A study of diagnostic accuracy of FNAC of neck swelling at tertiary health care centre
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 6
Abstract
Background: The most common neck masses are enlarged lymph nodes and thyroid nodules, parotid and other salivary glands. Aims and Objectives: To Study diagnostic accuracy of FNAC of neck swelling at tertiary health care centre. Methodology: It was a cross-sectional study of 210 cases of palpable neck lesions from March 1998 to October 1999 at Chhatrapati Shivaji Maharaj general hospital and Dr.V.M medical college, Solapur. Any patients with palpable lesion of neck referred is selected and the aspiration is done in central clinical laboratory of pathology department. The procedure was first explained to the patient. Results: Accuracy rates % of Reactive lymphadenitis acute was 95.45%, Supp. Lymphadenitis was 100.00%, Tuberculous lymphadenitis was 95.00%, Metastatic tumours 85.71, non-Hodgkins lymphoma was 50.00% and Hodgkins disease was 100.00%. Colloid goiter was 91.34%, Thyroid cyst was 100.00%, Hashimotos thyroiditis was 100.00%, For Papillary carcinoma was 100.00%. Follicular adenoma was 100.00%.Accuracy rates % for Pleomorphic adenoma was 83.33% and for Monomorphic adenoma was 100.00%, Acute sialadenitis was 100.00% and for Chronic sialadenitis was 87.50%, for Lipoma-100.00 % for branchial cyst100.00%. Conclusion: The sensitivity and Specificity of Cytology in our study was found to be very high and also it varied as per the disease. It can be concluded from our study that routinely cytology can be used for the diagnostic purpose as accurate as the Histology.
Authors and Affiliations
Satish Gopal Sankpal, Satish Pawar
Keywords
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