Cytopathological analysis of unguided transthoracic fine needle aspiration cytology and its utility in diagnosis

*, Kausalya Kumari Sahu and Sahoo, Ramesh Chandra and *, Pooja K Suresh and *, Vasudeva Raghuveer C. and *, Sridevi H.B. (2017) Cytopathological analysis of unguided transthoracic fine needle aspiration cytology and its utility in diagnosis. Journal of Evolution of Medical and Dental Sciences, 6 (95). pp. 6940-6941. ISSN 2278-4802

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Abstract

BACKGROUND Fine needle aspiration cytology (FNAC) is a well-accepted and safe diagnostic procedure for the superficial lesions of the body; however, it can also be used for intrathoracic lesions with or without radiological guidance. The objective is to study the utility of unguided transthoracic FNAC as a diagnostic aid in intrathoracic lesions. MATERIALS AND METHODS This descriptive study of one hundred and fifteen cases of intrathoracic lesions presenting as pulmonary nodules was done by unguided transthoracic fine needle aspiration cytology (TFNAC) to assess the diagnostic accuracy. RESULTS The yield was diagnostic in 76 cases. Among the 76 cases, 64 cases were malignant lesions & 12 were non-neoplastic. There were no false positives; however, 5 cases showed false negative reports. The sensitivity, specificity and positive predictive value were 90.1%, 100% and 100% respectively. Minimal complications were encountered like pain at the punctured site, blood-tinged sputum and pneumothorax in two cases. CONCLUSION Unguided TFNAC is a simple, dependable and economical procedure for the diagnosis of peripheral lung lesions.

Item Type: Article
Uncontrolled Keywords: Transthoracic, Fine Needle Aspiration Cytology, Intrathoracic Lesions.
Subjects: Medicine > KMC Mangalore > Pathology
Medicine > KMC Mangalore > Pulmonary Medicine
Depositing User: KMCMLR User
Date Deposited: 06 Jan 2018 07:11
Last Modified: 06 Jan 2018 07:11
URI: http://eprints.manipal.edu/id/eprint/150438

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