Evaluation of Role of Ultra Sound Guided Fine Needle Aspiration Cytology for Diagnosis of Ovarian Lesions with Particular References to Diagnostic Pitfalls.
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Date
2014-04
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Abstract
Background: Ovarian lesions are quite common among females of all age groups. Ovarian cancers
account for 6% of female malignancy. ULTRASONOGRAPHY(USG) can help in proper
identification and categorization of these lesions. Fine needle aspiration cytology (FNAC) under
USG guidance can be an effective modality for early diagnosis of ovarian masses. Aims And
Objectives: To evaluate the role of USG guided FNAC over ovarian space occupying lesions
(SOLs) for proper categorization into non-neoplastic, benign & malignant variants and to identify
possible underlying causes of cytological misdiagnosis, if any, in comparison to
histopathological diagnosis. Materials and Methods: FNAC under USG guidance were performed
over one hundred and sixteen cases with radiologically proved ovarian SOLs during a
period of five years. Aspirated materials were interpreted as non- neoplastic, benign or malignant
lesions. Histopathological study was possible in 47 of these cases. Results: Out of 116
aspirations, non neoplastic, benign and malignant diagnosis were given in 51, 42 &23 cases,
respectively. During histopathological correlation 41 out of 47 cases(87.2%) show exact cytohistological
parity.Rest six cases with cytological misdiagnosis were discussed in detail.
Conclusion: USG guided FNAC can effectively diagnose ovarian lesions in more than 87%
cases. Scrutiny about failed diagnosis will help to improve accuracy in future.
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Keywords
FNAC, USG guidance, ovarian lesions, diagnostic pitfalls
Citation
Sengupta S, Mondal R, Bose K, Ray R, Jana S, Deoghoria D. Evaluation of Role of Ultra Sound Guided Fine Needle Aspiration Cytology for Diagnosis of Ovarian Lesions with Particular References to Diagnostic Pitfalls. Bangladesh Journal of Medical Science. 2014; 13(2): 158-162.