scholarly journals Role of FNAC in evaluation of Parotid Gland Swelling

2019 ◽  
Vol 20 (1) ◽  
pp. 7-12
Author(s):  
Krisna Rani Majumder ◽  
Syed Serajul Karim ◽  
Md Monjurul Alam ◽  
Rajan Karmakar ◽  
Abu Taher Md Ashaduzzaman

Objectives: To find out the histological types of parotid neoplasm and to correlate thefindings of FNAC and final histological report in parotid gland neoplasm. Methods: A total 30 cases were studied from the inpatient departments of General Surgeryand Otolaryngology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka sinceJuly, 2011 to April, 2013. Fine Needle Aspiration Cytology (FNAC) was done in all cases andcompared with histopathology finding of postoperative specimen. Result: Regarding sex distribution benign neoplasm in female 13 (56.52%) and in male10(43.47%). As to the malignant parotid neoplasm in female 4(57.14%) and in male3(42.85%). All parotid neoplasm male: female ratio 1:1.3. Two cases involved in deep lobeof parotid & presented with inward and forward bulging of tonsil and pillars. Three cases ofwarthin'stumour only presented with swelling in the tail of parotid gland. In this series outof 30 cases of parotid neoplasm 23 (76.66%) cases were benign and rest 07 (23.33%)were malignant. Pleomorphic adenoma was the most common benign neoplasm 20(66.66%). Mucoepidermoid Carcinoma was most common malignancy 3 (10%) followed byadenoid cystic carcinoma 2 (6.66%). Out of 7, 3 were stage 3(42.85%) and 3 were stage4(42.85%). In histological grading 3 were low grade (42.85%) and 4 were high grade(57.14%). All the patient werepartotidectomy. Few were treated by radical parotidectomyplus radiotherapy. Conclusion: Though it is a small series to comment on the whole spectrum of the parotidgland neoplasm in Bangladesh, yet an idea about the frequency of disease can be establishedbut actual incidence in Bangladesh as a whole can not be ascertained from thisstudy. Journal of Surgical Sciences (2016) Vol. 20 (1) : 7-12

2019 ◽  
Vol 17 (1) ◽  
pp. 30-34
Author(s):  
Krisna Rani Majumder ◽  
Syed Serajul Karim ◽  
Md Monjurul Alam

Objectives: To correlate the findings of FNAC with final histological report in parotid gland swelling and to find out the histological types of parotid neoplasm. Methods: An attempt has been made to find out age and sex distribution, FNAC findings and histological type of parotid gland neoplasm. A total 30 cases were studied from the inpatient departments of General Surgery and Otolaryngology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka since July, 2011 to April, 2013. Result: Regarding investigations in this series Fine Needle Aspiration Cytology (FNAC) was done in all 30(100%). In this series out of 30 cases of parotid neoplasm 23 (76.66%) cases were benign and rest 07 (23.33%) were malignant. Among the benign tumours commonest was pleomorphic adenoma 20 (66.66%) and regarding malignancy Mucoepidermoid Carcinoma was most common 3 (10%) then adenoid cystic carcinoma 2 (6.66%). Out of 7, 3 were stage 3(42.85%) and 3 were stage 4(42.85%). In histological grading 3 were low grade (42.85%) and 4 were high grade (57 .14%). All the patient underwent partotidectomy. Few were treated by radical parotidectomy plus radiotherapy. Early diagnosis and treatment of major salivary gland tumour is likely to lead a fare outcome. Conclusion: FNAC is a useful preoperative diagnostic tool for parotid gland swelling with high specificity and sensitivity. Though it is a small series to comment on the whole spectrum of the parotid gland swelling in Bangladesh, yet this study has been designed to see the role of FNAC in neoplastic parotid lesion which will be beneficial for proper management. Journal of Surgical Sciences (2013) Vol. 17 (1) : 30-34


2020 ◽  
Vol 7 (49) ◽  
pp. 2918-2922
Author(s):  
Sreekanth Kotagiri ◽  
Ajay Chanakya Vallabhaneni ◽  
Sumanth Prasad Mandava ◽  
Manikanta Chowdary ◽  
Tarun Chowdary Gogineni ◽  
...  

