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Research Article

JCDR. 2021; 12(4): 709-718


Role Of Image Guided Fine Needle Aspiration Cytology In Diagnosis Of Abdominal And Pelvic Masses

Navneet Kaur, Pushpinder Kaur, Simmi Bhatnagar, Manoj Mathur, Abhinandan.


Abstract

Introduction: Image guided fine needle aspiration cytology (FNAC) is a safe, straightforward, speedy, cost-effective,
and accurate method for evaluating deep-seated abdominal and pelvic massesthat are difficult to reach with blind
FNAC. The efficacy of image guided FNAC in deep seated and otherwise inaccessible mass lesions was critically
examined in this study.
Aim: (1)To assess the efficacy of image-guided FNAC as a quick, painless, and minimally invasive diagnostic
procedure. (2) To assess the diagnostic accuracy of image guided FNAC in surgical instances by comparing
histopathological findings.
Materials and Methods: This prospective study was carried out in the Pathology Department of Rajindra Hospital
Patiala in collaboration with the Radiodiagnosis Department. After obtaining written informed consent from 75
patients with abdominal and pelvic masses, fine needle aspiration was performed on them.Following the patient's
agreement, FNAC of the mass was performed using aseptic measures and the shortest route possible under ultrasound
or CT guidance. A disposable plastic syringe with a 10 mL capacity and a 22 gauge needle wasutilised. A 20-22 gauge
spinal needle with a 9cm length was used for deep-seated lesions.
Results- Of the 23 instances those were histologically confirmed, 21 were compatible and two were incompatible. The
sensitivity, specificity, and diagnostic accuracy of image guided FNAC for diagnosing abdominal and pelvic masses
were 100 percent, 66.7 percent, and 91.3 percent, respectively, according to statistical analysis.
Conclusion-Diagnostic accuracy of FNAC for deep-seated lesions improves with radiological guidance, allowing for
quick diagnosis with minimal surgical intervention.

Key words: FNAC, Cytological, Histological, Atypia






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