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. 1. Lumley JSP, Chan S, Harris H, Zangana MOM. Physical signs. 18th edition. Oxford: Butterworth-Heinemann, Oxford, 1997. 2. Feinmesser R,Freeman JL,Noyek AM,Birt BD.Metastatic neck diseases. Archives of otolaryngology-Head and Neck Surgery 1987;113:1307-10. 3. KC S, Karki R, Rayamajhi P,Rai K Piya E. Role of FNAC in the diagnosis of thyroid malignancy and its comparison with the histopathology. Nep J of ENT Head and neck surgery,2012;3(1):9-10. 4. Jasani JH, Vaishnani HV, Vekaria PN, Patel D, Shah Y Retrospective study of fine needle aspiration cytology of head and neck lesions in tertiary care hospital.IJBAR.2013;4:253-6. 5. Howlett DC et al. Diagnostic adequacy and accuracy of fine needle aspiration cytology in neck lump assessment: results from a regional cancer network over a one year period. J Laryngol Otol. 2007 Jun; 121(6):571-9. 6. Bloch M. Fine needle aspiration biopsy of head & neck masses. Otolaryngol Head Neck Surg. 1997;89:62–68. 7. Mundasad B,Mcallidtr I,Carson J(2006). Accuracy of Fine needle aspiration cytology in diagnosis of thyroid swelling .Internate J ENdocrinol ;2(2):23-25 8. Handa U,Garg S, Mohan H. Role of FNAC in diagnosis and management of thyroid lesion .India J Pediat; 25(1):13-17. 9. Tariq Ahmad, Mohammad Naeem, Siddique Ahmad, Ambreen Samad, Amir Nasir. Fine Needle Aspiration Cytology (FNAC) and neck swellings in the surgical outpatient . J Ayub Med Coll Abbottabad 2008;20(3). 10. Khageswar Rout, Chinmay Sunder Ray, Subrat Kumar Behera, Rudranarayan Biswal. A Comparative Study of FNAC and Histopathology of Thyroid Swellings. Indian J Otolaryngol Head Neck Surg. 2011 Oct; 63(4): 370–372. 11. Chauhan Setal, Rathod Dharmendra. FNAC of Swellings of Head and Neck Region Journal of Applied Basic Medical Sciences 2011;13B(17):1-6. 12. Rajbhandari M et al. The correlation between Fine Needle Aspiration Cytology and Histopathology of Head and Neck Lesions in Kathmandu University Hospital. Kathmandu Univ Med J 2013;44(4):296-99. 13. ChauhanS, Darad D,Dholkia A. Fine needle aspiration cytology of needle lesion : an experience at tertiary care hospital in Central Gujarat .NJMR;2012;2:255-9. 14. Tandon S ,Shahab R, Benton JI,ghush SK,Sheard J,Jones TM.Fine needle aspiration cytology in a rehional head and neck cancer centre: comparison with systematic review and meta analysis .head Neck 2008:30(9):1246-52. 15. Naggada HA,Musa AB,Gali BM,Khalli MI.Fine needle aspiration cytology of thyroid nodules. A Nigerian tertiary hospital experience.The Internet journal of pathology.2006;5:1. 16. Handa U.Garg S.Mohan H,Nagarkar N,Role of Fine needle aspiration cytology in diagnosis and management of thyroid lesions, as study of 434 patients .journal of cytology.2008;25(1):13-7.Abstract
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