scholarly journals Scenario of Fine Needle Aspiration Cytology of Neck Masses in a Tertiary Care Hospital

2012 ◽  
Vol 1 (1) ◽  
pp. 8-14 ◽  
Author(s):  
Md Atiqur Rahman ◽  
Md Mamun Ali Biswas ◽  
Abdul Mannan Sikder
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Care Hospital ◽  
Aspiration Cytology ◽  
Inflammatory Lesions ◽  
Fine Needle ◽  
Neck Masses ◽  
Neoplastic Lesions ◽  
Needle Aspiration Cytology

Background: Masses in the neck are very common and these may range from inflammatory to neoplastic lesions. Fine needle aspiration cytology (FNAC) is a simple, quick and minimally invasive procedure that is well recognized and widely accepted diagnostic tool in separating inflammatory lesions from cystic and neoplastic lesions of the neck. We designed this study in our populations for evaluation of FNAC of different neck masses and that might facilitate the diagnosis and management of these lesions. Objectives: To find out the frequency of different pathological conditions detected on FNAC, to determine the prevalence of neck masses with respect to age and sex and to assert their organs of origin and the nature of the lesions. Materials and Methods: This study was conducted in the Department of Pathology, Enam Medical College, Savar, Dhaka from January 2009 to August 2010. The patients of any age and either sex with neck masses were included. Total 526 patients with neck swellings were included in this study. Among these 60.6% were females and 39.4% were males with male to female ratio of 1:1.54. The age of the patients ranged from 10 months to 85 years with mean age of 32.52 ±17.01 years. Results: Of the 526 cases 341 (64.8%) were from lymph nodes, 127 cases (24.2%) from thyroid glands, 32 cases (6.1%) from salivary glands, 14 cases (2.7%) from cysts and 12 cases (2.2%) from soft tissues. FNAC revealed that 86.2% of the lesions were non-malignant which included 60.5% of inflammatory lesions and 25.7% of other benign lesions. Malignant lesions were found in 8% of cases and 5.9% of the cases were categorized as indeterminate follicular neoplasm of the thyroid gland. Conclusion: Reactive lymphadenitis is the commonest condition in the neck swellings followed by tuberculous lymphadenitis, nodular goiter and malignant neoplasm, especially metastatic carcinoma.DOI: http://dx.doi.org/10.3329/jemc.v1i1.11131 J Enam Med Col 2011; 1(1): 8-14

scholarly journals Clinicopathological evaluation of benign neck masses with emphasis on correlation of preoperative ultrasound and cytology with postoperative histopathology in tertiary care hospital

2019 ◽  
Vol 5 (4) ◽  
pp. 946
Author(s):  
Priyanka Garud ◽  
Surendra Gawarle ◽  
Prashant Keche
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Care Hospital ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Neck Masses ◽  
Number Of Patients ◽  
Wide Range ◽  
Needle Aspiration Cytology

<p class="abstract"><strong>Background:</strong> Benign neck mass is a common clinical condition which an ENT clinician routinely encounters. Commonly presenting benign neck masses occur within lymph nodes, thyroid, parotid and other salivary glands. Less common pathologies presenting as neck swellings are from thyroglossal cysts, branchial cleft cysts, carotid body tumors, cystic hygromas, pharyngeal pouch abnormalities and lumps of skin appendages.</p><p class="abstract"><strong>Methods:</strong> This is prospective observational based study. Duration of study is 1 yr 6 months. All palpable neck masses which are clinically diagnosed as benign were selected.</p><p class="abstract"><strong>Results:</strong> Study was conducted in Shri Vasantrao Naik Government Medical college, Yavatmal of 123 patients out of which 84 were thyroid swellings, 18 were salivary gland swellings and 21 were other swellings out of which 9 were lymph node swellings. 80.48% were female patients and 19.51% were male patients. Maximum number of patients were between the age group 31-40 years (28.45%) followed by 26.05% in 41-50 years. This is 1yr 6months observational study of epidemiological and clinicopathological spectrum and outcome of management of benign neck masses. This study also determines the histopathological correlation and accuracy of FNAC in the diagnosis of benign neck masses.</p><p class="abstract"><strong>Conclusions:</strong> We conclude from present study, that fine needle aspiration cytology is a safe, simple and more accurate than USG that can be done in diagnosing wide range of neck swellings. Probably USG guided fine needle aspiration cytology will be better investigation one can ask for. However confirmatory and accurate diagnosis is given by histopathology.</p>

scholarly journals Cytomorphological study of lymphadenopathy on fine needle aspiration cytology in a tertiary care hospital of western Maharashtra

