Role of Fine needle aspiration cytology in Head and neck lesions (original) (raw)
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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.
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.
National Journal of Medical Research, 2012
Introduction: Fine needle aspiration cytology has become a rapid, cost effective investigative method for obtaining reliable tissue diagnosis especially for the sites like neck where considerable overlapping of various structures makes it difficult to reach to exact diagnosis. Objective: Present study was taken up to evaluate role of FNA in management and diagnosis of various neck lesions and to compare FNA with conventional biopsy for providing correct tissue diagnosis. Method: Total 641 cases of neck lesions were subjected to FNA and out of these, 71 were further subjected to conventional surgical biopsy and results were correlated histologically. FNACs were performed in outpatient department of a tertiary care hospital by 23-24 gauge needle and 10 ml syringe. Results: Out of total 591 satisfactory smears, there were 140 thyroid lesions, 20 salivary gland lesions, 400 lymphnode lesions, 31 cystic lesions of neck. The overall sensitivity, specificity, accuracy, positive predictive value and negative predictive value of FNA for neck lesions were 93.1%, 100%, 98.4%, 90.1% & 100% respectively. Conclusion: Thus, this study concludes that FNAC is quite sensitive, specific, accurate investigative procedure with very good patient compliance. Use of FNAC should be encouraged as an investigation for initial diagnostic evaluation of neck lesions
Fine Needle Aspiration Cytology as a Diagnostic Tool in Head and Neck Lesions
Journal of evolution of medical and dental sciences, 2014
Palpable masses of head and neck regions are quite common, affecting all age groups. The lumps are worrisome for both, clinicians and patients as the diagnostic spectrum ranges from innocuous inflammation to life threatening malignancies. Fine needle aspiration cytology plays a vital role in solving all this issues, and fine needle aspiration cytology is now being recognized as a rapid diagnostic technique because of its simplicity and high accuracy. AIM: This retrospective study was carried out at the Department of Pathology, BSR Hospital and diagnostic Centre Rajnandgaon (C.G.) for a period of one year from April 2013 to March 2014. The aim was to know the pattern and frequency of head and neck swelling in rural Indian population, and also to know the distribution of these lesions in relation to age and sex. RESULT: A total of 241cases of head and neck swelling were observed during this period. Age of presentation varied from 1 year to 82 years with male to female ratio of 1 to 1.23. Lymph node enlargement was the commonest cause (48.54%), followed by thyroid lesions (23.65%). Salivary gland lesions comprised 5.8% of all lesions. Tuberculosis/Granulomatous lymphadenitis and Non-specific lymphadenitis were the most common lesion observed constituting 22.4 %(n=54) each. Other common cause of swelling in region observed were due to Colloid goiter n=44 (18.25%), Cystic lesion n=20 (8.29%) and Abscess/inflammatory lesion n=16 (6.63%). CONCLUSION: During the first three decades, most of the swelling of the head and neck region was either due to Tuberculosis/Granulomatous lymphadenitis or due to Reactive lymphadenitis. Among thyroid swellings both colloid goiter and thyroditis were found to be common in females. Fine needle aspiration cytology is useful in diagnosis and differentiating Neoplastic and Non Neoplastic lesions.
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.
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.
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 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.
" 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
Journal of Basic and …, 2010
Fine Needle Aspiration Cytology being a minimally invasive technique, is particularly suitable in the sensitive head and neck area where an incisional biopsy may cause problems. FNAC can obviate the need for surgery if the lesion is shown to be non neoplastic or if it confirms suspected metastatic or recurrent tumor. A preoperative cytological diagnosis of a primary neoplasm may allow more rational planning of surgery. This descriptive observational study was carried out at the Department of pathology, DDRRL Dow University of Health Sciences and Sindh Government Qatar hospital during the year 2008-09. A total of 518 consecutive FNAC's of head and neck lesions were included. Out of this 356 cases were from cervical lymphnodes, 124 cases were from thyroid and 38 cases from salivary glands. A total of 45 cases were found malignant and 473 cases were reported as benign lesions.