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AIMS AND OBJECTIVESTo study ocular adnexal tumours and compare the diagnostic accuracy of FNAC and HPE. METHODS AND MATERIALSTwenty eight cases of different age groups having benign and malignant ocular adnexal tumours were studied. A thorough systemic and ocular examination, laboratory investigations of body fluids, X-rays, USG and CT-scan were done. FNAC and biopsies were performed for confirmation. RESULTS AND OBSERVATIONSOut of the 28 cases, 18 were benign (64.28%) and 10 were malignant (35.71%). Mean age of patients with benign tumour was 34 yrs. and malignant was 60 yrs. The prevalence of benign tumours was more in males (M:F = 2.6:1) while in malignant cases females predominated (M:F = 1:2.3). Upper lid was more commonly involved (53.57%). Accuracy rate of diagnosing the tumours through HPE was 88% and FNAC was 72.72%. CONCLUSIONFNAC has a good accuracy rate in diagnosing tumours and can be used as an early, cheap and prompt diagnostic tool for ocular adnexal tumours.

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