Ultrasonogram – Guided Fine Needle Aspiration Cytology In Peripheral Lung Lesions
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 1
Abstract
Introduction: For diagnosing various peripheral intrathoracic lesions USG guided FNAC is a safe radiation free, technically simple and cost effective method. CT guided FNAC is another commonly used method where lesion is difficult to access through ultrasound, but it is not radiation free and comparatively expensive also. Study aimed to evaluated the role of ultrasound guided percutaneous Fine Needle Aspiration Cytology in diagnosing and characterization of various peripheral pulmonary lesions Material and methods: An institution based study was conducted on 32 patients in 3 months duration with peripheral lung lesions not invading chest wall. All patients who were sent to the radiology department for USG guided FNAC taken for the study. Informed consent was taken. FNAC under USG guidance done in patients who are clinically suspected to have a neoplasm as evidenced by pulmonary opacities or nodules adjacent to the chest wall or pleural diseases. All medical records preserved including history CXR, USG, CT scan, bronchoscopic findings and histopathological diagnosis. Follow up maintained. Results: The majority of patients (n=21, 65.6%) were in the age group of 40 to 60 years. Of the 32 cases, 20(62.5%) were males and 12 (37.5%) were females. The male to female ratio was 1.6:1. Most common presenting complaints are cough 19(59.4%) and chest pain 18(56.2%). Most common lesions are observed in Right upper thorax 11 (34.3%) and followed with Right lower thorax 6 (18.7%). Of the 32 patients, 26 (81%) patients have diagnostically positive for cytology were 22 (68.7%) were diagnosed by FNAC as having malignancy and 4 (12.5%) were non-malignant lesions. Squamous cell carcinoma 11(50%) is most commonly seen malignancy and TB granuloma 3(13.5%) is in benign. One complication of pnemothorax 3.1%. Conclusion: Ultrasonographically guided fine needle aspiration cytology is safe, less expensive, less time consuming, less invasive diagnostic tool with high degree of accuracy and no radiation toxicity to peripheral lung lesions.
Authors and Affiliations
Shailja Srivastava, Sunita Bajaj
Keywords
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