Comparative Clinico-pathological study of fine needle aspiration cytology and histopathology of various neck swellings in Bundelkhand region of Madhya Pradesh, India
Abstract
Introduction: Cervical swellings and lumps are common clinical problems. Neck swellings in children are commonly congenital and benign tumours while neck swellings in adults should be aimed to exclude malignancy. FNAC is the single most important test in the evaluation of neck swellings especially metastatic lymph nodes. FNAC helps in planning out surgical management of neck masses which can be confirmed with histopathology which is the gold standard for diagnosis.
Objective: The aim of the study was to evaluate the various swellings in the neck and to compare the findings of FNAC and HPE.
Material and Methods: The study is a prospective study conducted over a period of two years from January 2016 to January 2018 in the Department of ENT and Department of Pathology in Bundelkhand Medical College Sagar M.P. The study involved 100 cases of patients with neck swellings who attended ENT OPD and gave consent for both FNAC and biopsy or excision biopsy and HPE.
Results: The overall accuracy of FNAC in diagnosing neck swellings is similar to that of HPE.
Conclusion: FNAC is an important preoperative tool in the diagnosis of various neck swellings of the neck and is recommended as the first line of investigation in various neck swellings.
Downloads
References
2. Ferrer R. Lymphadenopathy: Differential diagnosis and evaluation. Am Fam Phy. 1998;58(6):1313-20.
3.Martin H. Aspiration biopsy [Internet]. CiNii Articles. 2019 [cited 12 July 2019].
4. Koss L. Thin needle aspiration biopsy (editorial).Acta Cytol. 1980;24(1-3).
5. Neck Masses [Internet]. Laurence Biro's reflections on Life, Universe and Everything. 2019 [cited 12 July 2019].
6.Miller D, Ervin T, Weichselbaum R, Fabian RL. The differential diagnosis of the mass in the neck.A fresh look.The Laryngoscope. 1981;91(1):140-5. DOI:https:// doi. org/10.1288/00005537-198101000-00021
7.Jasani JH, Vaishnani HV, Vekaria PN, Patel D, Shah Y, Savjiani N, Patel D, Lakhani D. Retrospective study of fine needle aspiration cytology of head and neck lesions in tertiary care hospital. IJBAR. 2013;4(4): 253-
6.DOI: https://doi.org/10.7439/ijbar.v4i4.337
8. Taviad D, Jadav K, Nikhra P, Panchal A, Patel V. Role of fine Needle aspiration cytology in head and neck swelling [Internet]. Semanticscholar.org. 2019 [cited 12 July 2019].
9. Poorey VK, Tyagi A. Accuracy of fine needle aspiration cytology in head and neck masses.Indian J Otolaryngol Head Neck Surg. 2014;66(2):182-6. DOI: 10.1007/s12070-014-0709-3. Epub 2014 Feb 14.
10. Gertner R, Podoshin L, Fradis M. Accuracy of fine needle aspiration biopsy in neck masses. The Laryngoscope.1984;94(10):1370-1.DOI: https://doi.org/ 10.1288/00005537-198410000-00020
11. Gupta G, Joshi DS, Shah A, Gandhi M, Shah NR. FNAC of head and neck swellings. GCSMC J Med Sci. 2014;3(1):38-41. DOI: http://dx.doi.org/10. 18203/issn. 2454-5929.ijohns20175623
12. Shariff MA, Raju J. Fine Needle Aspiration Cytology, Neck mass, Histopathology. Accuracy of fine needle aspiration cytology in the diagnosis of neck masses. 2014;(3354).
13. Swamy GG., Chandrashekar B, Parameshwari: Comparison of Fine Needle Aspiration Cytology and Histopathology in the diagnosis of neck masses: Int J Recent Trends Sci Tech. 2013;6(1):13-16.
14. Dejmek A, Lindholm K. Fine needle aspiration biopsy of cystic lesions of the head and neck, excluding the thyroid.Acta Cytol. 1990;34(3):443-8.
15.Johnstone JMS, Msran, AGD, Rintoul RF. Opcratksns on malignant glands of the neck, in Fsrquharsons textbook of operative surgery. 7th ed. Edinburgh, Churchill Livingstone, 1986;252-56
16. Russell, R.C.G. Lymph node biopsy, in atlas of general surgery. Edited by H. Dudley, D.C. Carter and RCG Russel 4th edition Dutterworth.1986;28-9.
17. Greenfield S, Jordan MC. The clinical investigation of lymphadenopathy in primary care practice.JAMA. 1978;240(13):1388-93. DOI: 10.1001/jama.1978.03290 130082034
18. Alsamen AA, BasheerA, Rish KAA, Ebous AA, Abdallat M. JRMS 2010;17: 33-7.
19. Patt BS, Schaefer SD, Vuitch F. Role of fine-needle aspiration in the evaluation of neck masses.Med Clin NorthAm. 1993;77(3):611-23. DOI:https://doi.org / 10. 1016/ S0025-7125(16)30243-7.
20. JCDR - Search Back, Past Issue Volume Archive of Journal of Clinical and Diagnostic Research [Internet]. Jcdr.net. 2019 [cited 12 July 2019].
21. Wilkinson AR, Mahore SD, Maimoon SA. FNAC in the diagnosis of lymph node malignancies: A simple and sensitive tool. Official J Ind Soc Med Paediat Oncol. 2012;33(1):21.
22. Anne R Wilkinson, Sadhana D, Mahore, Sahiba A, Maimoon. FNAC in the diagnosis of lymph node malignancies: A simple and sensitive tool. Indian J Med Pediat Oncol. 2012; 5851. 9696433(1): 21-24.DOI: 10. 4103/ 0971
23. Ishar T, Gupta RK, Khajuria A. Role of FNAC in the diagnosis of non- thyroidal head and neck lesions. JK Sci; 2012:14:9-13
24. Viguer JM, Vicandi B, Jiménez-Heffernan JA, López-Ferrer P, Limeres MA. Fine needle aspiration cytology of pleomorphic adenoma. An analysis of 212 cases. Acta Cytol. 1997;41(3):786-94. DOI:10.1159/ 000332705
25. Jayaram G, Basu D. Cytology in the diagnosis of thyroid lesions. J Assoc Physicians India 1993; 41(3): 164-169.
Copyright (c) 2019 Author (s). Published by Siddharth Health Research and Social Welfare Society
This work is licensed under a Creative Commons Attribution 4.0 International License.
OAI - Open Archives Initiative
Therapoid
