Role of ultrasound guided fine needle aspiration cytology in the diagnosis of abdominal-pelvic lumps
Background: Aspiration cytology is the study of cells, obtained by a fine needle puncture of the mass.The basic principles of fine needle aspiration can be applied to almost any site in the body.Masses arising in the abdominal cavity are often deep seated and non-palpable. Because of the undetai...
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| Format: | Article |
| Language: | English |
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Prathima Institute of Medical Sciences
2019-04-01
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| Series: | Perspectives In Medical Research |
| Subjects: | |
| Online Access: | http://www.pimr.org.in/files-vol7-issue1-19/satarakar-vol-7-issue-1-2019.PDF |
| Summary: | Background: Aspiration cytology is the study of cells, obtained
by a fine needle puncture of the mass.The basic principles of
fine needle aspiration can be applied to almost any site in the
body.Masses arising in the abdominal cavity are often deep
seated and non-palpable. Because of the undetailed margins
of these lesions it is difficult to assess their size and shape.
Ultrasound (US) guided fine needle aspiration is a readily
accepted, rapidly growing and an important diagnostic
technique which is an accurate, safe, simple, rapid, and an
efficacious method which can be used for rendering a cytohistologic diagnosis in space occupying lesions of the abdomen
and also for the confirmation of the suspected malignant
masses in various intra-abdominal and pelvic locations.
Materials & Methods : We have performed 204 ultrasound
guided FNACs and 102 percutaneous FNACs without any
radiological guidance, from various abdominal and pelvic
lesions. Patients with large and easily palpable lumps were
selected for percutaneous FNACs without any radiological
guidance. Patients with small, deep seated and non-palpable
lesions were selected for ultrasound guided FNACs.
Results : Majority of the patients (59.8%) were in the 40 to
60years age group with mean age 48.4 years and male to
female ratio was 1.28:1.Maximum cases were from liver
followed by intestine, ovary, kidney, stomach, lymph node,
retroperitonium, and pancreas.Satisfactory aspiration rate with
ultrasound guided FNACs (96.08%) is significantly greater than
FNACs without ultrasound guidance (58.82%) and positivity
(87.25%) in FNACs with ultrasound guidance done by
pathologist was significantly high as compared to FNACs
without ultrasound guidance (46.07%).
Conclusion: Ultrasound guided FNAC is easy, safe, less time
consuming procedure with high success rate.We have seen in
our study that FNAC done by pathologist, under ultrasound
guidance in the presence of radiologist increased the diagnostic
accuracy and satisfactory aspiration rate |
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| ISSN: | 2348-1447 2348-229X |