Title: A comparative study of Fine Needle Aspiration Cytology and Histopathology reports among the cases of Neck masses attending tertiary care centre, Maharashtra, India
Author: Dr Amit Chudaman Patil
DOI: http://dx.doi.org/10.18535/jmscr/v4i8.46
Background: The most common challenge to otolaryngologist in managing neck masses is to get accurate diagnosis so as to decide clinical management including surgical intervention. Though the various tests like USG neck, FNAC, CT Neck, and excision biopsy are available but the sensitivity and specificity varies from test to test. FNAC with its minimal invasive procedure has been helpful in the diagnosis of various swelling. The purpose of this study is to determine the accuracy of FNAC in diagnosis by comparing with the histopathological reports among the cases with neck masses. Methods: The present prospective hospital based study carried out at ENT department during year Jan 2013-June 14 among the cases of palpable neck masses of all age group. Cases underwent FNAC and subsequently histopathological examination was done. All the collected data was entered, cleaned and analyzed using the Microsoft Excel 2010. Results: A total of 85 cases studied. 29(34.1%) of neck swelling was in >18-40 age group.62.4% of neck swelling were in females. Pain (24.7%), dysphagia (22.3%) most common symptoms associated with swelling. 34(40%) were thyroid swelling, 24(28.2%) lymph node swelling. Overall FNAC reports have shown Sensitivity (71.45), Specificity (97.1%) & diagnostic Accuracy (91.7%) as correlated with HPE reports. 75% % 94.1% of sensitivity and accuracy observed for FNAC in Thyroid swelling. 71.4% and 100% sensitivity observed among LN swelling & Salivary gland swelling respectively with FNAC report. Conclusion: FNAC is quick, convenient, safe and reliable technique in diagnosis of neck masses with good accuracy specially in thyroid and salivary gland swelling. Keywords: FNAC, Histopathlogy, Neck mass, Sensitivity, Accuracy.
Abstract
