Title: Ultrasound Guided Fine Needle Aspiration Cytology for Diagnosis of Abdominal Lumps

Authors: Dr Neeraj Verma, Dr Yogesh Gupta, Dr Manish Kumar Singhal, Dr Mukesh Kumar Khinchi, Dr Navita Gupta, Dr Shilpa Jalan, Dr Sapna Gandhi, Radhika Soni

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i12.108

Abstract

Background: Considering Indian setup of medical facilities, FNAC has proven itself as a boon for Indian Medical Personnel. Ultrasound guided FNAC of intra-abdominal masses is widely accepted as  safe and effective method of diagnosing malignant lesion

Material and Method: FNAC of 88 randomly selected cases of abdominal lumps was performed under ultrasonography guidance. The results were correlated with available histopathology in 34 cases

Result: The sensitivity of FNAC for abdominal lumps in the present study 91.18% and diagnostic accuracy is 100%. Most commonly involved organ was liver (37.50%) while spleen was least involved (1.14%). Present study shows that incidence of malignancy in abdominal lumps is 80.68 % rest were either acute (6.82%) or chronic inflammation (4.55%) or benign tumors (7.95%).

References

  1. HO CS MC LAUGHLIN MJ,TAO LC,BLENDIS L,EVANS WK::guided percutaneous fine needle aspiration biopsy of the liver cancer 47;1781-1785,1981
  2. Isin Soyuer, M.D., Cemil Ekinci, M.D., Muhsin Kaya, M.D., Yasemin Genç, Ph.D., and Kadir Bahar, M.D. Ankara, Turkey: Diagnosis of Hepatocellular Carcinoma by Fine Needle Aspiration Cytology: Cellular Features: ACTA CYTOLOGICA;volume47 : 2003
  3. Fang-Ying Kuo, M.D., Wei-Jen Chen, M.D., Sheng-Nan Lu, M.D., Jing-Houng Wang, M.D., and Hock-Liew Eng, M.D. Kaohsiung, Taiwan, Fine Needle Aspiration Cytodiagnosis of Liver Tumors 142 Republic of China; ACTA CYTOL-OGICA; volume48 ;march-april 2004
  4. Andrew A. Renshaw M.D.,Scott R. Granter M.D.,Edmund S. Cibas M.D: accuracy of fnac in distinguishing subtypes of renal cell carcinoma. ACTA    CYTOLOGICA;volume41 : 1997
  5. Scott R. Granter M.D.,Andrew A. Renshaw M.D; Fine-needle aspiration of chromophobe renal cell carcinoma
  6. Ibrahim M Zardawi.Renal Fine Needle Aspiration cytology.Acta cytological,1999;43(2),184-190.
  7. Koizumi J, Agematsu K, Ohkado A, Shiikawa A, Uchida T. Solitary cardiac metastasis of rectal adenocarcinoma. Jpn J Thorac Cardiovasc Surg. 2003;51:330–332
  8. Keith E. Volmar, MDE. VolmarRobin T. Vollmer, MD, MSPaul S. Jowell, MDRendon C. Nelson, MD Bill Xie, MD, PhD: Pancreatic FNA in 1000 cases: a comparison of imaging modalities: June 2005Volume 61, Issue 7, Pages 854–861
  9. Gupta RK, Cheung YK, alAnsari AG, Naran S, Lallu S, Fauck R. Value of image-guided needle aspiration cytology in the assessment of pelvic and retroperitoneal masses. A study of 112 cases. Acta Cytol. 2003;47:393–8.

Corresponding Author

Dr Yogesh Gupta