2019 ◽  
pp. 27-29
Author(s):  
Bageshri Parikshit Gogate ◽  
Shital Subhash Gosavi
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Tertiary Care ◽  
Needle Aspiration ◽  
Care Hospital ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Common Diagnosis ◽  
Neoplastic Lesions ◽  
Needle Aspiration Cytology

Introduction: Lymph nodes are the most widely distributed and easily accessible component of lymphoid tissue. A large spectrum of diseases including reactive processes,infections, lymphomas and metastatic tumors can cause lymphdeopathy. FNAC is used as a triage to distinguish between cases of lymphadenopathy with high or low level of level suspicion of significant disease and thus an immediate decision can be made wheather to simply observe the node,to recommend a course of antibiotics,or to refer the patient to a specialist for further investigation. Objective: The present study has been undertaken to study the different cytomorphological patterns associated with various lymphadenopathies and the role of FNAC in detecting lymph node lesions. Materials and Methods: A retrospective study of 117 cases of lymphadenopathy was carried out in the department of pathology. FNAC smears were carefully studied and categorized into non neoplastic and neoplastic lesions. Result: Our of 117 cases,98 cases(83.76%)were non-neoplastic and 12 cases(10.25%) were neoplastic. 7(5.98%) were inconclusive for opinion.Out of the non neoplastic lesions, reactive lymphadenitis was the most common diagnosis(56/98,57.14%).Among the neoplastic lesions, metastatis was the most common diagnosis (9/12,75%). Sensitivity, specificity and diagnostic accuracy was 83.33%,100% and 83.33% respectively. Conclusion: Fine needle aspiration cytology plays a important role in the diagnosis and management of the various lymphadenopathies.

scholarly journals A comparative study of fine-needle aspiration cytology and histopathology in salivary gland lesions

1970 ◽  
Vol 1 (2) ◽  
pp. 108-113 ◽  
Author(s):  
S Vaidya ◽  
A Sinha ◽  
S Narayan ◽  
S Adhikari ◽  
KC Sabira
Keyword(s):  
Salivary Gland ◽  
Diagnostic Accuracy ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Neoplastic Lesions ◽  
Needle Aspiration Cytology ◽  
Sensitivity Specificity

Background: A wide variety of benign and malignant tumours originate in the salivary glands and insufficient tumour cells make their diagnosis difficult in some patients. The aim of this study was to evaluate the efficacy of fine-needle aspiration cytology in the diagnosis of salivary gland lesions and to correlate cytological findings with histopathology. Materials and Methods: This was a prospective study done from September 2002 to May 2004. Fine needle aspiration cytology was performed in 58 patients with clinically significant salivary gland masses. Results: Fine needle aspiration cytology categorized 67.24% of the salivary gland lesions as neoplastic and 32.76% as non-neoplastic lesions. Amongst the neoplastic lesions, 76.9% were benign and 23.1% were malignant cases. Histopathological examination revealed that 81.05% of the cases were benign and 18.95% were malignant. Fine needle aspiration cytology had a sensitivity, specificity and diagnostic accuracy of 81.82%, 100% and 96.55%, respectively. The positive predictive value and negative predictive value was 100% and 95.9%, respectively. Conclusion: Fine needle aspiration of the salivary gland is a safe and reliable technique in the primary diagnosis of salivary gland lesions. Although, limitations are encountered while predicting specific lesions on cytology, especially when dealing with cystic and some malignant lesions, this study has shown that fine needle aspiration cytology has a high sensitivity, specificity and diagnostic accuracy in diagnosing salivary gland lesions. Keywords: Salivary glands; Fine needle aspiration cytology; Histopathology DOI: http://dx.doi.org/10.3126/jpn.v1i2.5403 JPN 2011; 1(2): 108-113

scholarly journals A study of fine needle aspiration cytology in salivary gland lesions in a rural population

