Study of spectrum of head and neck lesions diagnosed on fine needle aspiration cytology (FNAC) (original) (raw)
Related papers
FNAC of head & neck lesions and its utility in clinical diagnosis: a study of 290 cases “
The Journal of medical research, 2015
Background: FNAC (Fine Needle Aspiration Cytology) is a well accepted technique and plays an important role in early diagnosis of head and neck lesions. It is a safe and inexpensive outdoor procedure. Material and methods: This was a retrospective observational study of 290 cases of FNACs done on head and neck swellings performed as an outdoor procedure over a 26-month period from January 2011 to February 2013.Results: Aspirates from head and neck lesions in this study were largely from lymph nodes i.e. 185(64.1%), followed by thyroid lesions 49(16.9%), 21 cases were malignant. The largest subgroup among lymph node was of granulomatous lymphadenitis comprising of 91 cases. Out of 290 cases in this study, histopathological correlation was available in 74/290 (25.51%) cases only and was consistent with the cytological diagnoses in 68(91.8%) cases and inconsistent in 6(8.2%) cases, Conclusion: FNAC serves as a guide to the appropriate therapeutic management whether to locally excise a ...
FNAC OF HEAD & NECK LESIONS AND ITS UTILITY IN CLINICAL DIAGNOSIS: A STUDY OF 290 CASES
National Journal of Medical Research, 2015
Background: FNAC (Fine Needle Aspiration Cytology) is a well accepted technique and plays an important role in early diagnosis of head and neck lesions. It is a safe and inexpensive outdoor procedure. Material and methods: This was a retrospective observational study of 290 cases of FNACs done on head and neck swellings performed as an outdoor procedure over a 26-month period from January 2011 to February 2013. Results: Aspirates from head and neck lesions in this study were largely from lymph nodes i.e. 185(64.1%), followed by thyroid lesions 49(16.9%), 21 cases were malignant. The largest subgroup among lymph node was of granulomatous lymphadenitis comprising of 91 cases. Out of 290 cases in this study, histopathological correlation was available in 74/290 (25.51%) cases only and was consistent with the cytological diagnoses in 68(91.8%) cases and inconsistent in 6(8.2%) cases. Conclusion: FNAC serves as a guide to the appropriate therapeutic management whether to locally excise a benign tumor or plan radical surgery and helps as an adjunct to histopathology.
International Journal of Clinical and Diagnostic Pathology, 2019
Background: FNAC is very simple, quick, cost effective and minimally invasive technique used to diagnose different type of swelling occur in lymph node, thyroid gland, soft tissue and salivary gland in head and neck region. Aim and Objective: To evaluate role and utility of FNAC in diagnosis of palpable head and neck lesions Methods: Our study has included 260 patients presented with palpable swelling in head and neck region at our hospital from January 2017 to January 2019. FNAC procedure has been and smears are stained with H & E stain and pap stain. Cyto histopathological correlation were done wherever possible. Results: Out of 260 cases, Lymph node (57.69%) is most common site of aspiration where TB lymphadenitis (53.33%) was most common diagnosed lesion. Thyroid gland lesions constitute 64 cases (24.61%) followed by salivary gland lesions 26 cases (10%), soft tissue lesions 16 cases (6.15%). FNAC was inconclusive in 7 cases (2.69%). Conclusion: FNAC serves as a guide to appropriate therapeutic management whether to locally excise a benign tumor or plan radical surgery and helps as an adjunct to histopathology.
Diagnostic role of FNAC in head and neck lesions: A prospective study
IP innovative publication pvt ltd, 2020
Introduction: FNAC is simple, rapid, inexpensive, minimallyinvasive technique and with the absence of complications done on OPD basis to diagnose different types of swellings located in the head and neck. Head and neck swellings commonly originate from cervical lymph node, thyroid glands, salivary glands, subcutaneous/cutaneous swellings and soft tissues. Aims and Objectives: To study the role of FNAC in the diagnosis of non-neoplastic and neoplastic lesions of head and neck in all age groups in Chenab valley. Materials and Methods: This prospective study was done over a period of 9months from May 2019- January 2020 in GMC Doda. It was a hospital based study. In this study 116 cases of FNAC Lesions of various age groups were studied by pathologist for cytology and accordingly diagnosis were made. Results: The Present study was carried out on 116 patients presenting with head and neck swellings over a period of 9 months from May 2019 to January 2020. Out of all cases Cutaneous/Subcutaneous swellings constituted maximum number of cases I;e 46 cases (39.65%); all were of benign nature followed by lymphnode lesions I;e 41 cases (35.344%) followed by thyroid lesions I;e 23 cases (19.82%) followed by salivary gland lesions I;e 6 cases (5.17%) Conclusion: To conclude; FNAC is considered to be the most reliable technique in the early diagnosis of various Head and Neck lesions so that proper intervention could be taken at earliest possible time in early stages and should be considered as first line investigation in the evaluation of lesions in head and neck region.
