Study Of Fine Needle Aspiration Cytology In Head And Neck Lesions
Study Of Fine Needle Aspiration Cytology In Head And Neck Lesions
DOI:
https://doi.org/10.70284/njirm.v6i6.1015Keywords:
FNAC, histopathology, thyroid, lymph nodes, salivary glands, soft tissueAbstract
Background and Objectives: This study is done to evaluate the role of FNAC in head and neck massesandal so to study their distribution. A correlation was done between cytology and histopathology whenever surgical specimens were available and to assess the accuracy, sensitivity, specificity, positive predictive value and negative predictive value in various head and neck lesions. Methodology: From500cases, FNA smears were taken and stained with PAP, MGG and special stains whenever required. FNA results were interpreted and analysed according to the anatomical sites and the lesions were categorized into inflammatory and neoplastic conditions. Results: Among 500 cases, histopathological correlations were available only in 103 cases. The sensitivity, specificity, predictive value of the positive test, predictive value of the negative test lesions which were being detected were88.89%, 80.64%, 66.67%, 50% respectively. There were no false positives. The diagnostic accuracy of the salivary gland, lymph node and soft tissue lesions were 87.13%. Conclusion: There was perfect agreement in a majority of the lesions. The technique is simple, safe, convenient and an accurate method for tissue diagnosis. Hence, FNAC is an effective diagnostic tool in the diagnosis of head and neck masses. [Joshi D NJIRM 2015; 6(6):43-46]
References
2. RajuG,KakarPK,DasDK,DhingraPL,BhambhaniS.Roleoffineneedleaspiration biopsyin headandnecktumours.TheJoflaryngol and Otol 1988;102:248-51.
3. AfrozeN,Kayani N,Hasan KS,Role of fine needle aspiration cytology in the diagnosis of palpablethyroid lesions. Indian J Pathol Microbiol
2002; 45(3): 241-46.
4. JainM,MajumdarDD,Agarwal K,BaisAS,Chou- huryM.FNAC asadiagnostictoolinpediatric headandnecklesions.IndianPediatr1999;36:
921-23.
5. Jayaram G Fine needle aspiration cytologic studyofthesolitarythyroidnodule.Profileof
308caseswithhistologiccorrelation.Actacytol
1985;29(6):967-73
6. Tong, Chan, Lee.Diagnosing Kikuchi diseaseon fineneedle aspirationbiopsy. Aretrospective study of 44cases diagnosed by cytology and8 by histopathology. Acta Cytol 2001; 45: 953-57.
7. Silver man JF. Fine needle aspiration cytology of catscratchdisease.ActaCytol1985;29(4):542-46.
8. Hidvegi D F, Sorensen K, Lawrence J B, Nieman
HL, Isoe C Castleman’s disease. Cytomorphologic andCytochemicalfeaturesofacase.ActaCytol
1982; 26(2): 243-46.
9. FernandesGC,PanditAA.Diagnosis ofsalivary glandtumoursbyFNAC.BombayHospJ2000;
42(1): 1-5.
10. KumaraS,ChowdhuryN.Accuracy,limitations andpitfalls inthediagnosisofsofttissue tu- mours byfineneedleaspirationcytology.Indian J. Pathol Microbiol 2007; 50(1):42-45.
11. ShaanKhetrapal,SujataJetley,ZeebaJairajpuri,SafiaRana,SunilKohli fnac of head &neck lesions and its utility in clinical diagnosis: a study of 290 cases NJMF/Volume-5/Issue-1/Jan-March 2015 :35-38
12. FernandesH,D’SouzaCRS,ThejaswiniBN.Roleof Fine Needle AspirationCytology inPalpable Head and NeckMasses.JCDR 2009;3:1717-25.