A study of ultrasound- guided FNAC in abdominal masses
AbstractAims and Objectives: The present study was undertaken to assess accuracy, feasibility and safety of radiologically guided FNAC of intra-abdominal and retroperitoneal masses. Methods: This prospective study was conducted in the Department of Pathology, in collaboration with the Department of Radiology, at Government Medical College, Nagpur. Ultrasound-guided percutaneous FNAC were performed on 273 patients, for pathologic confirmation of a suspected tumor, secondary metastasis or an infective etiology. Results : The liver was most predominant site (35.53%) of abdominal masses. Of total 217 (79.48%) adequate smears, malignancy was reported in 179 (82.4%) cases, benign in 7 (3.2%) cases and inflammatory in 19 (8.8%) cases. 12 (5.6%) cases were suspicious of malignancy. Secondary metastasis in liver was commonly detected lesion comprised of 16.2% of total malignant abdominal masses followed by hepatocellular carcinoma 15%. A correlation between clinic-radiologic impression and cytologic diagnosis was obtained in 213 cases. FNAC changed clinic-radiologic diagnosis in 4 cases. A cyto-histopathologic correlation was obtained in 58 cases. An overall accuracy of 98.3% was achieved by ultrasound guided FNAC, with a sensitivity of 98% and a specificity of 100%. Predictive value for positive and negative was found to be 100% and 87.50% respectively. No more than 2 cases were made into any lesion. Conclusion: Ultrasound guided percutaneous FNAC is a very valuable diagnostic tool in terms of higher degree of both accuracy and adequacy with low incidence of complications. In addition, it has a high sensitivity and specificity contributing to a more efficient diagnosis and treatment planning of the patient.
Download data is not yet available.
Original Research Articles
Copyright (c) 2018 International Journal of Biomedical and Advance Research
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (SeeThe Effect of Open Access).