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 |
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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 |
| _version_ | 1818326143519948800 |
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| author | Pooja Kala Monika Rathi Atul Gupta Pooja Agarwal Himanshul Mohan Kala |
| author_facet | Pooja Kala Monika Rathi Atul Gupta Pooja Agarwal Himanshul Mohan Kala |
| author_sort | Pooja Kala |
| collection | DOAJ |
| description | 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 |
| first_indexed | 2024-12-13T11:55:41Z |
| format | Article |
| id | doaj.art-10852329f2ac48449a22609a0aa4cb03 |
| institution | Directory Open Access Journal |
| issn | 2277-8551 2455-6882 |
| language | English |
| last_indexed | 2024-12-13T11:55:41Z |
| publishDate | 2015-07-01 |
| publisher | JCDR Research and Publications Pvt. Ltd. |
| record_format | Article |
| series | National Journal of Laboratory Medicine |
| spelling | doaj.art-10852329f2ac48449a22609a0aa4cb032022-12-21T23:47:13ZengJCDR Research and Publications Pvt. Ltd.National Journal of Laboratory Medicine2277-85512455-68822015-07-0143131810.7860/NJLM/2015/9197:2042FNAC: Is it Useful in Diagnosis and Classification of Ovarian Lesions?Pooja Kala0 Monika Rathi1Atul Gupta2Pooja Agarwal3Himanshul Mohan Kala4Demonstrator, Department of Pathology, AIIMS, Rishikesh, Uttarakhand, India.Junior resident, S.N. Medical college, Agra, UP, India.Professor and Head, Department of Pathology, S.N. Medical college, Agra, UP, India.Lecturer, Department of Pathology, S.N. Medical College, Agra, UP, India.Senior Resident, Department of Otorhinolaryngology, HIMS, Dehradun, UK, India.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 therapyhttp://www.njlm.net/articles/PDF/2042/4-%209197_CE(Ra)_F(Sh)_PF1(PAK)_PFA(AK).pdffine needle aspiration cytologyovarian massesovarian tumours |
| spellingShingle | Pooja Kala Monika Rathi Atul Gupta Pooja Agarwal Himanshul Mohan Kala FNAC: Is it Useful in Diagnosis and Classification of Ovarian Lesions? National Journal of Laboratory Medicine fine needle aspiration cytology ovarian masses ovarian tumours |
| title | FNAC: Is it Useful in Diagnosis and Classification of Ovarian Lesions? |
| title_full | FNAC: Is it Useful in Diagnosis and Classification of Ovarian Lesions? |
| title_fullStr | FNAC: Is it Useful in Diagnosis and Classification of Ovarian Lesions? |
| title_full_unstemmed | FNAC: Is it Useful in Diagnosis and Classification of Ovarian Lesions? |
| title_short | FNAC: Is it Useful in Diagnosis and Classification of Ovarian Lesions? |
| title_sort | fnac is it useful in diagnosis and classification of ovarian lesions |
| topic | fine needle aspiration cytology ovarian masses ovarian tumours |
| url | http://www.njlm.net/articles/PDF/2042/4-%209197_CE(Ra)_F(Sh)_PF1(PAK)_PFA(AK).pdf |
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