CT GUIDED FNAC OF CHEST LESIONS

DR. AMITOJ SINGH; DR. HARNEET NARULA; DR.AMIT MITTAL; DR.SAMEER SINGHAL; DR. ADITI VOHRA

Volume : VI, Issue : I, January - 2017

CT GUIDED FNAC OF CHEST LESIONS

Dr. Amitoj Singh, Dr. Harneet Narula, Dr. Amit Mittal, Dr. Sameer Singhal, Dr. Aditi Vohra

Abstract :

Aims: To find out the accuracy, diagnostic efficacy and complications of CT guided FNAC of chest lesions. Material and method: This was a prospective study performed on 50 patients (38 males and 12 females) who presented with respiratory complaints, were found to have lesions on CT chest and underwent a CT guided FNAC. Results: In this study 74% of the lesions were malignant and 26% benign, with 30 cases of lung carcinoma, 2metastatic nodal deposits, one germcell tumor, 3 cases of mediastinal lymphoma, one Pleural malignancy, seven Bacterial pneumonia, five tuberculosis, and one Fungal infection. CT proved to be an effective tool to select and guide FNAC procedures and thus give a cytological correlation. Sensitivity and Specificity of malignant and benign diagnosis made on CT was high and came out to be (92%) and (85%) respectively. Conclusion: In addition to characterizing the type of thoracic lesion, CT is an important tool in guiding FNAC. CT guided FNAC is relatively safe procedure, especially with development of finer needles.