scholarly journals Fine needle aspiration cytology of cystic lesions of head and neck

2018 ◽  
Vol 8 (2) ◽  
pp. 1360-1364 ◽  
Author(s):  
Narendra Bhattarai ◽  
Akanksha Kushwah
Keyword(s):  
Head And Neck ◽  
Cost Effective ◽  
Needle Aspiration ◽  
University Teaching ◽  
Epidermal Cyst ◽  
Anatomical Site ◽  
Tuberculous Lymphadenitis ◽  
Cystic Lesions ◽  
Institute Of Medicine ◽  
Common Diagnosis

Background: Many non-neoplastic and neoplastic lesions are encountered as cystic lesions of head and neck depending on the patient’s age and anatomical site. Value of FNAC in preoperative diagnosis of these lesions has been established in various study.Materials and Methods: The study was performed in 333 patients that presented as cystic lesions of head and neck at Department of Pathology, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal from July 2013 to June 2014.RESULTS: Cystic lesions in head and neck accounted for 11.35% of all FNACs. The median age of the patients was 31 years and the majority of the patients were in the age group of 21-30 years with slight female predilection. Lateral neck was the most common site with lymph node (31.9%) the most common organ of involvement. Tuberculous lymphadenitis was the most common diagnosis with 21% of cases, followed by colloid goiter with cystic change and epidermal cyst. Pus was the most common aspiration finding. Sensitivity and specificity of FNAC in diagnosing malignancy was 83.3% and 100% respectivelyCONCLUSION: A significant number and wide variety of lesions present as cystic lesions of head and neck. FNAC is useful and cost effective tool to classify, diagnose and rule out malignancy in these cases.

scholarly journals Cyto-histopathological study of Mediastinal lesions

2016 ◽  
Vol 6 (11) ◽  
pp. 928-931
Author(s):  
N Bhattarai
Keyword(s):  
Needle Aspiration ◽  
University Teaching ◽  
Histopathological Study ◽  
Anatomical Site ◽  
Institute Of Medicine ◽  
Female Ratio ◽  
Non Hodgkin Lymphoma ◽  
Mediastinal Masses ◽  
Needle Aspiration Cytology ◽  
Middle Compartment

Background: Broad ranges of non-neoplastic and neoplastic lesions are encountered in mediastinum depending on the patient’s age and anatomical site. This study was performed to review our institutional experience of mediastinal masses and to compare the results with various other studies.Materials and Methods: This was a retrospective study conducted on 112 patients with mediastinal masses who underwent fine needle aspiration cytology and/or biopsy from 14th April 2009 to 4th March 2014 in Department of Pathology, Institute of Medicine, Tribhuvan University Teaching Hospital.Results: Out of 112 cases, 70 cases (62.5%) were benign, 38 cases (33.92%) malignant and 4 cases (3.57%) were inconclusive. Mean age of presentation was 34.94 yrs with male to female ratio of 1.2:1. Ninety-nine cases (88.4%) were seen in anterior compartment, 12 cases (10.7%) in posterior compartment and 1case (0.9%) in middle compartment. Thymoma (26 cases) was the most common lesion followed by Non Hodgkin lymphoma (17 cases) and germ cell tumor (16 cases).Conclusion: Mediastinal lesions occur more commonly in males with higher frequency of benign lesions, among which thymoma is the predominant lesion.

Issues of geriatric otolaryngologic emergency have not been widely applied despite increase in geriatric population. (Preprint)

2019 ◽  
Author(s):  
Waheed Atilade Adegbiji ◽  
Shuaib Kayode Aremu ◽  
AbdulAkeem Adebayo Aluko
Keyword(s):  
Foreign Body ◽  
Head And Neck ◽  
Clinical Features ◽  
University Teaching ◽  
Age Group ◽  
Geriatric Population ◽  
Female Ratio ◽  
Common Diagnosis ◽  
Foreign Body Impaction ◽  
Nose And Throat

