Shankar Bastakoti
BP Koirala Memorial Cancer Hospital, Nepal
Title: Fine needle aspiration cytology in head and neck lesions: A tertiary hospital based experience in eastern Nepal
Biography
Biography: Shankar Bastakoti
Abstract
Fine Needle Aspiration Cytology (FNAC), a simple and rapid diagnostic technique being considered as a valuable diagnostic aid because of the early availability of results, simplicity, easy accessibility, minimal trauma and absence of complications.
AIMS AND OBJECTIVES:
Study the cytological spectrum and systemic analysis of the head and neck lesions and correlate with histopathologic diagnosis. And evaluate the sensitivity, specificity & diagnostic accuracy of the fnac.
Hospital based Cross-Sectional study, was conducted in the Department of Pathology at BPKIHS, Dharan.
Our study included 404 cases with the female: male ratio 1.6:1. Overall benign lesion (38.6%) outnumbered the malignant lesion (21.3%). Female presented with thyroid lesion (43.1%) commonest likewise lymphnode (52.5%) in a male. Altogether 69 cases were diagnosed malignant and 17 were suspicious for malignancy however only 29 could be correlated histopathologically. EIC as benign and Squamous Cell Carcinoma as malignant lesion are the most frequent in Cutaneous and soft tissue. Likewise, Colloid Nodule, Papillary carcinoma and lymphocytic thyroiditis in inflammatory lesion of thyroid. Pleomorphic adenoma, Mucoepidermoid carcinoma, and chronic sialadenitis observed most in salivary gland. Reactive and granulomatous lymphadenitis were the commonest in lymphnode and Malignant lesion were observed comprising of Metastatic Carcinoma and hematolymphoid which was the commonest site for malignancy. The overall sensitivity, specificity and diagnostic accuracy was 96.5%, 98.4% and 97.8%.
FNAC in our experience proved effective, efficient, prompt diagnosis and minimal invasive procedure hence recommended as the first line investigation in case of any head and neck lump/mass/lesion.