Abstract
Aim and Objective: To access the role of FNAC in diagnosing neck swellings.
Material and Methods: This retrospective study was done in a private lab from 1/1/2014 to 31/12/2015 in patients having swelling in head and neck region. Total 97 cases were evaluated in the cytopathology section and aspiration was done using 10ml syringe and 22-23 gauge needles.
Results: Cytodiagnostic yield was 90% while in only 10% cases, no diagnosis was given. Lymph node lesions were most common with metastatic squamous cell carcinomas and lipomas as common malignant lesion.
Conclusion: FNAC provides a reliable, cost effective, convenient, easily accessible and non-traumatic method as the best initial work up and management of swellings of sensitive head and neck region.
Keywords: Fine needle aspiration, Head and neck region.
References
- Martin HE, Ellis EB: Biopsy by needle puncture and aspiration; Ann surg,1930;92,69.
- Abrari A, Ahmad S S, Bakshi V. Cytology in the otolaryngologist’s domain- a study of 150 cases, emphasizing diagnostic utility and pitfalls. Indian J Otolaryngol Head Neck Surg 2002; 54(2):107-10.
- Murthy P, Laing MR, Palmer TJ. Fine needle aspiration cytology of head and neck lesions: an early experience. J R Coll Edinb 1997;42:341–346.
- Tandon S, Shahab R, Benton JI, Ghosh SK, Sheard J, Jones TM: Fine needle aspiration cytology in regional Head and Neck Cancer Center. Comparision with a systemic review & metaanalysis. Head Neck 2008;30(9),1246-52
- Carroll CM, Nazeer U, Timon CI. The accuracy of fine-needle aspiration biopsy in the diagnosis of head andneck masses. Ir J Med Sci1998;167(3):149-51
- Bardales RH, Baker SJ, Mukunyadzi P. Fine-needle aspiration cytology findings in 214 cases of nonparotid lesions of the head. Diagn Cytopathol 2000;22(4):211-7.
- Fulciniti F, Califano L, Zupi A, Vetrani A. Accuracy of fine needle aspiration biopsy in head and neck tumors. J Oral Maxillofac Surg 1997;55(10):1094-
- Mahbod G, Koasri F, Alavi Tafreshi M. fine needle aspiration cytology in diagnosis of nonthyroidal neck masses. Acta medica Iranica 2002;40(1):49-51
- Comeche C, Barona R, Navarro T, Armengot M, Basterra J. Verifiable diagnosis of the puncture of the fine needle aspiration in head and neck Acta Otorrinolaringol Esp 1993;44(5):381-4.
- Mixon T, Gianoli G. Fine needle aspiration in Head and Neck Surgery; J La State Med Soc 1993;145(12) ;505-8
- Schelkun PM and Grundy WG. Fine-needle aspiration biopsy of head and neck lesions. J Oral Maxillofac Surg 1991; 49: 262-67.
- Mahbod G, Koasri F, Tafreshi MA. Fine needle aspiration cytology in diagnosis of non-thyroidal neck masses. Acta Medica Iranica 2002; 40(1):49-51.
- Guidelines of the Papanicolaou Society of Cytopathology for fine-needle aspiration procedure and reporting. The Papanicolaou Society of Cytopathology Task Force on Standards of Practice. Diagn Cytopathol 1997;17(4):239.
Corresponding Author
Dr Peeyush Kumar Saini M.D. Pathology
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v7i2.199
