Role of FNAC In Diagnosis of Non-Thyroidal Head and Neck Lesions.

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Date
2012-01
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Abstract
Fine needle aspiration cytology (FNAC) is of particular relevance in head and neck lesions because of easy assessibility, excellent patient compliance, miminally invasive nature of procedure and helping to avoid surgery in non-neoplastic lesions, inflammatory conditions and also some tumors. The study was conducted on 160 patients presenting with non-thyroidal head and neck swellings. Swellings arising from lymphnodes formed largest group 110 (68.75%) cases, salivary gland origin leisions comprised of 15(9.3%) cases and miscellaneous lesions 35 (21.8%) patients. Aspiration was satisfactory in 153 (95.63%) and unsatisfactory in 7 (4.40%) patients. The cytodiagnostic yield was 147 (91.87%) cases in the study. In 46 patients surgical intervention and histopathological examination (HPE) of the specimen was undertaken. The sensitivity of FNAC compared with HPE where available in diagnosing lymphnode lesions was 83.33%, salivary gland lesions was 100% and miscellaneous swellings was 95.83%. The overall sensitivity in the study in diagnosing non-thyroidal head and neck lesion was 93.47%. No major complication was recorded.
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Keywords
Fine Needle Aspiration Cytology, Non-thyroidal, Head and Neck lesions, Lymphnodes, Salivary Glands
Citation
Ishar Tippu, Gupta Ram Kumar, Khajuria Arvind. Role of FNAC In Diagnosis of Non-Thyroidal Head and Neck Lesions. JK Science Journal of Medical Education and Research. 2012 Jan-Mar;14(1): 9-13