FNAC: Is it Useful in Diagnosis and Classification of Ovarian Lesions?
Introduction: Although, infrequently used, Fine Needle Aspiration Cytology (FNAC) is a safe and quite helpful investigation in diagnosing as well as classifying ovarian lesions. Objectives: Our aim was to assess the efficacy of fine needle aspiration cytology in diagnosis and subsequent classi...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Pvt. Ltd.
2015-07-01
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| Series: | National Journal of Laboratory Medicine |
| Subjects: | |
| Online Access: | http://www.njlm.net/articles/PDF/2042/4-%209197_CE(Ra)_F(Sh)_PF1(PAK)_PFA(AK).pdf |
| Summary: | Introduction: Although, infrequently used, Fine Needle
Aspiration Cytology (FNAC) is a safe and quite helpful
investigation in diagnosing as well as classifying ovarian
lesions.
Objectives: Our aim was to assess the efficacy of fine
needle aspiration cytology in diagnosis and subsequent
classification of ovarian masses.
Material and Methods: This was a prospective study of
83 fine needle aspirates of ovarian masses in females,
undertaken under image-guidance from November 2009
through October 2011. We tried to assess the adequacy
rates, render cytodiagnosis and then correlate with
histology whenever possible.
Results: Adequacy rates were 97.6%. Of 81 adequate
cases, 3 were non-neoplastic, 2 benign (including 1
mature teratoma & 1 fibroma), 2 serous borderline
tumour and remaining 74 were malignant on FNAC.
Among the malignant tumours of ovary, most frequently
diagnosed were epithelial tumours (65.2%) followed by
germ cell tumours (15.6%). Correlation with histological
diagnosis was done. The diagnostic accuracy of FNAC
was 89.7%. Sensitivity and specificity were 100% and
80%, respectively. No significant complications were
observed.
Conclusion: Fine needle aspiration cytology of ovarian
lesions is an accurate, useful and safe diagnostic
procedure. It also enables a fairly satisfactory classification of ovarian tumours and thereby facilitates the
choice of appropriate therapy |
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| ISSN: | 2277-8551 2455-6882 |