BACKGROUND Salivary gland (SG) neoplasms are rare, constitute of 3 - 4 % of head and neck tumours. 70 - 80 % of SG neoplasms occur in parotid gland. These are unique in the way they present, generally slow growing. A study was conducted to analyse various modes of presentation of SG tumours and to review the role of FNAC (Fine Needle Aspiration Cytology) in the diagnosis of SG tumours. METHODS This was a prospective study, conducted in the department of surgical oncology, October 2016 to July 2018. Individuals aged >18 years, came with swelling of the SGs were considered. Swellings that were not neoplasms, the individuals with inflammatory or infections of SGs, autoimmune diseases were excluded. Statistical analysis were performed by SPSS software version-21 and MS excel 2013. RESULTS Out of 40 participants, male female ratio was 2.07. The age was ranged between 31 – 70 years, maximum (80 %) members were in 41 – 60 group. Parotid gland was the most commonly followed by submandibular gland (20 %). Swelling alone was observed in 82.5 % (33) cases, two cases (5 %) presented with swelling along with pain with facial nerve involvement. CONCLUSIONS SG tumours occur in 4th to 6th decade, common among men. Parotid gland is most frequently involved, most often benign. FNAC had good accuracy in diagnosis and surgery is the main modality of treatment. KEYWORDS Salivary Gland, Tumour, Neoplasms, FNAC


2014 ◽  
Vol 4 (7) ◽  
pp. 530-533
Author(s):  
D Ghartimagar ◽  
A Ghosh ◽  
K Gautam ◽  
S Thapa ◽  
SR Shrestha ◽  
...  

Background: Pilomatricoma is a slow-growing, asymptomatic tumour originating from outer sheath cells of hair follicle. In this study, we describe the clinical presentation and histopathological features of pilomatricoma. Materials and Methods: This was a hospital based retrospective study carried out in all patients who were diagnosed as pilomatricoma over a period of January 2001 to December 2013. The study was done in department of pathology, Manipal Teaching Hospital, Nepal. Results: A total of 21 cases of pilomatricoma were reported with age range of 9-53 years (mean age 23.7) and male female ratio of 1:1.1. The most common site of occurrence was neck and preauricular region. The size of the tumour ranged from 0.3 to 4.7cm with a mean of 1.2cm. Multiple occurrences were seen in 3 patients and ossifying pilomarticoma was seen in 4 cases. Conclusion: Pilomatricoma is a benign skin neoplasm of hair follicle matrix cells. Calcification is a common finding while dystrophic ossification also can occur in the tumour. Histopathology gives the definite diagnosis as fine needle aspiration cytology and clinical impression may be misleading. DOI: http://dx.doi.org/10.3126/jpn.v4i7.10293 Journal of Pathology of Nepal (2014) Vol. 4, 530-533


Author(s):  
Jose Ma. C. Avila

This 52-year-old male underwent fine needle aspiration biopsy of a 2cm diameter parotid mass that was firm, well-delineated, and vaguely moveable, The mass was not painful and was noted for about a year.  The aspiration biopsy smear was quite cellular and showed fragments of spindle-shaped cells with cigar shaped nuclei and scanty to indistinct cytoplasms.  Nuclei were vesicular and Verocay-like bodies were identified by cell patterns.  The biopsy was read as a benign spindle cell tumor, probably a schwannoma.   Excision of the mass revealed a typical schwannoma by histopathology. Schwannomas of the parotid gland are rare1 and arise from the intraparotid branches of the facial nerve.   Clues to the cytologic diagnosis include the cellular but benign spindly cell population clustered into Verocay body patterns and evidence of cyst degeneration in the form of histiocytes and even lymphocytes.2 Main differential diagnoses include the predominant spindle cell myoepitheliomas3 and some of the low grade sarcomas that may arise from the parotid gland.   The even rarer schwannomalike mixed tumor of the parotid4 gland must be also considered.


2021 ◽  
Vol 27 (1) ◽  
pp. 81-85
Author(s):  
Md Nazmul Haque ◽  
Mahmudul Amin Sakik ◽  
Mohammad Ashequr Rahman Bhuiyan ◽  
Moshammat Fatima Akhter ◽  
Saif Rahman Khan ◽  
...  

Objective: To observe the correlation between fine needle aspiration cytology (FNAC) and Histopathology in the diagnosis of thyroid lesions. Methods:It was a Retrospective record review study .One hundred four (104) Patients with enlarged thyroid gland of both sexes were selected from admitted patients of National institute of ENT, Tejgaon, Dhaka, Duration was from January 2017 to December 2018. Every patients had preoperative FNAC & postoperative histopathology report of thyroid lesions. Results: FNACdiagnosis of thyroid lesions were correlated with histopathology diagnosis. Out of 104 patients 26 were male 78 were female. Male-Female ratio were 1:3.out of 104 patients most Patients were 31 to 40 years of ageGroup.out of 104 cases of FNAC 9 cases were false Cyto-diagnosis. Overall accuracy rate was 91.35%. Conclusion: FNAC is a reliable, safe and relatively accurate method as apreoperative evaluationin thyroid gland swelling before surgery. FNAC has more accuracy in detecting thyroid gland malignancy and therefore it is a reliable diagnostic test for evaluation of thyroid swelling. Bangladesh J Otorhinolaryngol; April 2021; 27(1): 81-85


2016 ◽  
Vol 4 (2) ◽  
pp. 290-292 ◽  
Author(s):  
Vladimir Popovski ◽  
Alberto Benedetti ◽  
Danica Popovik Monevska ◽  
Aleksandar Grcev ◽  
Predrag Serafimovski ◽  
...  

