Preoperative Ultrasound Guided Fine Needle Aspiration Cytology of Ovarian Lesions- Is It a Rapid and Effective Diagnostic Modality?
Introduction: The deep seated ovarian lesions unapproachable by unguided aspiration cytology were easily done under ultrasound guidance. It gave a before hand cytological diagnosis of the lesion to the surgeon determining the modality of treatment for the patient. Aim: To find the diagnostic ac...
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| Format: | Article |
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JCDR Research and Publications Private Limited
2016-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/7447/15729_CE(RA1)_F(T)_PF1(Vsu_Om)_PFA(AK)_PF2(PAG).pdf |
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| author | Soumit Dey Saikat Datta Snehamay Chaudhuri Prabir Chandra Paul Binny Khandakar Sonali Mandal |
| author_facet | Soumit Dey Saikat Datta Snehamay Chaudhuri Prabir Chandra Paul Binny Khandakar Sonali Mandal |
| author_sort | Soumit Dey |
| collection | DOAJ |
| description | Introduction: The deep seated ovarian lesions unapproachable
by unguided aspiration cytology were easily done under
ultrasound guidance. It gave a before hand cytological
diagnosis of the lesion to the surgeon determining the modality
of treatment for the patient.
Aim: To find the diagnostic accuracy of the method of ultrasound
guided cytological assessment of ovarian lesion.
Materials and Methods: The study was conducted as a prospective observational study over a period of one year, in hospital setting,
where ultrasound guided fine needle aspiration had been used to
aspirate ovarian lesions, giving a rapid cytological diagnosis.
In 43 sample cases, aspiration of fluid done from ovarian
lesions were followed by cyto-centrifugation and staining by
May-Grunwald-Giemsa (MGG) and Papanicolaou (Pap) stain
providing a cytological opinion regarding benign/malignant
nature of the lesion and further categorization. Later the
cytological diagnosis was compared with final histopathological
diagnosis, taking it as a gold standard.
Results: The overall sensitivity, specificity, and diagnostic
accuracy of ultrasound guided aspiration and cytological
analysis were high, 96%, 76.92% and 89.47% respectively
as calculated by comparing the cytological diagnosis with
histological diagnosis, taking it as gold standard.
Conclusion: This method has evolved as a highly sensitive,
rapid, simple and effective modality for screening and as well
as accurate preoperative diagnosis of ovarian lesions. |
| first_indexed | 2024-04-12T19:59:37Z |
| format | Article |
| id | doaj.art-086b5e5e23fd4faa8a23eab4ab400d11 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-12T19:59:37Z |
| publishDate | 2016-03-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-086b5e5e23fd4faa8a23eab4ab400d112022-12-22T03:18:35ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-03-01103EC16EC1910.7860/JCDR/2016/15729.7447Preoperative Ultrasound Guided Fine Needle Aspiration Cytology of Ovarian Lesions- Is It a Rapid and Effective Diagnostic Modality?Soumit Dey0Saikat Datta1Snehamay Chaudhuri2Prabir Chandra Paul3Binny Khandakar4Sonali Mandal5Demonstrator, Department of Pathology, Nilratan Sircar Medical College, Kolkata, India.Ex-Junior Resident, Department of Pathology, Nilratan Sircar Medical College, Kolkata, India.Associate Professor, Department of Obstetrics & Gynecology, Nilratan Sircar Medical College, Kolkata, India.Professor, Department of Pathology, Malda Medical College, Malda, West Bengal, India.Demonstrator, Department of Pathology, Nilratan Sircar Medical College, Kolkata, India.Ex-Junior Resident, Department of Pathology, Nilratan Sircar Medical College, Kolkata, India.Introduction: The deep seated ovarian lesions unapproachable by unguided aspiration cytology were easily done under ultrasound guidance. It gave a before hand cytological diagnosis of the lesion to the surgeon determining the modality of treatment for the patient. Aim: To find the diagnostic accuracy of the method of ultrasound guided cytological assessment of ovarian lesion. Materials and Methods: The study was conducted as a prospective observational study over a period of one year, in hospital setting, where ultrasound guided fine needle aspiration had been used to aspirate ovarian lesions, giving a rapid cytological diagnosis. In 43 sample cases, aspiration of fluid done from ovarian lesions were followed by cyto-centrifugation and staining by May-Grunwald-Giemsa (MGG) and Papanicolaou (Pap) stain providing a cytological opinion regarding benign/malignant nature of the lesion and further categorization. Later the cytological diagnosis was compared with final histopathological diagnosis, taking it as a gold standard. Results: The overall sensitivity, specificity, and diagnostic accuracy of ultrasound guided aspiration and cytological analysis were high, 96%, 76.92% and 89.47% respectively as calculated by comparing the cytological diagnosis with histological diagnosis, taking it as gold standard. Conclusion: This method has evolved as a highly sensitive, rapid, simple and effective modality for screening and as well as accurate preoperative diagnosis of ovarian lesions.https://jcdr.net/articles/PDF/7447/15729_CE(RA1)_F(T)_PF1(Vsu_Om)_PFA(AK)_PF2(PAG).pdfdiagnostic accuracyovarian cancerovarian tumour |
| spellingShingle | Soumit Dey Saikat Datta Snehamay Chaudhuri Prabir Chandra Paul Binny Khandakar Sonali Mandal Preoperative Ultrasound Guided Fine Needle Aspiration Cytology of Ovarian Lesions- Is It a Rapid and Effective Diagnostic Modality? Journal of Clinical and Diagnostic Research diagnostic accuracy ovarian cancer ovarian tumour |
| title | Preoperative Ultrasound Guided Fine Needle Aspiration Cytology of Ovarian Lesions- Is It a Rapid and Effective Diagnostic Modality? |
| title_full | Preoperative Ultrasound Guided Fine Needle Aspiration Cytology of Ovarian Lesions- Is It a Rapid and Effective Diagnostic Modality? |
| title_fullStr | Preoperative Ultrasound Guided Fine Needle Aspiration Cytology of Ovarian Lesions- Is It a Rapid and Effective Diagnostic Modality? |
| title_full_unstemmed | Preoperative Ultrasound Guided Fine Needle Aspiration Cytology of Ovarian Lesions- Is It a Rapid and Effective Diagnostic Modality? |
| title_short | Preoperative Ultrasound Guided Fine Needle Aspiration Cytology of Ovarian Lesions- Is It a Rapid and Effective Diagnostic Modality? |
| title_sort | preoperative ultrasound guided fine needle aspiration cytology of ovarian lesions is it a rapid and effective diagnostic modality |
| topic | diagnostic accuracy ovarian cancer ovarian tumour |
| url | https://jcdr.net/articles/PDF/7447/15729_CE(RA1)_F(T)_PF1(Vsu_Om)_PFA(AK)_PF2(PAG).pdf |
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