Role of fine needle aspiration cytology in evaluation of testicular and paratesticular mass lesions.

Arun Dev Singh; Subhash Bhardwaj

Volume : VI, Issue : XII, December - 2017

Role of fine needle aspiration cytology in evaluation of testicular and paratesticular mass lesions.

Arun Dev Singh, Subhash Bhardwaj

Abstract :

The study was done on 88 patients who had testicular and paratesticular lesions. Study included both retrospective and prospective analysis. Retrospective study was of 5 years duration which included 55 cases and prospective study was done for 1 year which included 33 cases. FNAC was carried out in all cases. Histopathological correlation was achieved in 16 cases. Cytological features were studied in all cases and compared with histology where results were available. Aspiration was performed with a 23–gauge needle on a 20–mL syringe.

Results

Out of 88 Cases included, 3 (3.4%) remained inconclusive, because smears were unsatisfactory. The remaining 85 cases were categorized as inflammatory lesions 44 (51.76%), noninflammatory lesions 7(8.2%), normal study 4(4.7%) and tumours 30(35%). Among the tumours, benign lesions were 20(23.5%) and malignant lesions were 10(11.7%).

Conclusion

FNAC is a rapid, easily available technique for evaluation of testicular and paratesticular lesions. It helps in making diagnosis and management plan. FNA of the testis and scrotum is a simple, quick, minimally invasive and painless outpatient procedure. The sample obtained is representative as several separate punctures can be made. There is no local scarring and undue surgery is avoided.