AN EXPERIENTIAL STATUS OF FINE NEEDLE ASPIRATION CYTOLOGY OF HEAD AND NECK LESIONS IN A TERTIARY CARE SCENARIO (original) (raw)
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Role of Fine needle aspiration cytology in Head and neck lesions
IP Innovative Publication Pvt. Ltd., 2017
Introduction The common head and neck lesions encountered in routine daily practice are from lymph nodes, salivary glands, soft tissue tumors, and thyroid. The beginning inexpensive diagnostic procedure that the clinician can think is the Fine needle aspiration cytology (Fnac). It is simple, easy and diagnosis can be obtained in few hours. Materials and Method: Our study is a prospective study which included Fnac technique on 50 cases of head and neck lesions. From lymph nodes, soft tissues, salivary gland. However thyroid lesions were excluded from the study. The study was done for 1 year from 2016 January to 2016 December in Adichunchanagiri Institute of Medical Sciences, Pathology department. Results: Reactive/ non-specific lymphadenitis was the common diagnosis obtained in 19 cases. Followed by metastatic deposits in the lymph nodes in 16 cases. Tuberculous (TB) lymphadenitis was in 8 cases. Salivary gland neoplasm's in 3 case, and 3 cases of non-neoplastic salivary gland lesions out of which sialadinitis in 2 case and sialadinosis in 1 case. 1 case of epidermal cyst. Conclusion: Fnac is a simple diagnostic tool to diagnose most important clinical conditions like metastatic deposits and TB lymphadenitis. Compared to other expensive mode of diagnosis in this modern medicine era, Fnac still plays a very important vital role in finding the occult malignant neoplasms.
https://www.ijrrjournal.com/IJRR\_Vol.9\_Issue.8\_Aug2022/IJRR-Abstract15.html, 2022
Background: Fine needle aspiration cytology (FNAC) is a rapid, economical and less invasive method used for diagnosis in case of head and neck lesions which are commonly seen in general practice. Aim: The present study was designed to find out the spectrum of head and neck masses, and to assess advantage of using FNAC in the diagnosis of palpable head and neck masses. Material And Methods: This was a retrospective study conducted over a period of 3 years from May 2019 to May 2022 in the department of pathology at district hospital JLNM. FNAC was performed on head and neck swellings and were evaluated for cytomorphology. Results: A total of 583 cases were studied. Majority of the patients belonged to the age group of 30 to 50 years. Out of 583 cases, 299 were males and 284 were females. Maximum cases were from lymph nodes (241) accounting for 41.3% of total cases. 35.5% (207 cases) were from skin and soft tissue swellings. 17.4% (102 cases) were of thyroid, and 5.6% from salivary gland (33 cases). Conclusions: FNAC is a reliable procedure for screening and diagnosing palpable head and neck lesions. It is extremely sensitive, specific and helps as an adjunct to histopathology. FNAC helps to decide as to whether to resect a benign tumour or to plan extensive surgeries and helps in guiding the therapeutic management by avoiding unnecessary surgeries and expenses.
Study of fine needle aspiration cytology of palpable head and neck lesions in tertiary care centre
IP Innovative Publication Pvt. Ltd., 2018
Introduction: Fine Needle Aspiration Cytology (FNAC) of neck masses is a quick, easy, safe and cheap technique and has been a well accepted procedure in diagnosing various swellings. In head and neck regions FNAC is widely used such as in the lymph nodes, thyroid, salivary glands and other neoplasms. Aims and Objectives: 1.To evaluates the role of FNAC and its utility in diagnosis of palpable head and neck masses; 2. To study the spectrum of head and neck lesions in rural population; 3. To study diagnostic accuracy of FNAC by histopathological correlation wherever possible. Materials and Methods: The present study includes 706 cases of palpable head and neck swelling in department of pathology of tertiary care centre from January 2016 to June 2017. Aspiration was done and cytological diagnosis was given. Cyto-histopathological correlations were done wherever possible. Result: Total 706 patients of palpable head and neck lesions studied out of that lymph node (33.00%) was common site followed by, thyroid lesion (30.31%), miscellaneous (22.80%) and salivary gland (13.88). Most common nonneoplastic, benign neoplastic and malignant neoplastic lesion is reactive lymphadenitis, colloid goiter of thyroid and metastasis of squamous cell carcinoma in lymphnode respectively. Accuracy rate of FNAC in 70 cases which are correlated with histopathological examination was 95.71% with sensitivity and specificity of 78.57% and 100% respectively. Conclusion: Fine needle aspiration cytology is simple, rapid and safe diagnostic tool with accuracy of 95.71% for differentiating neoplastic from nonneoplastic lesions of palpable head and neck region. Keywords: FNAC, Head and neck, Lymph Node, Thyroid.
