Histomorphological Changes and Cytopathological Co-Relation of Tubo-Ovarian Mass
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 12
Abstract
Abstract: The ovarian tumours manifest with wide spectrums of clinical, morphological, and histopathological features. Cytological examination of ovarian masses is an efficient diagnostic modality for diagnosing ovarian tumors prior to surgery. The main aim of this study was to access the sensitivity, specificity, and accuracy of FNAC in diagnosing ovarian masses. Total 100 patients with ovarian masses were examined and correlation of cytology was made with histopathology in all cases. Cytology of peritoneal/ ovarian fluids was also included in the study. Out of 100 cases, 10 cases were inconclusive due to inadequate sampling and these were considered as cytological false negative for the respective lesions. From 28 non neoplastic lesions, 26 were truly diagnosed on cytology, 2 cases were false positive and 2 cases were false negative. From 48 cases of benign lesions, 40 cases were truly diagnosed, 3 cases were false positive and 8 cases were false negative. 2 cases of borderline tumors were diagnosed as benign on cytology. From 22 malignant cases, 19 cases were truly diagnosed, 3 cases were false negative and no false positive case was found on cytology. Hence, overall sensitivity, specificity and accuracy for cytological diagnosis were 87.52%, 97.15%, 94% respectively. USG guided FNAC seems to be relatively safe, simple, fast and cost effective procedure. In addition, this procedure may be useful in deciding management guidelines prior to any surgical interventions.
Authors and Affiliations
Dr. Brinda S. Chandibhamar, Dr. Shamim S. Sheikh
Keywords
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