The utility of Fine Needle Aspiration Cytology (FNAC) in the diagnosis of head and neck lesions at tertiary health care level

  • Dr. Dipti Rameshbhai Patel Assistant Professor, Department of Pathology, American International Institute of Medical Sciences, GBH General and Cancer Hospital, Bedwas, Udaipur, Rajasthan, India
  • Dr. Shiv Nandan Chawla Professor and Head, Department of Pathology, American International Institute of Medical Sciences, GBH General and Cancer Hospital, Bedwas, Udaipur, Rajasthan, India
Keywords: Fine Needle Aspiration Cytology (FNAC), Head and Neck lesions, Lymph Node, Thyroid

Abstract

Introduction: FNAC is particularly suitable in the head and neck areas due to its easy accessibility of target sites, minimally invasive nature, excellent patient compliance, and helping of avoidance of surgery in conditions like non-neoplastic, inflammatory, and some tumors.

Aim: To assess the prevalence of different types of head and neck lesions and to test the utility of Fine Needle Aspiration Cytology (FNAC) in the diagnosis of head and neck lesions.

Material and Methods: A retrospective study of 224 FNAC of head and neck swellings performed as an outdoor procedure from Jan 2018 to June 2019 at the American International Institute of Medical Sciences (AIIMS), GBH General and cancer hospital, Udaipur, Rajasthan.

Results: Out of 224 cases, major aspirates were from lymph node 123 (54.91%), followed by skin and soft tissue 42 (18.75%), thyroid 40 (17.85%), salivary gland 13 (5.80%), and Oral cavity 06 (2.67%). Malignant lesions were higher in lymph node 69 (56.09%) and in oral cavity 05 (83.33%). Metastatic carcinoma 66 (53.65%) and lymphoma 03 (2.43%). Colloid goiter 24 (60%), keratinous cyst 27 (64.28%), and Pleomorphic adenoma 04 (30.76%) were common benign lesions in the thyroid, skin and soft tissue, and salivary gland respectively.

Conclusions: FNAC can be effectively used in the diagnosis and planning management of various head and neck swellings because it is safe, relatively painless, rapid, outdoor procedure and can differentiate benign from malignant lesions and gives clues for occult primaries in metastatic malignancy.

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References

Mc Guirt WF. Differential diagnosis of neck masses. In: Cummings CW, Flint PW, Harkar LA (eds). Cummings Otolaryngology Head and Neck Surgery. 4th ed, Mosby: Elsevier. 2005. p. 2542.

Chauhan S, Rathod D, Joshi DS. FNAC of swellings of head and neck region. Indian J App Basic Med Sci. 2011;13(17):1-6. Available at: https://www.indianjournals.com/ijor.aspx?target=ijor:ijabmsandvolume=13Bandissue=17andarticle=013.

Rathod GB, Parmar P. Fine needle aspiration cytology of swellings of head and neck region. Indian J Med Sci. 2012;66(3-4):49-54. doi: 10.4103/ 0019-5359.110896.

Martin H, Ellis EB. Biopsy of needle puncture and aspiration. Ann Surg. 1930;92(2):169-181. doi: 10.1097/00000658-193008000-00002.

Abrari A, Ahmad SS, Bakshi V. Cytology in the otorhinolaryngologist’s domain - a study of 150 cases, emphasizing diagnostic utility and pitfalls. Indian J Otolaryngol Head Neck Surg. 2002;54(2):107-110. doi: 10.1007/ BF 02968727.

Orell SR Sterrett GF, Walters MN, WhitakerD. Introduction: Manual and Atlas of fine needle Aspiration Cytology.2nd ed, Churchill livingstone.Edinburg.1992;44-59.

Maniyar AU, Patel HL, Parmar BH. Study of Cytodiagnosis of Head and Neck Neoplastic Lesions and Comparision with Histopathology. Res Rev: J Med Health Sci. 2013;2(2):54-59. Available at http://www.rroij.com/open-access/study-of-cytodiagnosis-of-head-and-neck-neoplastic-lesions-and-comparision-with-histopathology.php?aid=34629

Kirk RM, Ribbans WJ. Clinical Surgery in General. 4th ed, Edinburgh: Elsevier; 2004

Nguyen GK, Lee MW, Ginsberg J, Wragg T, Bilodeau D. Fine Needle Aspiration of the Thyroid:an overview. Cyto J. 2005;2(12):1742-1764. doi: 10.1186/1742-6413-2-12.

Burnand KG, Young AE, Lucas J, Rrolands BJ, Scholefield J. The new Aird's companion in surgical studies. 3rd ed, Elsevier, Churchill Livings tone. 2005.

