A study of FNAC of head and neck lesions at a tertiary care centre
Abstract
Introduction: The head and neck masses are relatively common pathology. These head and neck masses are evaluated by clinical history and examination with the aid of investigations like FNAC, USG and CT of the region and excision biopsy. Fine Needle Aspiration Cytology (FNAC) is a very simple, quick, inexpensive and minimally invasive technique used to diagnose different types of swellings like lymph node, thyroid, soft tissue and salivary glands in head and neck region.
Objectives: It is to assess the frequency and incidence of different sites, age, sex and distribution of inflammatory, benign and malignant lesions. Methods: A retrospective study was conducted at GMERS Medical College & Hospital, Junagadh, Gujarat from January 2018 to December 2018. Patients between the ages of 35days to 85 years were enrolled into the study. A total of 139 patients with a head and neck swelling underwent FNAC. Fine needle aspiration diagnosis was correlated with detailed clinical findings and investigations.
Result: Out of 139 fine needle aspiration procedures 64.02% (89 cases) were of lymph node, 18.7% (26 cases) were of thyroid, 2.87% from salivary gland(04 cases), 12.94% (18 cases) from skin and soft tissue swellings. Out of total 139 lesions, 80 (57.55%) were inflammatory, 48 (34.53%) benign and09 (6.47%) were malignant and 02 (1.43%) were inconclusive.
Conclusion: From our study we concluded that FNAC is simple, quick, inexpensive and minimally invasive first line investigation for differential diagnosis of head and neck masses.
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References
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