scholarly journals Ultrasound and computed tomography guided fine needle aspiration cytology in diagnosing intra-abdominal and intra-thoracic lesions

1970 ◽  
Vol 1 (1) ◽  
pp. 17-21 ◽  
Author(s):  
S Parahjuli ◽  
A Tuladhar ◽  
RB Basnet

Background: Ultrasonography and computed tomography guided fine needle aspiration cytology has an important role in diagnosing intraabdominal and intrathoracic mass lesions. It has an accuracy of 70-90%, depending on the site under evaluation. Materials and Methods: This retrospective study was done in the Department of Pathology, Kathmandu Model Hospital, between June 2006 and November 2010. The study included 53 abdominal and 47 thoracic masses. The cytological diagnosis was correlated with clinical and radiological data to arrive at a final diagnosis. Results: Fine needle aspiration cytology was performed in various anatomic sites: liver (28 cases), pancreas (8 cases), lymph nodes (7 cases), ovary and gall bladder (3 cases each) and 2 cases each of gastrointestinal tract and omentum. Thoracic aspirations were done from the lung (44 cases) and mediastinum (3 cases). The most common malignancy encountered in the abdomen was hepatocellular carcinoma (12 cases). Non-small cell carcinoma was the most common diagnoses amongst the lung lesions (15 cases). Conclusion: Ultrasonography and computed tomography guided fine needle aspiration cytology had a high sensitivity and specificity in diagnosing deep seated lesions. Keywords: Computed tomography; Deep-seated masses; Fine needle aspiration; Ultrasound DOI: 10.3126/jpn.v1i1.4444 Journal of Pathology of Nepal (2011) Vol.1, 17-21

2021 ◽  
Vol 10 (18) ◽  
pp. 1269-1274
Author(s):  
Nawanita Kumari ◽  
Nidhish Kumar ◽  
Sharvani Singh ◽  
Vishal Vaibhaw

BACKGROUND Intrathoracic mass is a problem faced by the clinicians worldwide which is difficult to diagnose correctly. The mediastinum although a small anatomic compartment, the pathologic processes found in it are diverse. Imaging techniques are very helpful for detection and diagnosing these lesions. The current study was conducted for assessing the diagnostic accuracy and efficacy of computed tomography (CT) guided fine-needle aspiration cytology (FNAC) in the evaluation of various thoracic mass lesions and also to compare the histopathological findings of CT guided FNAC for evaluation of the type of thoracic lesions & its prognosis. METHODS Data for the study was collected from 50 patients referred to the Department of Pathology, in a tertiary care hospital for 16 months from December 2015 to March 2017. RESULTS Among 50 patients with intrathoracic mass, there were 37 men (74 %) and 13 women (26 %). The age of patients with intrathoracic masses in this study varied from 31 to 80 years. The mean age was 55 years. Thirty-two patients were found to have malignant tumours and 18 cases were of benign aetiology. The highest frequency of cases in this study were of adenocarcinoma followed by squamous cell carcinoma. CONCLUSIONS Computed tomography (CT) guided fine-needle aspiration cytology (FNAC) is a cost effective, simple, safe, highly sensitive & specific procedure with high diagnostic accuracy in the diagnosis of intrathoracic mass lesions. It has few complications, rarely requiring active management. KEY WORDS Intrathoracic Mass, Fine-Needle Aspiration Cytology, Pneumothorax, Pneumonectomy, Thoracic Mass Lesions


2012 ◽  
Vol 29 (1) ◽  
pp. 30 ◽  
Author(s):  
Maggad Rangaswamy ◽  
Jayashree Krishnamurthy ◽  
Sunila ◽  
TogyThomas Zacharia ◽  
Gururajprasad Chennakeshaviah ◽  
...  

1989 ◽  
Vol 76 (12) ◽  
pp. 1273-1274 ◽  
Author(s):  
E. R. T. C. Owen ◽  
A. K. Banerjee ◽  
A. J. N. Prichard ◽  
E. A. Hudson ◽  
A. E. Kark

2013 ◽  
Vol 3 (6) ◽  
pp. 433-436 ◽  
Author(s):  
S Hirachand ◽  
M Maharjan ◽  
M Lakhey ◽  
R Thapa ◽  
S Kafle

Background: Fine needle aspiration cytology has been shown to be simple, safe, cost effective and quick to perform procedure with excellent patient compliance. It is a well established technique for preoperative investigation of thyroid gland swellings with high sensitivity, specificity and accuracy. The aim of this study was to determine the accuracy of fine needle aspiration cytology of thyroid swellings performed at our institution. Materials and Methods: This study was carried out at Kathmandu Medical College and Teaching hospital, department of Pathology over a period of 3 years (January 2010 to December 2012). Two hundred and seventy three patients of all age groups and both sexes who underwent fine needle aspiration cytology for thyroid swelling were evaluated. Out of 273 patients, histopathological diagnosis was available in 45 patients. Results: Fine needle aspiration cytology result revealed 245 cases (89.7%) as non-neoplastic, 21 cases (7.7%) as neoplastic and 7 cases (2.6%) inadequate due to lack of cellularity. The commonest lesion in the thyroid gland was colloid goiter. Among the malignant neoplasms the commonest was papillary carcinoma. Out of 273 patients, histopathological diagnosis was available in 45 patients. Statistical analysis of our data shows the diagnostic accuracy of fine needle aspiration cytology to be 95.7%. Fine needle aspiration cytology showed a sensitivity of 96.4% and a specificity of 94.4%. Conclusion: Fine needle aspiration cytology is a well established technique for pre operative investigation of thyroid gland swellings with high sensitivity, specificity and accuracy. DOI: http://dx.doi.org/10.3126/jpn.v3i6.8988Journal of Pathology of Nepal (2013) Vol. 3, 433-436  


Sign in / Sign up

Export Citation Format

Share Document