Study of Radiologically Assisted Fine Needle Aspiration Cytology in Abdomino-Pelvic Lesions

Authors

  • Vidya.K 1, Nimisha Gupta2, Prathima.S3

DOI:

https://doi.org/10.37506/ijcpath.v6i1.11928

Keywords:

USG guided, CT guided, FNAC, Abdomino-pelvic lesions, Radiologicaly assisted

Abstract

Background: Clinicopathological evaluation of abdomino-pelvic lesions remain an enigma both to the clinician and pathologist . Radiologically assisted cytology namely Ultrasonography guided and Computed Tomography guided aspiration cytology is an accurate, safe, rapid and inexpensive method for diagnosing both neoplastic and non neoplastic abdomino-pelvic lesions.
Objectives: To evaluate the diagnostic utility of image guided cytology in abdomino-pelvic lesions.
Method: It is a retrospective descriptive study conducted in Department of Pathology of a tertiary health care centre, Bangalore. About 169 cases of abdomino-pelvic lesions diagnosed from period between January 2016 to December 2018 were reviewed retrospectively.
Results: In our study, abdomino-pelvic lesions were most common in the age group 41-50 years(32.5%) followed by 51-60 years(28.4%). Out of 169 cases, 85(50.3%) were males and 84(49.7%) were females. Out of 169 aspirates, cytodiagnosis revealed 71(42.01%) as primary malignant lesions, 40(23.67%) as metastatic malignant lesions, 31(18.34%) as non neoplastic lesions, 4(2.37%) as benign lesions and 23(13.61%) cases were categorised as inadequate. Liver was the most frequently aspirated abdominal organ and ovary- most frequently aspirated pelvic organ. Cyto-histopathological correlation was available in 37 cases. The diagnostic accuracy of image guided FNAC was 94.5%. The sensitivity, specificity, positive predictive value and negative predictive value were 92.5%, 100%, 100% and 83.3% respectively.
Conclusion: CT and USG guided FNAC is a preliminary diagnostic modality in inaccessible deep seated abdomino-pelvic lesions and can be done as an OPD procedure with less complications.

Author Biography

  • Vidya.K 1, Nimisha Gupta2, Prathima.S3

    1Associate Professor, Vydehi Institute of Medical Sciences, Whitefield, Bengaluru, 2 Post Graduate Student, Dept of Pathology, 3Professor and HOD, Dept of Pathology, Vydehi Institute of Medical Sciences, Whitefield, Bengaluru

Downloads

Published

2020-06-20

How to Cite

Study of Radiologically Assisted Fine Needle Aspiration Cytology in Abdomino-Pelvic Lesions. (2020). International Journal of Contemporary Pathology, 6(1), 108-113. https://doi.org/10.37506/ijcpath.v6i1.11928

Similar Articles

1-10 of 20

You may also start an advanced similarity search for this article.