BACKGROUND: Oncocytoma or oxyphilic adenoma is uncommon salivary gland tumour, occurs predominantly in the in patients older than 60 years of age. Clinically oncocytoma resemble other salivary tumours while histology is typically consisting of oncocytes with many hyperplastic mitochondria. It usually occurs in the parotid gland. Because the features of oncocytoma are similar to those of other benign and low-grade malignant salivary tumours, clinical diagnosis is often challenging.CASE PRESENTATION: This report presents the pathologic and imaging findings of an oncocytoma arising in the deep lobe of the right parotid gland in a 74-year-old male. Oncocytoma was diagnosed on the basis of histological, magnetic resonance imaging (MRI), scintigraphic findings and fine needle aspiration cytology (FNAC).CONCLUSION: This case was unique because in the literature there are few articles about the rare presentation and deep lobe location of this type of parotid oncocytoma.


Author(s):  
Alpesh V. Patel ◽  
Nehal R. Patel ◽  
Payal R. Vadher ◽  
Manali B. Kakadia

<p class="abstract"><strong>Background:</strong> The objective of the study was to identify various lesions of neck swellings and to study their distributions according<strong> </strong>to age, sex and site and to find out distribution of malignant, inflammatory and infective lesions in neck swellings.</p><p class="abstract"><strong>Methods:</strong> The prospective study was conducted in the department of ENT, SCL General<strong> </strong>Hospital, NHL MMC, Saraspur, Ahmedabad from July 2014 to July 2016. All indoor and outdoor 400 patients of SCL hospital presenting with palpable head and neck swellings were referred to the cytology section at SCL hospital for FNAC and included in present study.  </p><p class="abstract"><strong>Results:</strong> In our study out of 400 cases, lymph nodes constituted 276 cases with female<strong> </strong>preponderance. Among the inflammatory lesions, commonest lesion was tuberculosis which comprised of 147 cases followed by 64 cases of reactive lymphadenitis. In thyroid lesions the male: female ratio was 1:18, with maximum incidence in age group of 20-50 years. Total 95 cases were observed, out of which benign thyroid lesions (Bethesda grade II) were most common (92.63%). Salivary gland comprised of 11 cases, Out of 10 benign neoplastic lesions, 9 cases of pleomorphic adenoma and 1 cases of Warthin’s tumor were found.</p><p class="abstract"><strong>Conclusions:</strong> FNAC is a very simple and expeditious procedure which can be carried out without much<strong> </strong>problem. It reduces the necessities to perform excisions biopsy in many cases. Thus, FNAC can be recommended as a first line of investigation in the diagnosis of neck swellings and can be adopted as an outpatient procedure, thus reducing the cost and time of hospitalization.</p>


Author(s):  
Sehgal Tamanna ◽  
Kusum Anuradha ◽  
Ahuja Vivek

Background: Liver is a common organ for lodgement of various infections and metastasis from other parts of body. Fine needle aspiration cytology (FNAC) plays a major decisive diagnostic role and combined with USG diagnostic accuracy is 90-95% minimizing the need of biopsy. An increased in serum AFP concentration has been observed in Hepatocellular Carcinoma (HCC) and is an important serum tumor marker. Methods: The present study was done, with the aim of studying the cytomorphological features of hepatic lesions and their association with serum Alpha Fetoprotein (AFP) levels. Study was conducted on 56 patients who underwent USG guided FNAC for diagnosis of liver lesions. Cytomorphological pattern of liver lesions were studied and serum AFP levels of the same cases were measured. Results: Maximum number of cases was in age group of 61-70 years. Male: Female ratio was 1.4:1. 82.1% cases were malignant. Most common malignancy was Metastatic deposits of Adenocarcinoma (MDA). HCC was diagnosed in 5.4% cases. Serum AFP levels in HCC were 459.93 ± 41.69 ng/mL.15.4 % of the cases of MDA and 8.3% of the cases of Metastatic deposits of Poorly Differentiated Carcinoma (MDPDC) showed raised serum AFP levels. Association between cytodiagnosis and serum AFP range was statistically significant. Sensitivity=100%, specificity=81.4%, PPV=27.3% and NPV= 100% were obtained when serum AFP was used to differentiate metastatic lesions with HCC taking < 8.5ng/mL as cut off. Conclusion: USG guided FNAC of the liver is a rapid, reliable and economical screening test. Serum AFP has been the most widely used tumor marker for diagnosing HCC but raised levels are also seen in other hepatic lesions decreasing its specificity. Keywords: Liver, FNAC, Serum Alpha fetoprotein levels


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