Volume : VII, Issue : V, May - 2017

C. T. guided fine needle aspiration cytology of localised lung lesions : cytological versus radiological correlation

Shuchismita, Guddi Rani Singh, Atul Gupta, Ruchi Gupta, Pooja Agarwal, Shamrendra Narayan

Abstract :

 Background and Objectives: Lung tumors accounts for various benign and malignant conditions. Lung cancer is the most frequent and one of the most deadly cancer types with more than 1.6 million deaths annually worldwide. The present study was undertaken to know the cytomorphological spectrum of localised lung lesions and its correlation with radiological findings. Materials and Methods: The present study was conducted in the Department of Pathology, Tuberculosis and Chest Diseases & Radiodiagnosis at S.N. Medical College, Agra on 66 patients over an 36 months period. Computed tomography (CT) guided FNAC (FNAC) was carried out, and aspirates were drawn, examined, and compared with their radiological diagnoses. Results: A total of 66 cases presented as localised lung masses out of which 64 cases (96.9%) were consistent with malignancy, and 2 cases (3.1%) benign on clinical and radiological evaluation. On cytological evaluation of 66 cases, 62 cases (93.8%) were considered malignant, 2 (3.1%) of them benign and 2 cases (3.1%) were inadequate for diagnosis. The diagnostic adequacy in current series is 97.0%. Complications were infrequent and included pneumothorax in 4 (6.1%) cases. By cytology, the most common malignant lesion was adenocarcinoma (42.2%) followed by squamous cell carcinoma (31.2%), adenosquamous carcinoma (6.2%), and lymphoid neoplasm (4.7%). Radiological findings were consistent with cytomorphological findings in all cases. Conclusion:   Present study thus concludes that CT guided FNA of thoracic lesions is a simple, safe, economically prudent technique associated with low morbidity and leading to quick and early diagnosis. Conclusive diagnosis on FNAC obviates the need for open biopsies.      

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Shuchismita, Guddi Rani Singh, Atul Gupta, Ruchi Gupta, Pooja Agarwal, Shamrendra Narayan, C. T. guided fine needle aspiration cytology of localised lung lesions : cytological versus radiological correlation, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾5 | May‾2017

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