Utility of Usg-Guided Fine Needle Aspiration Cytology in The Diagnosis of Intra-Abdominal Masses
Keywords:
fine needle aspiration, intra-abdominal masses, cytology
Abstract
BACKGROUND Fine needle aspiration cytology (FNAC) with the aid of imaging modalities like Ultrasonography (USG) and Computed Tomography (CT) is an increasingly used technique in diagnosing intra-abdominal masses, both non neoplastic and neoplastic. This study was undertaken to evaluate the utility of image guided cytology in various palpable and non-palpable intra-abdominal lesions. MATERIALS AND METHODS A retrospective study was conducted in the Department of Pathology over a period of two years to find the utility of USG guided FNAC in intra-abdominal masses. Percutaneous ultrasound guided FNAC was conducted in a total of 66 cases with palpable and non-palpable intra-abdominal lesions were included in the study. RESULTS A total of 66 patients with intra-abdominal lesions were included in the study. The age of the patients ranged from 14 to 90 years. Of these, 48 cases (72.72%) were males and 19 cases (28.78%) were females. Out of the total aspirates, 7 cases (10.61%) were categorised as non-neoplastic, 55 cases (83.33%) as neoplastic and 4 cases (6.06%) were categorised as inadequate. Thirty one cases (46.96%) were in hepatobiliary region, 9 cases (13.63%) in pancreatic-ampullary region, 8 cases (12.12%) in the retroperitoneal lymph nodes, 6 cases (9.09%) in the right iliac fossa, 4 cases (6.06%) in the gastrointestinal tract, 3 cases (4.54%) of ovarian masses and one case (1.51%) of renal mass. CONCLUSION FNAC is a simple, safe, quick, non invasive and inexpensive procedure. USG guided assisted FNAC plays an important role in the diagnosis and differentiation of neoplastic and non neoplastic intra-abdominal lesions.References
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2. Pitman MB. Fine needle aspiration biopsy of the liver. Principal diagnostic challenges. Clin Lab Med 1998; 18: 483- 506.
3. Juan Rosai, VJ. Desmet, GO. Nelson. Rosai and Ackerman’s Surgical Pathology. 9th ed. 2005; Mosby.
4. Dosi S, Gupta G, Kawatra M, Chakrabarti P, Agrawal P, Jain M. Role of radiological-assisted cytology in intra-abdominal lesions: A 3 years experience in a tertiary care center. International Journal of Applied and Basic Medical Research. 2016;6:101-105.
5. Reyaz TA, Summyia F, Isma N, Nazia B, Adil S, Sameena K, Humaira B, Naila N, Ambreen B. USG guided fine needle aspiration cytology of intra-abdominal and pelvic masses in Kashmir: A study at tertiary care hospital. International Journal of Medical research and health sciences.2016 Jan 1;5:169-75.
6. Naiding M, Goswami A, Singh S. Role Of Usg Guided Fnac In Diagnosis Of Intra-Abdominal And Intrapelvic Masses. International Journal of Advanced Research. 2017;5:222–33.
7. Nautiyal S, Mishra RK, Sharma SP. Routine and ultrasound guided FNAC of intra-abdominal lumps – A comparative study. J Cytol. 2004;2:129–32.
8. Zawar M.P., Dr. Bolde S., Dr. Shete S.S. Correlative study of fine needle aspiration cytology and histology in intra-abdominal lumps. SMJ 2007; 4-8.
9. Khan AA, Jan GM, Wani NA. Fine needle aspiration of intra-abdominal masses for cytodiagnosis. J Indian Med Assoc. 1996;94:167–8.
10. Ahmad SS, Akhtar K, Akhtar S, Abrari A, Nasir A, Khalid M, et al. Ultrasound guided fine needle aspiration biopsy of abdominal masses. JK Sci. 2006;8:200–4.
11. Adhikari RC, Tuladhar A, Shrestha S, Sharma SK. Deep-seated thoracic and abdominal lesions: Usefulness of ultrasound guided fine needle aspiration cytology, a 3 year experience. Nepal Med Coll J. 2010;12:20–5.
12. Porter B, Karp W, Forsberg L. Percutaneous cytodiagnosis of abdominal masses by ultrasound guided fine needle aspiration biopsy. Acta Radiol Diagn (Stockh) 1981;22:663–8.
Published
2018-05-20
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