Objective: To determine the efficacy of fine needle aspiration cytology in the diagnosis of head and neck lesions with special emphasis on the limitations.Methods: This was a retrospective, cross sectional analytical study. Fine needle aspiration cytology was performed on 250 cases presenting with head and neck lesions. The smears were categorized into four categories as inflammatory/reactive, benign, indeterminate and malignant. Results of these were correlated with histopathology in 50 cases in which surgery was performed.Results: Out of 250 cases 125 cases (50%) were from the thyroid, 84 (33.6%) were from the lymph node, 15 (6%) were from the salivary glands and 26 (10.4%) belonged to the miscellaneous group. The overall sensitivity , specificity, positive predictive value, negative predictive value and accuracy were 50%, 100%, 100%, 88.63% and 89.74% respectively.Conclusion: FNAC is simple, safe and cost effective procedure in delineating the heterogeneous lesions occurring in the head and neck region with certain limitations.
Journal of Evolution of medical and Dental Sciences, 2021
BACKGROUND Fine needle aspiration cytology (FNAC) is a rapid, economical and less invasive method used for diagnosis in case of head and neck lesions which are commonly seen in general practice. Aim was to assess advantage of using FNAC in case of diagnosis of palpable head and neck masses. We wanted to assess the prevalence and distribution of head and neck swellings diagnosed by FNAC, assess the frequency and distribution of various lesion as per the site, age, and gender as well as according to the lesion being benign or malignant. METHODS This was a retrospective study conducted among five hundred and forty-four patients who went through FNAC for different types of head and neck swellings evaluated for cytomorphology. RESULTS Majority of the patients belonged to the age group of 31 to 40 years. Out of 544 cases, maximum lesions were from lymph nodes 264, followed by thyroid gland 193, salivary gland 59, cheek lesions 18, post–auricular 8 and forehead / scalp lesions 2 cases resp...
FINE NEEDLE ASPIRATION CYTOLOGY OF THE HEAD AND NECK MASSES: ONE YEAR PROSPECTIVE STUDY.
Background: Fine needle aspiration cytology is a technique for obtaining cells from a lesion for cytological examination and evaluation. In the head and neck region, FNAC is of great value because of the multiplicity of accessible organs and heterogenous pathologies encountered. Aims and objectives: The present study aimed at studying the spectrum of various lesions presenting in the head and neck region based on cytological findings and to assess distribution amongst neoplastic and non neoplastic lesions. Methodology: A prospective study was conducted in the postgraduate department of Pathology, GMC, Jammu from 1st November, 2014 to 31st October, 2015. Results: A total of 900 aspirations were performed in the head and neck region. Swellings arising from lymphnodes formed the largest group 441(49%) cases, thyroid gland group comprised of 175(19.44%) cases, salivary gland origin lesions comprised of 67(7.45%) cases and miscellaneous group 217(24.11%) lesions. Aspiration was satisfactory in861(95.67%) and cytodiagnostic yield was 850(94.44%) in the study. In the lymph node group the most common diagnosis was reactive lymphadenitis in 191(43.31%) cases followed by tubercular lymphadenitis in 125(28.34%).In the thyroid gland group, most common pathology was colloid goiter in 93(53.14%) cases among non neoplastic category and papillary carcinoma in 7(4%) in neoplstic category. Sialadenitis and pleomorphic adenoma(35.82%) each was the most frequent diagnosis in salivary gland group. Epidermal incusion cyst(33.18%) was the most common diagnosis in miscellaneous group. Conclusion: FNAC is a simple, safe and inexpensive tool for the assessment of patients with head and neck swellings. It can differentiate non neoplastic lesions from neoplastic ones and avoid unnecessary surgeries.
