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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 13, Issue 1, November 2014 pp 01-04
Correlative study of fine needle aspiration cytology and histopathology in intraabdominal lumps
Saroj A Bolde1, Smita S Pudale2, Smita S Shette3, Ashwini Raut4, Nitin Kole5
1Associate Professor, 2,3Assistant Professor, 4Resident, Department of Pathology, DR. V.M. Government Medical College, Solapur, Maharashtra, INDIA.
5Associate Professor, Pandit Dinanath Dental College, Kegaon, Solapur, Maharashtra, INDIA.
Introduction: Intra-abdominal masses always remain an enigma in surgical practice. Fine needle aspiration cytology (FNAC) preferably ultrasonographically guided (USG) of 50 cases of intraabdominal lump was performed and co-rrelated with histopathology. Aims: To co-rrelate the study of cytology with histopathology in cases of intraabdominal lumps. Material and Methods: This study included 50 intraabdominal lesions which were detected clinically.USG guided FNAC was done in 40 cases. Under light microscopy the lesions were reported, cytohistopathological correlation was done in 36 cases. Hematoxylin, eosin and papanicolau’s stains were used. Results: Cases from all age group were included. Maximum number of cases14 (28%) were in age group of 51-60 yrs, with Male: Female ratio of 1.63:1.The diagnostic yield was higher in USG guided FNAC. There were 24(48%) malignant, 09 (18%) inflammatory, 09 (18%) suggestive of malignancy,02(4%) nonneoplastic and06(12%) unsatisfactory smear. Hepatic lesions were most common. Hepatocellular carcinoma and Adenocarcinoma were the most common malignant lesions. Accuracy rate for cytohistopathological correlation was90% as out of 40 cases 36 cases were showing same diagnosis histologically. We found various lesions of liver, gastrointestinal tract, kidney and few cases of pancreas, gall bladder, spleen , mesenteric lymph nodes. We have came across a rare lesion of Gaucher disease (2 cases) diagnosed successfully both by cytology and histopathology. Conclusion: Intra abdominal FNAC is a simple, economical and safe procedure with high sensitivity, specificity and diagnostic accuracy. It can be utilized as pre- operative procedure for the management of intra- abdominal lump.