To study the yield and histopathological profile of CT guided FNAC in clinically suspected cases of lung malignancy
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Aims & Objectives: To know the yield of CT guided FNAC and histopathological profile in suspected clincoradiological cases of malignancy. Materials And Methods: This is a prospective study done from July 2015 to Jun 2016 in clinico-radiological suspected patients of malignancy placed peripherally.CT guided FNAC was done under all aseptic conditions and aspirate was sent for histopathological evaluation. Results: Out of 50 cases of suspected mass lesion, 36 were males (74%) and rest 14 were females(36%) with ratio 2.8: 1. The smoking pattern was 72% with maximum in males(70%) and minimum females (2%). The histopathological diagnosis was made in 44 cases with higher incidence of malignant lesion. Among malignant lesions(39), squamous cell carcinoma (32%) commonest followed by adenocarcinoma (18%), small cell carcinoma (6 %), large cell carcinoma (2%),poorly differentiated carcinoma (12%).Tubercular granuloma(6%) commonest in benign lesion.FNAC provided 90% sensitivity and 100% specificity in diagnosis. Complications encountered during FNAC were pneumothorax (6%); minor hemoptysis (2%) apart from minor complications like local pain and ecchymosis. Conclusions: CT guided FNAC is a simple,safe, reliable outdoor procedure with patient acceptance and high diagnostic accuracy for the diagnosis in suspected cases of malignancy .
Authors and Affiliations
Dr. Aakarsha Sharma, Dr. Mahesh Mishra, Dr. Rohan Gaur
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