Fine needle aspiration cytology of laryngeal lesions: an experience from tertiary cancer care center (original) (raw)
Related papers
Diagnostic Utility of Fine Needle Aspiration Cytology in Oral Cavity and Oropharyngeal Lesions
JNGMC, 2018
Fine needle aspiration cytology is being commonly used for initial diagnoses of oral cavity and oropharyngeal lesions. The aim of this study was to assess the role of Fine Needle aspiration cytology in diagnosis of intraoral and oropharyngeal lesions and to compare with histopathological findings in those cases which underwent biopsy examination. This is a tertiary care center based retrospective study done over a period of two years. Out of total 660 fine needle aspiration cytology in two years; 133 cases were of oral and oropharyngeal region. 54 were male and 79 were of female. Frequently involved site was tongue (n=45). Predominant non neoplastic cases were of chronic inflammation (n=43) and neoplastic cases of squamous papilloma (n=15). Among neoplastic cases most common malignant cases were of squamous cell carcinoma (n=4). Sensitivity of the FNAC method was found to be 80% and specificity was identified as 100% comparing with gold standard histopathological examination. No significant complications were seen in patients undergoing these FNAs. It can be concluded that FNA is a simple and rapid diagnostic test that can be useful for preliminary assessment of oral and oropharyngeal lesion.
2008
Patients presenting with Oral & Oropharyngeal lesions at the OPD were subjected to FNAC. Biopsies from the lesions were taken or the excised specimens were sent for histopathological examinations (HPE). The results of FNAC & HPE were correlated. Results: A total of 52 fine needle aspirations were carried out in patients suffering from oral and oropharyngeal tumors. With FNAC, 36.7% of the tumors were reported as benign and 63.3% malignant. FNAC showed positive correlation with HPE in 91.8%, falsely positive in 4.1% and falsely negative in 2%. Overall absolute sensitivity was 97.83%, complete sensitivity 97.87% and Specificity 88.35% in diagnosing oral and oropharyngeal tumors. Conclusion: FNAC was found to be highly accurate in the diagnosis of lesions of the tonsils, hard palate and floor of mouth. It also proved to be highly accurate for malignant lesions. FNAC can be taken as a rapid, accurate, cost effective and patient friendly procedure for the diagnosis of oral & oropharyngeal tumors. Palavras-chave: FNAC, histopathological examinations, oral and oropharyngeal tumors.
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.
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.
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.
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.
Fine needle aspiration cytology of parapharyngeal tumors
Journal of Cytology, 2009
Background: Parapharyngeal tumors are rare and often pose diagnostic difficulties due to their location and plethora of presentations. Objectives: The study was undertaken to study the occurrence in the population and to evaluate the exact nature by fine needle aspiration cytology (FNAC). Materials and Methods: A total of five hundred and six cases of lateral neck lesions were studied over three and half years. Of these 56 suspected parapharyngeal masses were selected by clinical and radiological methods. Cytopathology evaluation was done by fine needle aspiration cytology with computed tomography and ultrasonography guidance wherever necessary. Histopathology confirmation was available in all the cases. Results: On FNAC diagnosis could be established in 54 cases while in two cases the material was insufficient to establish a diagnosis. The tumors encountered were, pleomorphic adenoma (33), schwannoma (3), neurofibroma (11), paraganglioma (5), angiofibroma (1) and adenoid cystic carcinoma (1). Four false positives and two false negative cases were encountered. Overall sensitivity was 96%, with specificity of 99% and accuracy being 98.8%. Conclusions: With proper clinical and radiological assessment, FNAC can be extremely useful in diagnosing most of these lesions except a few which need histopathological and even immunohistochemical confirmation.
Transmucosal Fine-Needle Aspiration Diagnosis of Intraoral and Intrapharyngeal Lesions
The Laryngoscope, 1999
The effectiveness of fine-needle aspiration biopsy (FNAB) for the diagnosis of neck, thyroid, and salivary gland masses is well documented. Very few reports explore the potential of an intraoral FNAB approach for the diagnosis of submucosal lesions. We describe our technique and present case examples of pertinent differential diagnostic entities.