A Study on FNAC Observation of Head and Neck Lesions
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2017, Vol 2, Issue 4
Abstract
Introduction: Head and neck lesions are common entities encountered in medical practice. Fine needle aspiration cytology is a easy, fast, and cost-effective technique to sample superficial masses found in head and neck. Common pathologies encountered in head and neck region are precise and nonspecific lymphadenopathies, salivary gland neoplasms, sialadenitis, and lesions of skin appendages. FNAC enables a practical primary assessment in these cases. Objectives: The objectives were to study different cytological features of neoplastic and non-neoplastic lesions of head and neck region and to assess the allocation of diverse lesions among different age groups. Materials and Methods: A cross-sectional study was conducted from January 2013 to May 2014. FNA was performed on 150 patients with head and neck masses. Thyroid lesions were excluded from study. Aspirations were performed using 22-25 G needles with syringe, and smears stained using Leishman and H & E stain. Fine needle aspiration diagnosis was correlated with related medical details and investigations. Results: Out of 150 fine needle aspiration measures, 60% were from lymph nodes, 10% from salivary gland, 14% from benign neoplasms and 14% were cysts. Diagnosis was inconclusive in 2% of the cases. The most common diagnosis was reactive/non-specific lymphadenitis (38%) followed by benign neoplasms and cysts (14%). Metastatic carcinomatous deposits in lymph node were most common type of cancer followed by lymphoma. Conclusion: FNA of head and neck masses is a very useful diagnostic tool in separating inflammatory and neoplastic lesions, thus avoiding unnecessary surgeries. FNAC can be recommended as a first line investigation in the diagnosis of head and neck swellings.
Authors and Affiliations
E Giri Kumar
Keywords
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