Publication: Fine Needle Aspiration Cytology with the Assistance of Radiological Tools in the Diagnosis of Deep-Seated Lesions
Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Fine needle aspiration (FNA) with radiological assisted tools such as ultrasonography
(USG) and computed tomography (CT) are effective in obtaining high yield aspiration
of tissues located in technically difficult places such as deep-seated. It is a simple
outpatient procedure with low cost as compared to surgical biopsies.
Objective
To study the cytomorphological features of deep-seated lesions according to the
site of occurrence, and to categorize them with respect to age, sex and behavior of
lesions.
Method
This was a descriptive cross-sectional study of 125 patients who underwent image-
guided fine needle aspiration cytology of deep-seated lesions. The study was
conducted in the Department of Pathology and Department of Radiodiagnosis,
Dhulikhel Hospital- Kathmandu University Hospital, between January 2017 and
December 2018. Under radiological guidance, aspiration was performed under
negative pressure, and adequate material was obtained. Smears were stained
with Giemsa and Papanicolaou stain. The prepared slides were examined under a
microscope.
Result
Of the 125 patients who underwent USG and CT-guided fine needle aspiration
cytology (FNAC), 68(54.4%) were female and 57(45.6%) were male. The age of the
patients ranged from 13 to 84 years. The maximum number of patients was above
50 years. The nature of lesions was categorized as malignant 78(62.4%), followed by
23(18.4%) inflammatory and benign 1(0.8%).
Conclusion
Image-guided fine needle aspiration cytology is a safe diagnostic procedure, as it
provides real-time visualization of tip insertion in anatomical structures. It provides
high yield and a better representation of the samples.
KEY WORDS
Computed tomography, Fine needle aspiration, Ultrasonography
Description
Dhakal R,1 Makaju R,1 Karki S,2 Dhakal B1
1Department of Pathology,
2Department of Radiology,
Dhulikhel Hospital, Kathmandu University Hospital,
Kathmandu University School of Medical Sciences,
Dhulikhel, Kavre, Nepal
Keywords
Computed tomography, Fine needle aspiration, Ultrasonography