Computed tomography guided percutaneous transthoracic fine needle aspiration cytology of pulmonary mass lesions: Two years cross sectional study of 61 cases

Konjengbam, Ratan; Singh, Ningthoujam Bhubon; Gatphoh, Soram Gayatri

doi:10.4103/0972-4958.141098

Cited by 9 publications

(23 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The predominance of neoplastic lesions in the lung, is similar to the findings of Kalhan et al 10 and Konjengbam et al 11 . Our study showed squamous cell carcinoma to be the most common lesion in the lung, which is similar to the findings of Konjengbam et al 11 , whereas Kalhan et al 10 found adenocarcinoma to be the most common lesion.…”

Section: Discussionsupporting

confidence: 90%

Evaluation of intrathoracic lesions by image guided fine needle aspiration cytology

2019

View full text Add to dashboard Cite

Background: Fine needle aspiration cytology has become an indispensable tool for diagnosis of intrathoracic lesions. The purpose of this study was to evaluate the spectrum of intrathoracic lesions by image guided fine needle aspiration cytology. Materials and Methods: This was a prospective study of 100 patients, who underwent image guided fine needle aspiration cytology of intrathoracic lesions from December 2015 to November 2016 in the Department of Pathology, Institute of Medicine, Tribhuwan University Teaching Hospital. Results: Of the 100 cases, diagnostic material was obtained in 86 cases, which included 69 cases (80.23%) from lung, 7 cases (8.13%) from pleura and 10 cases (11.62%) from mediastinum. Lung lesions constituted of 61 neoplastic lesions (88.40%), 3 cases (4.34%) suspicious of malignancy, 3 cases (4.34%) negative for malignancy and 2 non- neoplastic lesions (2.89%). Squamous cell carcinoma was the most common lesion of the lung. Pleural lesions consisted of 5 neoplastic cases (71.42%), 1 non- neoplastic case (14.28%) and 1 negative for malignancy (14.28%). Mediastinal lesions consisted of 7 neoplastic lesions (70.00%) and 3 non- neoplastic lesions (30.00%). Biopsy for histopathological examination was available in 30 cases. The concordance of diagnosis of lung lesions by fine needle aspiration cytology and histopathology was 90.90%. Image guided FNAC had sensitivity of 95.83% and specificity of 50.33% in diagnosing intrathoracic lesions. The positive predictive value of image guided FNAC in diagnosis of intrathoracic lesions was 92.00% and negative predictive value of 66.67 percent. Conclusions: Image guided fine needle aspiration cytology of intrathoracic lesions permits categorization and distinction between non- neoplastic and neoplastic lesions.

show abstract

Section: Discussionsupporting

confidence: 90%

Evaluation of intrathoracic lesions by image guided fine needle aspiration cytology

2019

View full text Add to dashboard Cite

show abstract

“…This figure is quite high as compared to the observations of most studies. [10,15,17] , but Basnet et al [20] did observe a high rate of inadequate sampling (18%). As discussed earlier, a number of factors are involved in reaching a conclusive diagnosis by FNAC and a deficiency in any of those steps can lead to a fallacious or inconclusive diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…[18] , but few studies have shown increased percentage of Squamous cell carcinoma. [6,10,17] as well.…”

Section: Discussionmentioning

confidence: 99%

“…Our findings are in agreement with the observations of Arslan et al [10] and Gangopadhyay et al [15] , but few others have shown a lower rate of malignant diagnosis. [16,17] There has been a significant increase in the incidence of adenocarcinoma worldwide recently. [18] , but few studies have shown increased percentage of Squamous cell carcinoma.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Percutaneous Ct Guided Fnac of Lung Masses: Experience at a Tertiary Medical Centre