BACKGROUND Issues of geriatric otolaryngologic emergency have not been widely applied despite increase in geriatric population. OBJECTIVE This study aimed at determining prevalence, sociodemographic features, aetiology, clinical features, Complications and sources ofreferral of geriatric otorhinolaryngological, head and neck emergency in our center. METHODS This was a prospective hospital based study of geriatric otorhinolaryngology emergency in the Ear, Nose and Throat Department of Ekiti State University Teaching Hospital. The study was carried out between October 2016 and September 2018. Data were obtained by using pretested interviewers questionnaire.All data were collated and analyzed using SPSS version 18.0. The data were expressed by frequency table, percentage, bar charts and pie charts. RESULTS Geriatric otorhinolaryngology, head and neck emergency accounted for 5.3%. Major prevalence age group was 43.9% in the age group (60-64). There were 38.6% males with male to female ratio of 1:1.5. The main aetiology of geriatric otorhinolaryngology emergency was 29.5% trauma/road traffic accident/foreign body impaction and 25.8% tumour. Main anatomical distribution of geriatric otorhinolaryngology emergency were 38.6% throat diseases and 31.1% ear diseases. The most frequent clinical features were pain in 27.3%, hearing loss in 21.2%, tinnitus in 15.9%, bleeding in 14.4%, difficulty breathing in 12.9% and discharge in 11.4%. Common diagnosis in this study were 15.9% sinonasal tumour, 14.4% upper aerodigestive foreign body impaction, 10.6% earwax impaction and 19.8% otitis externa. Acute presentation (<13 weeks) occurred in 1 week in 74.2% and 2-13 weeks In 19.7%. Commonest time of presentation was daytime in 65.9%. Major sources of referral were 43.2% general practitioner and 31.1% casualty officers. Presentation of geriatric otorhinolaryngology emergency were mainly ear, nose and throat clinic in 59.8% with accident and emergency in 28.8%. Commonest associated comorbid illnesses among the geriatric patients were 18.2% hypertension, 14.4% arthritis and 9.8% diabetes mellitus. CONCLUSIONS Geriatric otorhinolaryngological emergency are common pathology with associated with comorbid illnesses. Detailed clinical assessment are mandatory for effective management outcome.

scholarly journals Correlation of FNAC and histopathology in diagnosis of salivary gland lesions

2014 ◽  
Vol 4 (8) ◽  
pp. 654-657 ◽  
Author(s):  
S Koirala ◽  
G Sayami ◽  
AD Pant
Keyword(s):  
Salivary Gland ◽  
Preoperative Diagnosis ◽  
Needle Aspiration ◽  
University Teaching ◽  
Malignant Neoplasms ◽  
Histopathological Diagnosis ◽  
Institute Of Medicine ◽  
Needle Aspiration Cytology ◽  
Sensitivity Specificity ◽  
Diagnostic Pitfalls

Background: Value of fine needle aspiration cytology in preoperative diagnosis of salivary gland lumps has been established in various studies. This study aims to calculate sensitivity, specificity accuracy of FNAC, correlate FNAC findings with histopathology and find out reasons for common diagnostic pitfalls in FNAC.Materials and methods: This study was performed in 67 patients that presented with salivary gland lumps at Department of pathology, Tribhuvan University Teaching Hospital, Institute of medicine, Kathmandu, Nepal from January 2009 to June 2010. FNAC was performed and was correlated with histopathological diagnosis to judge the sensitivity, specificity and accuracy of FNAC.Results: Out of 36 cases there was cyto-histological correlation in 28 cases. Pleomorphic adenoma was the most frequent lesion in this study. Parotid gland was the most common site affected by salivary gland lesions. The sensitivity, specificity and accuracy for non-neoplastic lesions was 100%, 89.28%, 91.67%, for benign neoplasms was 100%, 86.95%, 91.67% and for malignant neoplasms was 57.14%, 100%, 83.33% respectively.Conclusion: FNAC is a useful tool in preoperative diagnosis of salivary gland lesions and can be crucial for the management of the patient. Aspiration and reporting of salivary gland lesions demands a competent pathologist who considers all the possible diagnostic pitfalls in mind.DOI: http://dx.doi.org/10.3126/jpn.v4i8.11593 Journal of Pathology of Nepal; Vol.4,No. 8 (2014) 654-657

scholarly journals Clinical profile of cervical lymphadenopathy and to find diagnostic efficacy of fine-needle aspiration cytology, ultrasonography and histopathological examination

