PERCUTANEOUS COMPUTED TOMOGRAPHY GUIDED FINE NEEDLE ASPIRATION CYTOLOGY OF ADULT PATIENTS WITH DIFFERENT LUNG LESIONS : AN OBSERVATIONAL CROSS SECTIONAL STUDY WITH CLINICAL PATHOLOGICAL AND RADIOLOGICAL CORRELATION

Dr Rupam Kumar Ta; Dr. Saugata Bhaumik; Dr. Niranjan Kumar Sit; Dr. Sourindra Nath Banerjee

Volume : VIII, Issue : XII, December - 2019

PERCUTANEOUS COMPUTED TOMOGRAPHY GUIDED FINE NEEDLE ASPIRATION CYTOLOGY OF ADULT PATIENTS WITH DIFFERENT LUNG LESIONS : AN OBSERVATIONAL CROSS SECTIONAL STUDY WITH CLINICAL PATHOLOGICAL AND RADIOLOGICAL CORRELATION

Dr Rupam Kumar Ta, Dr. Saugata Bhaumik, Dr. Niranjan Kumar Sit, Dr. Sourindra Nath Banerjee

Abstract :

Introduction: In patients of inoprable. Bronchogenic Carcinoma due to local factors or patients general condition FNAC confirms diagnosis and tumour typing. The use of percutaneous computed tomography guided fine needle aspiration cytology (CT guided FNAC) have made early diagnosis of lung lesions and thus treatment like surgery or chemotherapy can be started earlier. The concomitant use of all the sets of data like clinical history, radiological interpretation and location narrow downs the diagnostic possibilities , cytological diagnosis is warranted before initiating the specific treatment for malignant diseases Aims and objectives: To evaluate CT guided FNAC findings along with radiological presentations of patients with lung lesion. Materials and Methods: 102 patients of diagnosed lung lesion on CT scan were admitted in Pulmonology Department, Burdwan Medical College and Hospital and CT Guided FNAC of the patients were done after fulfilling the inclusion and exclusion criteria. Half of the slides were fixed with ethyl alcohol for PAP smear and rest for MGG ( May-Gr�nwald-Giemsa stain) . Repeat CT done in all patients to check pneumothorax and haemothorax. Statistical analysis was done using appropriate methods. Results: The diagnostic yield of CT guided FNAC came to be 99%. Complications were less chest pain 25%, haemoptysis 4.9% and pneumothorax 3.9%. Squamous cell carcinoma (46%) came to be more than Adenocarcinoma (31%) and 92% of the malignant patients had either smoking or biomass fuel exposure. Conclusion: CT guided FNAC is a team work of clinicians, radiologist and pathologist and thus the safest and easiest to perform diagnostic modality for early diagnosis of lung lesions