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.
Utility of cytology in head and neck pathology-A one year study
IP innovative publication pvt. ltd, 2019
Introduction: Head and neck lesions most commonly arise in cervical lymphnodes followed by thyroid gland, soft tissues and salivary gland. Fine Needle Aspiration Cytology (FNAC) is a pre surgical procedure done on OPD (Out Patient Department) basis having advantages like; it is simple, minimally invasive, cost effective and repeatable diagnostic tool. Even though these lesions are common, clinicians routinely face problems in their diagnosis. Hence FNAC plays an important role in providing quick and accurate diagnosis guiding the clinician for appropriate treatment. Aims and objectives: 1.To study the occurrence of various head and neck lesions in this region; 2.To study the cytological features of various head and neck lesions; 3.To correlate the cytological features with clinical data; 4.To emphasize the utility of FNAC in the diagnosis of head and neck lesions. Materials and Methods: A retrospective study was conducted among 500 patients with palpable head and neck lesions including oral cavity attending GIMS Hospital Kalaburagi and the Department of Pathology Gulbarga Institute of Medical Sciences, Kalaburagi from January 2018 to December 2018. Relevant clinical details were recorded and written consent was obtained. Results: A total of 500 FNAC cases of head and neck lesions were included in the present study in which 172(34.4%) were males and 328(65.6%) were females. Patients age ranged from 8 months to 80 years. Peak incidence was seen in between 21-40 years of age. Lymph node lesions 201(40.2%), were the most common lesions followed by thyroid lesions 138(27.6%).Soft tissues 123(24.6%) and lesions from major and minor salivary glands 25(5%) were the other head and neck lesions seen in this study. Reactive lymph node hyperplasia (n=105), colloid goiter (n=78), epidermoid cyst (n= 62) and pleomorphic adenoma (n=12) were the predominant diagnosis of lymphnodes, thyroid gland, soft tissues and salivary gland lesions respectively. Secondaries to the lymph nodes was seen in 13(6.46%) cases. Conclusion: We conclude that FNAC is a reliable and first line investigative procedure in the diagnosis of head and neck lesions. It helps in screening and initial diagnosis of palpable and non-palpable lesions in the body. It differentiates inflammatory from neoplastic lesions and guides the clinician for appropriate treatment and avoids unnecessary surgeries for non-neoplastic 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.
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.
Panacea Journal of Medical Sciences, 2023
Abstract Background: Head and neck swellings are a very common presentation encountered by clinicians and patients across all age groups. Various lesions give rise to head and neck lumps. Swellings can arise from soft tissues, lymph nodes, thyroid gland, salivary glands etc. FNAC being minimally invasive, quick and inexpensive helps in differential diagnosis of head and neck masses. Materials and Methods: A retrospective study was conducted at Karwar institute of medical sciences Karwar from January 2018 to December 2021 in coastal population, to evaluate the role of FNAC in palpable head and neck masses and also to study their distribution and To evaluate the diagnostic accuracy, sensitivity and specificity of FNAC in diagnosing Head and neck lesions and cyto-histopathological correlation (wherever possible). 500 patients with head and neck swelling underwent FNAC. FNAC diagnosis was correlated with detailed clinical history and investigations. Result: Out of 500 fine needle aspiration procedures 35.6% (178) were of lymph node, 33.8% (169) were of thyroid, 9.6% from salivary gland (48), 17.8% (89) from skin and soft tissue swellings and 3.2% (16) inconclusive. Conclusion: The present study concluded that most of the swellings in head and neck region are benign and affect females more than males. Overall accuracy rate more than 90% and diagnostic accuracy in differentiating non-neoplastic lesions from neoplastic lesions is well established. Our study found that fine needle aspiration cytology to be an easy, safe, rapid, convenient, least invasive, accurate and relatively complication-free outpatient method for diagnosis of lesions of the head and neck Keywords: FNAC, Swelling, Head and neck
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...