CYTO - HISTOPATHOLOGIC CORRELATION IN DIAGNOSIS OF INTRAABDOMINAL AND PELVIC LESIONS

Dr. R. Muthukrishnan, Dr. P. Mahendranath

Abstract


intra abdominal lesions are big challenge for clinician to treat a patient. In this situation
histopathological evaluation plays important role in the diagnosis of intra abdominal and pelvic lesions. The
documentary evidence of morphological nature of lesion is very important before the starting of therapy and prognosis is mandatory.
MATERIAL AND METHODS: This is an descriptive and cross sectional study carried over a period of 1 years from september 2017 to
september 2018 at department of pathology ACS Medical College and Hospital, Chennai. The aim of this study was to determine the reliability of
USG guided FNA in distinguishing neoplastic from non-neoplastic intra-abdominal and pelvic lesions. This study was approved by the
institutional ethical committee. Results were analysed and interpreted statistically.
RESULTS: Total number of cases we received 50, most of the cases were presented at age group of between 50-60 years with MF ratio 1:1.3.
There were 26(68.4%) malignant, 12(31.6%) were benign and 12(24%) were unsatisfactory smears. Liver is the organ most commonly
involved, and most of the lesions were malignant. Hepatocellular carcinoma is most common malignancy is observed. Ovary is next common
organ was involved. This study showed 96.6% sensitivity, 100% specicity, 94.4% diagnostic accuracy.
CONCLUSION: Intra abdominal FNAC is a simple, economical and a safe procedure with high rates of sensitivity, specicity and diagnostic
accuracy. Correlation with clinical history, radiology and histopathology further increases the diagnostic accuracy. Early diagnosis helps in
appropriate management of the patients.


Keywords


Fine needle aspiration cytology (FNAC), Tru-Cut biopsy(TCB), Image guided cytology, liver, Hepatocellular carcinoma, Histopathology.

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References


Aftab Khan A., Jan GM., Wani NA. Fine Needle Aspiration of Intraabdominal masses for cytodiagnosis. J. Indian Med Assoc 1996; 94(5): 167-69.

Nautiyal S., Mishra RK, Sharma SP., Routine and ultrasound guidedFNAC of intra abdominal lumps – A comparative study. Journal ofCytology 2004; 21 (3): 129-132.

Stewart CJR, Coldewey J, Stewart IS. Comparison of fine needle aspiration cytology and needle core biopsy in diagnosis of radiologically detected abdominal lesions. J ClinPathol. 2002;

: 93-97.

Islam T, Hossain F, Rumpa AP, SikderNH, BhuiyanMA, Karim E, et al. Ultrasound guided fine needle aspiration cytology: a sensitive diagnostic tool for diagnosis of intra-abdominal lesions. Bangladesh Med Res Counc Bull. 2013;39:14-17.

S. Shamshad Ahmed, Kafl Akhtar, S. Shakeel Akhtar et al. Ultrasound guided fine needle aspiration biopsy of abdominal masses. JK Science. 2006; 8 (4): 200-204.

Joao Nobrega and Guimaraes dos Santos. Aspirative cytology with fine-needle in the abdomen, retroperitoneum and pelvic cavity: a seven year experience of the Portuguese Institute of Oncology, Centre of Porto. European Journal of Surgical Oncology. 1994; 20: 37-42.

Dr. 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.

VB. Biradar et al. A study of fine needle aspiration cytology in abdominal lump (dissertation). Gulbarga: University of Gulbarga, 1994.

Aftab Khan A., Jan GM., Wani NA. Fine Needle Aspiration of Intraabdominal masses for cytodiagnosis. J. Indian Med Assoc 1996; 94(5): 167-69.

Stewart CJR, Coldewey J., Stewart IS. Comparison of fine needleaspiration cytology and needle core biopsy in the diagnosis of radiologically detected abdominal lesions. J. Clin. Pathol. 2002; 55: 93-97.

Joseph T., Ferrucci Jr. MD., Jack Wittenberg MD. CT Biopsy of Abdominal Tumors: Aids for Lesion Localization. Radiology 1978; 129: 739-744.12.

B S Sumana corresponding and Bharathi Muniyappa, Ultrasonography Guided Fine Needle Aspiration Cytology with Preparation of Cell Blocks in the Diagnosis of Intra- Abdominal MassesJournal of Clinical and Diagnostic Research : JCDR. 2015 Dec; 9(12)EC08.

Aparna Amogh Naik Namshiker, Role of Fine Needle Aspiration Cytology in the Assessment of Intra-Abdominal and Retroperitoneal Lesions-A Comparative Study, National Journal of Laboratory Medicine. 2016 Jul, Vol-5(3): PO31-PO37


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