CT Guided FNAC of lung mass – A retrospective study of Disease Spectrum

  • Dr. Rashmi Singh Assistant Professor, Pathology, Patna Medical College, Bihar, India
  • Dr. Mahasweta Mallik Assistant Professor, Pathology, Patna Medical College, Bihar, India
  • Dr. Hari Kishore Rai Consultant Radiologist, Max Life, Patna, Bihar, India
  • Dr. Shweta Singh Tutor, Microbiology, AIIMS, Patna, Bihar, India
  • Dr. Sujata Mallick Assistant Professor, Pathology, KPC Medical College, Jadavpur, India
  • Dr. Manish Kumar Assistant Professor, Pathology, Patna Medical College, Bihar, India
Keywords: Computed tomography, Fine needle aspiration cytology, Lung mass

Abstract

CT guided FNAC is a well established method in the cytological diagnosis of pulmonary lesion. Aim: Aim of our study is to evaluate the pathological spectrum of disease in lump through CT guided FNAC. Material & method: 69 causes were evaluated retrospectively for a period of 4 yrs. Result: out of 69 cases 52.1% were male. Mean age was 54. 34 years. 65.2% having malignant lesion & 34.7% have benign. Adeno CA was the predominant malignant tumour. Conclusion: CT guided FNAC can diagnose pulmonary lesion fairly accurately leading to less morbidity & mortality as treatment can be started early.

Downloads

Download data is not yet available.

References

Martin HE, Ellis EB. BIOPSY BY NEEDLE PUNCTURE AND ASPIRATION. Ann Surg. 1930 Aug;92(2):169-81.doi: https://doi.org/10.1097/00000658-193008000-00002.

Geraghty PR, Kee ST, McFarlane G, Razavi MK, Sze DY, Dake MD. CT-guided transthoracic needle aspiration biopsy of pulmonary nodules: needle size and pneumothorax rate. Radiology. 2003 Nov;229(2):475-81.doi: https://doi.org/10.1148/radiol.2291020499.

Herman PG, Hessel SJ. The diagnostic accuracy and complications of closed lung biopsies. Radiology. 1977 Oct;125(1):11-4.doi: https://doi.org/10.1148/125.1.11.

Mohammad GM. CT guided fine needle aspiration cytology in the diagnosis of thoracic lesions. JIMA 2001:99(10):1-5.

Mondal SK, Nag D, Das R, Mandal PK, Biswas PK, Osta M. Computed tomogram guided fine-needle aspiration cytology of lung mass with histological correlation: A study in Eastern India. South Asian J Cancer. 2013 Jan;2(1):14-8. doi: http://journal.sajc.org/text.asp?2013/2/1/14/105881.

Singh JP, Garg L, Setia V, Computed tomography guided fine needle aspiration cytology in difficult thoracic mass lesions-not approchable by USG. Indian J radiology. Imaging 2004 May:14:395-400.doi: http://www.ijri.org/text.asp?2004/14/4/395/28680.

Saha A, Kumar K, Choudhuri MK. Computed tomography-guided fine needle aspiration cytology of thoracic mass lesions: A study of 57 cases. J Cytol. 2009 Apr;26(2):55-9. doi: https://dx.doi.org/10.4103%2F0970-9371.55222.

Tan KB, Thamboo TP, Wang SC, Nilsson B, Rajwanshi A, Salto-Tellez M. Audit of transthoracic fine needle aspiration of the lung: cytological subclassification of bronchogenic carcinomas and diagnosis of tuberculosis. Singapore Med J. 2002 Nov;43(11):570-5.

Bandyo padhyay A, Laha R, Das TK et al. CT guided fine needle aspiration cytology of thoracic mass lesions : A prospective study of immediate cytological evaluation : Indian J pathological Microbiology. 2007 Jan ; 50(1) : 51-5

Madan M. Bannur Evaluation of FNAC in lung disease. Turk J pathology. 2010 Nov; 26(1): 1-6.

Shah S, Shukla K, Patel P. Role of fine needle aspiration cytology in diagnosis of lung tumours--a study of 100 cases. Indian J Pathol Microbiol. 2007 Jan;50(1):56-8.

Jaya SE, Pavani B, Chandra E et al. Computed tomography guided percutaneous thoracic: Fine needle aspiration cytology in lung & mediastinum. J Cytol Histol. 2010; 107:1-3 doi: https://www.researchgate.net/deref/http%3A%2F%2Fdx.doi.org%2F10.4172%2F2157-7099.1000107.

Basnet SB, Thapa GB, Shahi R, Shrestha M, Panth R. Computed tomography guided percutaneous transthoracic fine needle aspiration cytology in chest masses. JNMA J Nepal Med Assoc. 2008 Jul-Sep;47(171):123-7.

Stanley JH, Fish GD, Andriole JG, Gobien RP, Betsill WL, Laden SA, Schabel SI. Lung lesions: cytologic diagnosis by fine-needle biopsy. Radiology. 1987 Feb;162(2):389-91.doi: https://doi.org/10.1148/radiology.162.2.3797651.

vanSonnenberg E, Casola G, Ho M, Neff CC, Varney RR, Wittich GR, Christensen R, Friedman PJ. Difficult thoracic lesions: CT-guided biopsy experience in 150 cases. Radiology. 1988 May;167(2):457-61.doi: https://doi.org/10.1148/radiology.167.2.3357956.

Haramati LB. CT-guided automated needle biopsy of the chest. AJR Am J Roentgenol. 1995 Jul;165(1):53-5.doi: https://doi.org/10.2214/ajr.165.1.7785631.

Santambrogio L, Nosotti M , Bellauiti N et al. CT guided FNAC of solitary pulmonary nodules: a prospective randomised study of immediate cytologic evaluation. Chest 1997 Aug; 112:423-5 doi: https://doi.org/10.1378/chest.112.2.423.

Gouliamos AD, Giannopoulos DH, Panagi GM, Fletoridis NK, Deligeorgi-Politi HA, Vlahos LJ. Computed tomography-guided fine needle aspiration of peripheral lung opacities. An initial diagnostic procedure? Acta Cytol. 2000 May-Jun;44(3):344-8.doi: https://doi.org/10.1159/000328476.

Gupta S, Wallace MJ, Morello FA Jr, Ahrar K, Hicks ME. CT-guided percutaneous needle biopsy of intrathoracic lesions by using the transsternal approach: experience in 37 patients. Radiology. 2002 Jan;222(1):57-62.doi: https://doi.org/10.1148/radiol.2221010614.

Kalhan S, Sharma P, Sharma S, Dudani S, Ramakrishnan Ts, Chowdhry A. Evaluation of precision of guidance techniques in image guided fine needle aspiration cytology of thoracic mass lesions. J Cytol. 2012 Jan;29(1):6-10. doi: https://dx.doi.org/10.4103%2F0970-9371.93209.

CT Guided FNAC of lung mass – A retrospective study of Disease Spectrum
CITATION
DOI: 10.17511/ijmrr.2016.i07.02
Published: 2016-07-31
How to Cite
1.
Singh R, Mallik M, Rai HK, Singh S, Mallick S, Kumar M. CT Guided FNAC of lung mass – A retrospective study of Disease Spectrum. Int J Med Res Rev [Internet]. 2016Jul.31 [cited 2024Apr.27];4(7):1088-91. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/609
Section
Original Article