2020 ◽  
Vol 6 (3) ◽  
pp. 551
Author(s):  
Nitin Sharma ◽  
Maya Singh ◽  
Pritosh Sharma ◽  
Rahul Nahar ◽  
V. P. Goyal
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Cervical Lymphadenopathy ◽  
Needle Aspiration ◽  
Tuberculous Lymphadenitis ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Common Diagnosis ◽  
Granulomatous Lymphadenitis ◽  
Needle Aspiration Cytology

<p class="abstract"><strong>Background:</strong> Cervical lymphadenopathy is the sign of a disease process which involves lymph nodes that are anomalous in uniformity and dimensions. It is very vital to exercise fine-needle aspiration biopsy, histopathological investigation, and ultrasonography for the diagnosis of palpable lesions.</p><p class="abstract"><strong>Methods:</strong> This is a prospective study of 12-month duration from January 2018 to December 2018 in 61 patients presenting with cervical lymphadenopathy admitted in the ENT Department at Geetanjali Medical College and Hospital, Udaipur.  </p><p class="abstract"><strong>Results:</strong> In biopsy, most common diagnosis was chronic granulomatous lymphadenitis i.e. in 62.3% of the patients. As compared to biopsy, fine-needle aspiration cytology (FNAC) showed chronic granulomatous lymphadenitis in 46% of the patients, with overall sensitivity of 91.1%, and specificity of 60.0%. and accuracy of 88.5%. Whereas ultrasonography (USG) reported, 64% cervical lymphadenopathy in patients, with overall sensitivity came out to be 91.1%, specificity to be 40.0%, accuracy was 86.9%.</p><p class="abstract"><strong>Conclusions:</strong> Present study showed that biopsy is the gold standard procedure for diagnosis of cervical lymphadenopathy lesions followed by FNAC, USG. Tuberculous lymphadenitis was most common diagnosis made by the diagnostic modalities.</p>

scholarly journals Difficulties in the diagnosis of soft tissue sarcomas

1970 ◽  
Vol 32 (2) ◽  
pp. 26-29
Author(s):  
R Jha
Keyword(s):  
Soft Tissue ◽  
Age Distribution ◽  
Age Groups ◽  
Soft Tissue Sarcomas ◽  
Vascular Tumor ◽  
University Teaching ◽  
Institute Of Medicine ◽  
Diagnostic Challenge ◽  
Study Results ◽  
Common Diagnosis

Introduction: Soft tissue tumors represent diagnostic challenge to general practicing pathologists because of overlap in morphologic features. The usual approach is to diagnose by presumed cell lineage. A major utility of immunohistochemistry is to identify a tumor being mesenchymal or nonmesenchymal and once mesenchymal lineage has been confirmed, histologic sub typing according to specific lineage may be achieved with help of lineage specific markers. Methods: The objective of this study was to analyse different types of soft tissue malignancies according to their type, site and age distribution, discuss the difficulties faced during morphologic examination and review the literature for role of ancillary techniques, particularly immunohistochemistry in diagnosing soft tissue sarcomas.All soft tissue malignancies reported from Tribhuvan University Teaching Hospital in three years period from April 2008 to March 2010 were included in the study. Results: Total 87 soft tissue malignancies were reported during study period. Most of these patients (58.6%) were male and the rest were female. These malignancies were found in all age groups. Youngest patient was newborn who was born with tongue mass and biopsy was performed on 13th day of life. However maximum numbers of tumors (41.4%) were seen in first two decades of life. Head and neck was the most common site .Rhabdomyosarcoma was the most common diagnosis. In 20 cases (23%) a definite opinion was not possible and vague terms like sarcoma, small round cell tumor, spindle cell malignancy, vascular tumor “likely” were used. Immunohistochemistry was advised in these cases. Conclusions: Only light microscopic examination of hematoxylin and eosin stained slide not sufficient at all times because there is morphologic overlap of soft tissue sarcomas with each other and with carcinomas and melanomas. Though immunohistochemistry is not a substitute for skilled interpretation of routinely stained slides but prove helpful to reach a more definite diagnosis. Keywords: Immunohistichemistry; sarcoma; soft tissue DOI: http://dx.doi.org/10.3126/joim.v32i2.4941 Journal of Institute of Medicine, August, 2010; 32: 26-29