Kouli¹,

Dutta²,

Bhattacharjee³

2016

jemds

View full text Add to dashboard Cite

BACKGROUNDThe diagnosis of a lung mass is possible by utilizing cytological analysis of the tissue obtained by Fine Needle Aspiration Cytology (FNAC). With the development of Computed Tomography (CT) guided FNAC, the safety and accuracy of the procedure has also improved. Although this modality of investigation shows wide variation in sensitivity and specificity, but its role in the investigation of a lung mass is quite well established. The aim of this study was to evaluate the effectiveness of CT-guided FNAC in patients presenting with lung masses and the patterns of diagnosis in such patients.

show abstract

“…Biopsy of the lesion was done using BARD Biopsy gun. Aspirated materials were subjected to cytological examination and reported into 3 groups, as: 4 Positive for malignancy (PFM) when cytology showed diagnostically malignant cells Suggestive for malignancy (SFM) when cytology showed atypical cells with no definite evidence of malignancy Negative for malignancy (NFM) when cytology did not reveal malignant or atypical cells.…”

Section: Methodsmentioning

confidence: 99%

Comparative study of computed tomography guided fine needle aspiration cytology and trucut biopsy in diagnosis of lung cancer: a report of 81 cases

et al. 2016

View full text Add to dashboard Cite

INTRODUCTIONLung cancer is the most commonly diagnosed malignancy across the globe, especially in males. It is the leading cause of cancer related deaths with an average 5 year survival rate of 16.8%.1 CT guided fine needle aspiration cytology (FNAC) and Biopsy are simple methods to diagnose lung cancer in a vast majority of patients, especially in peripherally situated lesions. FNAC was first used by Martin and Ellis as a diagnostic tool.2 FNAC can sub classify the type of bronchogenic carcinoma and the vast majority of lung malignancies can be confidently diagnosed with cyto-morphological characterization in right clinical context. 3 The purpose of our study was to evaluate the diagnostic utility of CT guided FNAC and to compare it with biopsy in diagnosis of lung cancer. METHODSThis is a cross sectional study, done in department of respiratory medicine, Geetanjali Medical College and Hospital , Udaipur, Rajasthan over a period of 12 months from august 2014 to July 2015. Study was approved by Institutional ethical committee. All the patients with suspected mass lesion on chest X-ray and clinical symptoms suggestive of lung cancer were included in the study. Written consent was taken from each patient. Clinical history was taken in detail and routine blood investigations were sent, including BT, CT and INR. ABSTRACTBackground: Lung cancer is the major cause of cancer related deaths all over the world. CT guided FNAC and/or Biopsy of lung mass is an effective modality to diagnose lung cancer, especially in peripherally situated lesions. This study was planned to compare the role of CT guided lung FNAC and Biopsy in diagnosis of Lung cancer. Methods: This is a cross sectional study, done in department of respiratory medicine of a tertiary care teaching hospital of Rajasthan over a period one year. All the patients with suspected mass lesion on chest X-ray and clinical symptoms suggestive of lung cancer were included in the study. CT guided FNAC and biopsy were done in each patient after explaining the risks. Results: CT guided procedures were done in 81 patients of suspected lung cancer. CT guided FNAC yielded positive results in 75 patients while it was negative in 6 patients. CT guided lung biopsy was positive in all patients. Squamous cell carcinoma was most common type encountered malignancy. Conclusions: CT guided lung FNAC and Biopsy is a simple and safe method with high diagnostic accuracy for diagnosis of Lung cancer.

show abstract

Computed tomography guided percutaneous transthoracic fine needle aspiration cytology of pulmonary mass lesions: Two years cross sectional study of 61 cases

Cited by 9 publications

References 0 publications

Evaluation of intrathoracic lesions by image guided fine needle aspiration cytology

Evaluation of intrathoracic lesions by image guided fine needle aspiration cytology

Percutaneous Ct Guided Fnac of Lung Masses: Experience at a Tertiary Medical Centre

Comparative study of computed tomography guided fine needle aspiration cytology and trucut biopsy in diagnosis of lung cancer: a report of 81 cases

Contact Info

Product

Resources

About