Needle Aspiration Cytology ◽

Neck Region ◽

Needle Aspiration ◽

Aspiration Cytology ◽

Fine Needle ◽

Childhood Malignancies ◽

Needle Aspiration Cytology

Childhood malignancies have emerged as an important cause of morbidity and mortality globally. Diagnosis need to be accurate and fast to reduce this. Fine Needle Aspiration Cytology (FNAC) is an accepted modality employed in the diagnosis of adult and pediatric tumors. This study aims to review the pattern of pediatric FNAC from all sites done over a 10-year period, and its utility in the management of head and neck swellings. Records of all pediatric FNAC within the 10-year study period were retrospectively retrieved and analyzed. Data regarding age, sex, site of biopsy and FNAC diagnoses were extracted. Subsequent histologic diagnoses from the head and neck region were correlated with initial FNAC diagnoses from the same region. Data were presented in frequencies and percentages in tabular form. Accuracy, sensitivity, specificity, Positive Predictive Value (PPV) and Negative Predictive Value (NPV) of head and neck lesions were calculated. A total of 301 pediatric FNAC were recorded. There were 160 (53.8%) males and 141 (46.2%) females with a M: F ratio of 1.1:1. The average age was 7.2 ± 3.9 years. The highest frequency of 134 (44.5%) was seen in the 5-10 years age group. Benign cytological diagnoses were rendered in 243 (80.7%) while the remaining 58 (19.3%) were malignant. Of the total, 244 FNAC were from head and neck Swellings, 209(80.7%) were benign while the remaining were malignant. Sixty-two (62) cases of head and neck FNAC had subsequent histologic tissue diagnoses (considered the gold standard) which were compared with prior FNAC results. FNAC of the head and neck showed an accuracy 82.1%, sensitivity of 53.0%, specificity of 93.3%, PPV and NPV of 75.0% and 84.0% respectively. FNAC is an easy, fast, cheap and minimally invasive screening tool that is accurate for diagnosis in the management of pediatric head and neck swellings in our setting.

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Role of fine needle aspiration cytology in the differential diagnosis of vascular anomalies from other lesions in the head and neck region

Phlebology The Journal of Venous Disease ◽

10.1177/0268355515625003 ◽

2016 ◽

Vol 32 (1) ◽

pp. 34-42

Author(s):

Jie He ◽

Hanguang Zhu ◽

Chunye Zhang ◽

Yanan Wang ◽

Jiawei Zheng ◽

...

Keyword(s):

Fine Needle Aspiration ◽

Fine Needle Aspiration Cytology ◽

Neck Region ◽

Needle Aspiration ◽

Vascular Anomalies ◽

Aspiration Cytology ◽

Head And Neck Region ◽

Fine Needle ◽

Needle Aspiration Cytology

Objective To summarise the role of fine needle aspiration cytology in the differential diagnosis of vascular anomalies from other lesions in the head and neck region by presenting five interesting cases reported from our hospital data. Method Five patients ranging in age from 3 months to 25 years old were diagnosed with vascular anomalies based on their histories, clinical examinations, imaging examinations and ultrasonic testing. The previous diagnosis of these patients were corrected by fine needle aspiration cytology in our hospital and the proper treatment was administered. Result Two cases were wrongly treated in a local hospital. All five of the patients underwent operations after excluding vascular anomalies by fine needle aspiration cytology. Conclusion Fine needle aspiration cytology should be used in the following situations to prevent misdiagnoses and the mistreatment as vascular anomalies: when imaging examination and ultrasonic testing lead to a diagnosis of vascular malformation, but the history or clinical examination does not confirm this diagnosis; when lesions are treated as “vascular malformations” by sclerotherapy, and the hydatid fluid is not like blood or lymph fluid; and when propranolol is used to treat the proliferation stage of “haemangiomas” with without any effect.

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