CYTOPATHOLOGICAL SPECTRUM OF FNAC IN PALPABLE HEAD AND NECK LESIONS

2021 ◽  
pp. 53-54
Author(s):  
Devendu Bose ◽  
Bejoy Chand Banerjee
Keyword(s):  
Salivary Gland ◽  
Lymph Node ◽  
Soft Tissue ◽  
Head And Neck ◽  
Clinical History ◽  
Needle Aspiration ◽  
Minimal Risk ◽  
Neck Swelling ◽  
Neck Masses ◽  
Common Diagnosis

Introduction: Head and neck lesions comprises a large number of congenital, inammatory or neoplastic lesions including different anatomic sites and originating in different tissues and organs. Fine needle aspiration cytology (FNAC) is a simple, quick, feasible, repeatable and outpatient procedure with minimal risk of complication. Aim: To study the role of FNAC and its utility in diagnosis of palpable head neck masses and to determine the spectrum of various lesions. Materials And Methods: A retrospective study was conducted in pathology department of Shaheed Nirmal Mahato Medical College, Dhanbad, Jharkhand from January 2016 to December 2020 on patients with palpable head and neck swelling. Detailed clinical history of patient was noted. Aspirations were done by using 10 ml syringe and 22/23 gauge needles. Smears were stained with PAP, Haematoxylin and Eosin and Leishman stain. Cytomorphological diagnosis was given. Results: Out of 562 patients of head and neck swelling, 61.92% (348 cases) were of lymph node, 20.28% (114 cases) were of thyroid, 3.38% from salivary gland (19 cases), 14.06% (79 cases) from skin and soft tissue swellings. The most common diagnosis was reactive lymphadenitis (32.74%) followed by granulomatous lymphadenitis (18.33%). The mean age of study population was 32 years. There was female preponderance (88.59%) in thyroid lesions whereas lymph node lesions (60.91%), salivary gland lesions (73.68%) and soft tissue swellings (59.49%) were more common in males. Conclusion: From our study we concluded that FNAC is simple, quick, inexpensive, repeatable and minimally invasive rst line investigation for differential diagnosis of head and neck lesions.

Disease Profiles of Head and Neck Lesions Diagnosed by Fine Needle Aspiration Cytology at a Tertiary Care Hospital in Bangladesh

2021 ◽  
Vol 8 (1) ◽  
pp. 21-24
Author(s):  
Kazi Md. Shahidur Rahman ◽  
Md. Mahmudul Huda ◽  
ASM Mahmud Hasan ◽  
Md Shaheeduzzaman ◽  
Gazi Manjurul Islam
Keyword(s):  
Head And Neck ◽  
Tertiary Care ◽  
Cost Effective ◽  
Needle Aspiration ◽  
Cross Sectional Study ◽  
Lymphoid Hyperplasia ◽  
Invasive Technique ◽  
Care Hospital ◽  
Neck Swelling ◽  
Cross Sectional

