Evaluation of The Role of Transrectal Fine Needle Aspiration As A Diagnostic Modality in The Diseases of Prostate with Review of Literature

  • Ansar A Khan Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. (U.P)-India
  • Prashant K Jain Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. (U.P)-India.
  • Binjul Juneja Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. (U.P)-India.
  • Mohammad Talha Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. (U.P)-India.
  • Ghazala Mehdi Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. (U.P)-India.
  • Kafil Akhtar Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. (U.P)-India.
  • Ghahlaut YS Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. (U.P)-India.
DOI: https://doi.org/10.21276/apalm.2117
Keywords: Transrectal FNAC, Franzen technique, Prostatic carcinoma

Abstract

INTRODUCTION: Transrectal fine needle aspiration cytology is feasible, reliable and highly sensitive diagnostic tool for the diagnosis of prostatic diseases. It mostly involves the elderly men, whose population is increasing in our country with the demographic shift of longitude. AIMS AND OBJECTIVES: To evaluate the sensitivity, specificity and positive productive value of transrectal fine needle aspiration cytology in addition to other advantages so that it could be accepted as a primary screening tool in the selection of the patients for biopsy and treatment of prostatic lesions. MATERIAL AND METHODS: Transrectal FNAC was performed in 49 patients, in clinically diagnosed cases of prostate diseases. Histomorphology was also carried out. RESULTS: Satisfactory smears could be obtained in 93.9% cases on first aspiration. The diagnostic accuracy for inflammatory disease was highest (100.0%), followed by malignant (88.8%), and benign lesions (82.9%), with a positive predictive value of 100.0% for malignancy of the prostate. False positivity was seen in 2.09% and false negativity in 11.2% cases. CONCLUSIONS: Transrectal FNAC is an accurate, sensitive, highly specific procedure with a high positive predictive value with negligible complication with an additional advantage of possible assessment of prognosis.

Author Biographies

Ansar A Khan, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. (U.P)-India
Department of Pathology
Prashant K Jain, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. (U.P)-India.
Department of Pathology
Binjul Juneja, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. (U.P)-India.
Department of Pathology
Mohammad Talha, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. (U.P)-India.
Department of Pathology
Ghazala Mehdi, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. (U.P)-India.
Department of Pathology
Kafil Akhtar, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. (U.P)-India.
Department of Pathology
Ghahlaut YS, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh. (U.P)-India.
Department of General Surgery

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Published
2019-04-08
Issue
Vol 6 No 3 (2019)
Section
Original Article

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