Wilkinson AR, Mahore SD, Maimoon SA. FNAC in the diagnosis of lymph node malignancies: A simple and sensitive tool. Indian J Med Paediatr Oncol. 2012;33(1):21. doi:10.4103/0971-5851.96964.

Solanki PK, Patel AP, Taviad PP, Chaudhari VP, Patel SM. Fine needle aspiration cytology as a diagnostic procedure in head and neck swellings. Nat J Comm Med. 2012;3(3):433-436.

Jandu M, Webster K. The role of operator experience in fine needle aspiration cytology of head and neck masses. Int J Oral Maxillofac Surg. 1999;28(6):441-444. doi: 10.1016/S0901-5027(99)80057-5.

Cheng AT, Dorman B. Fine needle aspiration cytology: the Auckland experience. Aust N Z J Surg. 1992;62(5):368-372. doi: 10.1111/j.1445-2197.1992.tb07205.x.

Khetrapal S, Jetley S, Jairajpuri Z, Rana S, Kohli S. fnac of head and neck lesions and its utility in clinical diagnosis: a study of 290 cases. Nat J Med Res. 2015;5(1):33-38.

Goswami RR, Baruah D, Devi G. FNAC spectrum of Head and neck lesions-A Retrospective Study. J Evid Based Med Healthcare. 2016;3(13):400-405. doi: 10.18410/jebmh/2016/94.

Modi P, Oza H, Bhalodia J. Utility and adequacy of fine needle aspiration cytology in head and neck lesions: A hospital-based study. Int J Sci Study. 2014;2(8):100-105.

Adedeji TO, Tobih JE, Olaofe O, Akinyemi HA and Sogebi OA. Fine Needle Aspiration and Cytology in the Management of Head and Neck Masses in Osogbo, South Western Nigeria. Otolaryngol Open Access J. 2018;3(1):1-7. doi: 10.23880/ooaj-16000165.

Pathy PC, Hota SK, Dash S, Samantaray S, Panda S, Rout N. Analysis of FNAC in diagnosis of lymphadenopathy-a retrospective study from a regional cancer centre, Cuttack, Odisha. Int J Res Med Sci. 2017;5(12):5287-5292. doi: 10.18203/2320-6012.ijrms20175442.

Steel BL, Schwartz MR, Ibrahim R. Fine needle aspiration biopsy in the diagnosis of lymphadenopathy in 1103 patients. Role, limitations and analysis of diagnostic pitfalls. Acta Cytol. 1995;39(1):76-81.

Jadhav DS, Barge AK, Valand AG. Study of fine needle aspiration cytology of palpable head and neck lesions in tertiary care centre. Indian J Pathol Oncol. 2018;5(3):375-381. doi: 10.18231/2394-6792.2018.0073.

Thakur AS, Gahine R, Kulkarni V. Evaluation of fine needle aspiration cytology in the diagnosis of head and neck masses and its correlation with histopathological findings. Int J Adv Med. 2016;3(3):699-707. doi: 10.18203/2349-3933.ijam20162521.

Borsaikia K, Patar M.A Study of palpable head and neck swellings by FNAC - a hospital based analysis in a tertiary referral centre. Int J Sci Res. 2018;7(4):72-74. doi: 10.36106/ijsr.

Pandey AK, Bhardwaj A, Maithani T, Kishore S, Singh VP. Distributive Analysis of Head and Neck Swellings with their Cytopathological Correlation. Otorhinolaryngol Clin: Int J. 2016;8(3):89-96. doi: 10.5005/jp-journals-10003-1239.

Chauhan S, Darad D, Dholakia A. Fine needle aspiration cytology of neck lesion-an experience at tertiary care hospital in central Gujarat. Nat J Med Res. 2012;2(3):255-259.

Suryawanshi KH, Damle RP, Dravid NV, Tayde Y. Spectrum of FNAC in palpable head and neck lesions in a tertiary care hospital in India-a 3 years study. Indian J Pathol Oncol. 2015;2(1):7-13.

Sakarwal N, Awasthi S, Dutta S, Nizammudin S, Kumar A, Ahmad F, et al. Fine needle aspiration cytology: A diagnostic tool for oral lesions. Int J Sci Stud. 2015;3(2):90-94. doi: 10.17354/ijss/2015/220.

Published
2020-08-31
How to Cite
Dr. Dipti Rameshbhai Patel, & Dr. Shiv Nandan Chawla. (2020). The utility of Fine Needle Aspiration Cytology (FNAC) in the diagnosis of head and neck lesions at tertiary health care level. Tropical Journal of Pathology and Microbiology, 6(6), 387-394. https://doi.org/10.17511/jopm.2020.i06.04
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Original Article