ULTRASONOGRAPHY AND COMPUTED TOMOGRAPHY GUIDED FINE NEEDLE ASPIRATION CYTOLOGY IN DIAGNOSING INTRA-ABDOMINAL LESIONS- A 6-YEAR RETROSPECTIVE STUDY IN A TERTIARY CARE HOSPITAL IN MANIPUR
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 58
Abstract
BACKGROUND Fine-Needle Aspiration Cytology (FNAC) is a widely used method, which is accurate and safe in a readily palpable masses. But, in those inaccessible lesions and deeper organs are safely aspirated using fine needle radiological procedure like ultrasound or computed tomography guided. The aim of the study is to assess the utility of FNAC in the diagnosis of intra-abdominal lesions and different pattern of lesions in particular to the sites. MATERIALS AND METHODS This retrospective study was done in the Department of Pathology, Regional Institute of Medical Sciences (RIMS), Imphal, between June 2010 and June 2016. The study included 128 intra-abdominal masses. Giemsa and Papanicolaou’s stains were used. The cytological diagnosis was correlated with clinical and radiological data to arrive at a final diagnosis. RESULTS Reports on FNAC smears were retrospectively analysed, which had been done in various anatomic sites- liver (70 cases), colon (19 cases), gallbladder (17 cases), mesenteric lymph nodes (12 cases), ovary (3 cases), adrenals (2 cases) and 1 case each of pancreas, peritoneal wall, pelvic, suprapubic and flank masses. The mean age was 42.16 years with M:F of 1.3:1. The diagnostic yield was 85.2% in combination for Ultrasound Guided (USG) and Computed Tomography (CT) guided aspiration. The smears were classified as benign neoplastic, malignant neoplastic, non-neoplastic, inconclusive and unsatisfactory for interpretation. There were 79 (61.7%) malignant neoplastic lesion, 5 (3.9%) benign neoplastic lesion, 25 (19.5%) non-neoplastic lesion, one (0.7%) inconclusive lesions and 18 (14.1%) unsatisfactory smears. The liver and the colon were the most common sites. Adenocarcinomas and Hepatocellular Carcinoma (HCC) were the most common malignant lesions comprising of 35 (44.3%) and 25 (31.6%) of the total malignant lesions diagnosed. CONCLUSION Intra-abdominal FNA is a simple, economical and a safe procedure with high sensitivity, specificity and diagnostic accuracy and it can be utilised as a preoperative procedure for the management of intra-abdominal lesions.
Authors and Affiliations
Ratan Konjengbam, Napoleon Huidrom, Ningthibi Jessica Akoijam, Babina Devi Sorokhaibam
Keywords
Related Articles
- EP ID EP228086
- DOI 10.18410/jebmh/2017/701
- Views 96
- Downloads 0
A STUDY OF PAROTID LESIONS AND THEIR SURGICAL MANAGEMENT FROM A TERTIARY MEDICAL CENTRE OF EASTERN INDIA
The Parotid gland is commonly affected by swellings of diverse pathology which present as a mass in the retromandibular area. The pathology of these lesions are diverse varying from inflammatory lesions, cysts to benign...
HEAD-TO-HEAD COMPARISON OF TOLERABILITY AND ACCEPTABILITY OF SINGLE DOSE OF FOUR TOPICAL NSAIDS IN PATIENTS UNDERGOING CATARACT SURGERY: A RANDOMIZED OPEN LABEL PARALLEL GROUP STUDY
Ophthalmic NSAIDs are used to control pain, discomfort and inflammation associated with ocular conditions and also, following ophthalmic cataract surgeries. These drugs can cause ocular discomfort following administratio...
PATTERN OF LUNG CANCER METASTASIS BASED ON PET CT
BACKGROUND Accurate staging is the cornerstone in management of lung cancer. It helps to determine the therapeutic modality and to assess prognosis. More than half of bronchogenic carcinomas have distant metastasis at th...
SERUM SODIUM CHANGES IN NEONATES RECEIVING PHOTOTHERAPY FOR NEONATAL HYPERBILIRUBINEMIA
BACKGROUND: Neonates receiving phototherapy have side effects like hypocalcemia and electrolyte changes. Our study is hereby intended to study the serum sodium changes due to phototherapy. AIMS: To evaluate the serum sod...
HAEMOGLOBIN E/BETA-THALASSEMIA: A CASE REPORT FROM UPPER ASSAM, INDIA
We report here a patient from upper Assam region of India with Hb E/β thalassemia disease, whose father belongs to the tea garden community and mother is Assamese where Hb E is very common. The patient was suffering from...