Fine needle aspiration cytology (FNAC) is simple, quick, inexpensive and minimally invasive technique used to diagnose different types of swellings located in the head and neck region most commonly originating from cervical lymph node, thyroid, parotid and salivary glands. Aims: To assess the frequency of incidences of different sites, age groups, sex and distribution among inflammatory non neoplastic and neoplastic lesion. Material and Methods: A retrospective study was conducted between Jun 2011 to Jun 2012. Fine needle aspiration diagnosis was correlated with detail of relevant clinical data and investigations. Patients between the ages of 1 to 70 years were included in the study. A total of 450 patients with head and neck mass underwent FNAC. Results: Out of 450 fine needle aspiration procedures, 69% were of lymph node, 20% were thyroid, 06% from salivary gland, 06% from soft tissue and miscellaneous swellings. Conclusions: It is concluded that head and neck swellings are very common conditions in clinical practice. Our study found that FNAC is simple, quick, low cost and minimally invasive technique to diagnose different types of head and neck swellings. It could differentiate the infective process from neoplastic one and avoids unnecessary surgical intervention.
Fine Needle Aspiration Cytology versus Histopathological Examination in Head and Neck Lesions
IOSR Journal of Dental and Medical Sciences, 2016
Aim: To study the cytomorphological features of head and neck lesion using fine needle aspiration cytology (FNAC) and compare its results with histopathology of the same lesion, thereby, to determine the diagnostic efficacy of FNAC. Methods: FNAC results of 120 patients presenting with head and neck swellings to Dept. of ENT and Head and Neck Surgery, Govt. Medical College, Jammu were analysed and categorized into benign and malignant conditions. The cytological findings of these lesions were compared to histopathology findings of the same lesion in 96 patients and the efficacy of FNAC was determined in terms of sensitivity, specificity and accuracy. Results: The overall sensitivity, specificity and accuracy of FNAC in cases of head and neck swellings in the present study is 86.7%, 92.2% and 95.5% respectively. It is 100% sensitive, specific and accurate in case of lymph node swellings while it is 72.3% & 75% sensitive, 86.6% & 94.4% specific and 89.5% & 92.5% accurate in cases of thyroid swellings and salivary gland swellings respectively. Conclusion: Simple technique, high compliance, cost effectiveness and high specificity make FNAC as the first diagnostic invasive procedure in the management of head and neck swellings, despite some limitations.
National Journal of Medical Research, 2013
Background: Fine needle aspiration cytology (FNAC) of broad and highly sensitive head and neck region is particularly suitable for confirming non-neoplastic and metastatic lesions as it can prevent a surgical process and anaesthetic conditions and can provide a suitable guidance for conservative management. Aim and objective: To access the role of FNAC in diagnosing various head and neck swellings. Material and methods: This retrospective study was done in a tertiary care hospital from 1/1/2012 to 31/12/2012 in patients having swelling in head and neck region. Total 701 cases were evaluated in the cytopathology section and aspiration was done using 10ml syringe and 22-23 gauge needles. Results: Cytodiagnostic yield was 90% while in only 10% cases, no diagnosis was given. Lymph node lesions were most common with granulomatous/ tuberculous lesions being the commonest variety. In salivary gland lesions, neoplastic lesions (benign: Pleomorphic adenoma) were commonest. Other common lesions were squamous cell carcinomas and lipomas as common malignant and benign tumours respectively. Conclusion: FNAC provides a reliable, cost effective, convenient, easily accessible and non-traumatic method as the best initial work up and management of swellings of sensitive head and neck region.
" The Role Of Fine Needle Aspiration Cytology In Evaluation Of Neck Masses
Background: Fine needle aspiration cytology is a minimally invasive technique used in the initial diagnosis of different types of lesions located in neck region commonly originating from cervical lymph node, thyroid gland, salivary glands and soft tissues. The objective of this study was to evaluate the diagnostic accuracy, sensitivity and specificity of FNAC in various neck lesions in correlation with their histopathological examination.Materials and methods: A hospital based prospective study was conducted among 86 patients with palpable neck region lesions in the Department of Pathology, SPMC BIKANER from JUNE 2011 to December 2013. FNAC weredone from palpable masses of neck regions.Result: There were 86 FNAC cases enrolled, out of which lymph node lesions (n=42) were the most common lesions followed by thyroid (n=26), other miscellaneous lesions (n=2) and salivary gland (n=14) and 2 are unsatisfactory. In the present study,out of the total 86 samples, 46 cases(53.48%)were non–neoplastic, while 40 cases (46.51%)were neoplastic lesions. Among the 40 neoplastic lesions, 13 cases were benign (32.50%)and 27 cases (67.50%) were malignant. High accuracy(95.23%),sensitivity(81.81%) and Specificity(93.93%) were observed in this study. Conclusion: FNAC is a minimally invasive first line investigation with a high sensitivity and specificity for the diagnosis of various neck lesions