2017 ◽  
Vol 4 (2) ◽  
pp. 307
Author(s):  
Anil R. Joshi ◽  
Dnyaneshwar S. Jadhav ◽  
Balaji D. Baste ◽  
Shweta K. Ranka
Keyword(s):  
Salivary Gland ◽  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Needle Aspiration ◽  
Primary Diagnosis ◽  
Aspiration Cytology ◽  
Reliable Technique ◽  
Fine Needle ◽  
Neoplastic Lesions ◽  
Needle Aspiration Cytology

Background: Fine needle aspiration cytology (FNAC) of suspected salivary gland lesions has an established role in preoperative diagnosis and management of patients. However diverse morphological patterns and overlapping features make it a challenging job, to give a precise diagnosis at times.Methods: This was a prospective study done from October 2011 to October 2013. Fine needle aspiration cytology was performed in 64 patients with clinically significant salivary gland lesions.Results: Fine needle aspiration cytology categorized 38 (59.4%) of the salivary gland lesions as neoplastic and 26 (40.6 %) as non- neoplastic lesions. Amongst the neoplastic lesions, 86.9% were benign and 13.2% were malignant cases.Conclusions: FNAC of the salivary gland is simple, cheap, safe and reliable technique in the primary diagnosis of salivary gland lesions.

scholarly journals Correlation of Fine Needle Aspiration Cytology and Histopathology of the Neck Swellings Presenting at National Academy of Medical Sciences, Kathmandu, Nepal

2017 ◽  
Vol 2 (2) ◽  
pp. 206-210
Author(s):  
Harihar Devkota ◽  
YC Sibakoti ◽  
S Menyangbo ◽  
S Basnet ◽  
MK Jha ◽  
...  
Keyword(s):  
Fine Needle Aspiration ◽  
Gold Standard ◽  
Fine Needle Aspiration Cytology ◽  
Calculated Data ◽  
Needle Aspiration ◽  
Invasive Technique ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Neck Masses ◽  
Needle Aspiration Cytology

IntroductionNeck masses are frequently found in clinical practice. A spectrum of pathological lesions ranging from inflammation to benign and highly malignant manifestation is observed. Fine needle aspiration cytology (FNAC) of neck masses is a quick, easy, safe and cheap technique in the diagnosis which has been a well-accepted procedure in diagnosing various swellings. Histopathology is a gold standard technique in diagnosing any swelling which also provide detail architecture, however it also requires OT setings, more manpower, expensive, time consuming, more traumatic and can sometimes become difficult.ObjectiveThe objective of our study was to evaluate the frequencies of neck swellings and how efficacy FNAC is in diagnosing neck masses by correlating the gold standard histopathological examination.MethodologyA Hospital based descriptive cross sectional prospective study was conducted in 50 patients with neck swellings presenting in the surgery OPD and admitied patient for some other reasons. FNAC and histopathological examinations were done from those lesions and were compared. The sensitivity, specificity and accuracy rates were calculated. Data entry and analysis was performed using SPSS.ResultsA total of 50 patient were subjected to both FNAC and histopathology examination (HPE). Out of 50 cases, 25 were male and 25 were female. The age ranged from 16 to 82 years. Lymph nodes 22 (44%) was the most common case, followed by thyroid 17 (34%), salivary glands 10 (20%) and soft issue 1 (2%).Among all Tubercular lymphadenitis (18%) followed by papillary carcinoma of thyroid (14%),metastatic carcinoma of lymph node, NHL, and pleomorphic adenoma 10% each. The sensitivity of FNAC in diagnosing neck masses is 90.08%, specificity is of 98.53%, and diagnostic accuracy is of 87.64%.ConclusionFNAC is a simple, fast, inexpensive, and minimally invasive technique which can be used as the first line investigation in diagnosing neck swellings.Birat Journal of Health SciencesVol.2/No.1/Issue 2/ Jan - April 2017, page: 206-210

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