FINE NEEDLE ASPIRATION CYTOLOGY OF HEAD AND NECK LESIONS AN EXPERIENCE AT A TERTIARY CARE HOSPITAL

Swarupa Ravuri; Anunayi Jeshtadi; Dr. Saritha Karre

Volume : X, Issue : VII, July - 2020

FINE NEEDLE ASPIRATION CYTOLOGY OF HEAD AND NECK LESIONS AN EXPERIENCE AT A TERTIARY CARE HOSPITAL

Swarupa Ravuri, Anunayi Jeshtadi, Dr. Saritha Karre

Abstract :

Background: Fine needle aspiration cytology (FNAC) is a widely recognized and sensitive technique in which needle is introduced into the palpable swellings, cellular material is aspirated, and cytological examination is made. This procedure provides the initial, early diagnosis of the palpable head and neck swellings. It helps in the management of the patients. Objectives: To study the FNAC in the diagnosis of palpable head and neck swellings. Methodology: Patients presenting with palpable head and neck swellings who presented to the cytology department were included in the study. FNAC results were analyzed into four groups according to the tissue of origin into lymph nodes, salivary glands, thyroidal swelling, skin, and soft tissue swellings. TBSRTC classification system is used for thyroid FNAC lesion classification. Results: A total of 1110 patients had FNAC during the study period. Females738(66.5%), preponderance more than Males 372(335%). Out of 1110 various Head and neck, FNAC‘s lymph node cases 481(43.3%) reactive lymphadenitis common lesion. Thyroid cases 430 (38.7%) colloid goiter common thyroid lesion, skin and soft tissue lesions 103(9.25%) Lipomatous lesions are common, Salivary gland cases 60 (5.4%) Pleomorphic adenoma common lesion, non–diagnostic lesion 36 (3.24%). Conclusion: FNAC of the head and neck swellings is a simple, cost–effective procedure for the initial diagnosis of head and neck swellings. It provides the management plan for the patients in which reactive and inflammatory lesions don‘t require the surgeries. It also diagnoses the malignant and benign neoplasms.