Background: Head & Neck lesions encompass a multitude of congenital, inflammatory or neoplastic lesions including several anatomic sites and originating in different tissues and organs. FNAC is a simple, quick, feasible, cost effective and repeatable outpatient procedure with minimum risk of complications. Objective: The purpose of the present study was to study the spectrum of head & neck lesions attending in outpatient. Methodology: This present cross-sectional study included the patients presented with palpable head & neck swelling from January 2018 to September 2019 in outpatient (mostly ENT & HNS OPD) department of Monno Medical College & Hospital, Monno City, Gilondo, Manikgonj. Aspirates were done using mostly 5ml syringe and 23-gauge needle. Smears were stained with Papanicolaou stain. Results: Out of 210 patients of head & neck lesions studied, Lymph node (50.47%) was the predominant site aspirated with chronic nonspecific lymphadenitis & lymphoid hyperplasia being the commonest lesion. Thyroid lesions constituted 31.90% cases followed by soft tissue (11.9%) and salivary gland (5.71%). Conclusion: In conclusion FNAC is simple, quick, inexpensive and minimally invasive technique to diagnose different types of head and neck swelling. It could differentiate the infective process from neoplastic one and avoid unnecessary surgeries. Journal of Current and Advance Medical Research, January 2021;8(1):21-24

Fine needle aspiration at a Regional Head and Neck Clinic: A clinically beneficial and cost-effective service

Cytopathology ◽  
2009 ◽  
Vol 20 (2) ◽  
pp. 81-86 ◽  
Author(s):  
M. E. O’Donnell ◽  
A. Salem ◽  
S. A. Badger ◽  
M. A. Sharif ◽  
D. Kamalapurkar ◽  
...  
Keyword(s):  
Head And Neck ◽  
Fine Needle Aspiration ◽  
Cost Effective ◽  
Needle Aspiration ◽  
Fine Needle ◽  
Effective Service

scholarly journals Cytology of Paediatric lesions: a tertiary care centre experience during COVID-19

2021 ◽  
Vol 9 (4) ◽  
pp. 1060
Author(s):  
Padmapriya Balakrishnan ◽  
Bhatta Midhuna ◽  
Pujari Lahari ◽  
Jampa Nandini ◽  
Prasad Uma ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Fine Needle Aspiration ◽  
Tertiary Care ◽  
Cost Effective ◽  
Needle Aspiration ◽  
Tuberculous Lymphadenitis ◽  
Benign Lesions ◽  
Tertiary Care Centre ◽  
Fine Needle ◽  
Malignant Lesions

Background: Paediatric lesions are worrisome and need immediate attention with early diagnosis. Fine needle aspiration cytology (FNAC) is safe, cost effective, minimally invasive method which helps in diagnosis and guides for treatment of various paediatric lesions.Methods: This was an observational study done during the pandemic of COVID-19 at department of pathology in Andhra Medical College, Visakhapatnam from March 2020 to October 2020 .The total number of cases were 91 who underwent fine needle aspiration (FNA) during this period. USG guided aspiration and fluids are also included in the study. Slides were fixed in 95% isopropyl alcohol and stained with Haematoxylin and Eosin. May Grunwald Giemsa stain, CBNAAT for acid fast bacilli and correlation with histopathology was done wherever required and results were tabulated.Results: In the present study the lesions were more common in female children (68.13%) and in the age group of 11-15 years (35.16%).Benign lesions (80.91%) were more common than malignant lesions. Majority of benign lesions were reactive lymphadenitis (32.5%) followed by tuberculous lymphadenitis (23.75%). The common malignant lesions were lymphoblastic and Hodgkin’s lymphoma, metastatic nasopharyngeal carcinoma, malignant peripheral nerve sheath tumour (MPNST), Langerhans cell Histiocytosis and Ewing’s sarcoma.Conclusions: Extra pulmonary tuberculosis in children is highly variable in severity and rate of progression with long term sequelae. The spectrum of malignancies in children is variable and region based. FNAC helped in early diagnosis and management of these cases.

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