10Oct 2018

FINE NEEDLE ASPIRATION CYTOLOGY OF THE HEAD AND NECK MASSES: ONE YEAR PROSPECTIVE STUDY.

  • Resident, Department of Pathology, GMC, Jammu,J&K.
  • Professor, Department of Pathology, GMC, Jammu,J&K.
Crossref Cited-by Linking logo

  • Abstract
  • References
  • Cite This Article as
  • Corresponding Author

Background: Fine needle aspiration cytology is a technique for obtaining cells from a lesion for cytological examination and evaluation. In the head and neck region, FNAC is of great value because of the multiplicity of accessible organs and heterogenous pathologies encountered. Aims and objectives: The present study aimed at studying the spectrum of various lesions presenting in the head and neck region based on cytological findings and to assess distribution amongst neoplastic and non neoplastic lesions. Methodology: A prospective study was conducted in the postgraduate department of Pathology, GMC, Jammu from 1st November, 2014 to 31st October, 2015. Results: A total of 900 aspirations were performed in the head and neck region. Swellings arising from lymphnodes formed the largest group 441(49%) cases, thyroid gland group comprised of 175(19.44%) cases, salivary gland origin lesions comprised of 67(7.45%) cases and miscellaneous group 217(24.11%) lesions. Aspiration was satisfactory in861(95.67%) and cytodiagnostic yield was 850(94.44%) in the study. In the lymph node group the most common diagnosis was reactive lymphadenitis in 191(43.31%) cases followed by tubercular lymphadenitis in 125(28.34%).In the thyroid gland group, most common pathology was colloid goiter in 93(53.14%) cases among non neoplastic category and papillary carcinoma in 7(4%) in neoplstic category. Sialadenitis and pleomorphic adenoma(35.82%) each was the most frequent diagnosis in salivary gland group. Epidermal incusion cyst(33.18%) was the most common diagnosis in miscellaneous group. Conclusion: FNAC is a simple, safe and inexpensive tool for the assessment of patients with head and neck swellings. It can differentiate non neoplastic lesions from neoplastic ones and avoid unnecessary surgeries.

  1. Bhagat VM,? Tailor HJ,? Saini? PK, Dudhat? RB,? Makawana GR, Unjiya RM. Fine needle? aspiration cytology? in? nonthyroidal? head? and neck? masses-A descriptive study in tertiary? care? Natl J Med Res 2013; 3(3): 273-6.
  2. Cajulis RS, Gokaslan ST, Yu GH, Hidvegi DF. Fine needle aspiration biopsy of the salivary glands. A five year experience with emphasis on diagnostic pitfalls. Acta Cytol 1997; 41(5): 1412-20.
  3. Chamyal PC, Sabarigirish K. Clinico-pathological Correlation study of cervical lymph node masses. Indian J Otolaryngol Head Neck Surg 1997; 49(4): 402-5.
  4. Chauhan S, Rathod D, Joshi DS. FNAC of swellings of head and neck region. Indian Journal of Applied Basic Medical Sciences 2011; 13(17): 1-6.
  5. Cristallini EG, Ascani S, Farabi R, Liberati F, Maccio T, Peciarolo A, et al. Fine needle aspiration biopsy of salivary gland, 1985-1995. Acta Cytol 1997; 41(5): 1421-5.
  6. Fernandes H, D? Souza C R S, Thejaswini B N. The role of fine needle aspiration cytology in palpable head and neck masses. JCDR 2009; 3(5): 1719-25.
  7. Frable WJ and Frable MA. Thin needle aspiration biopsy. The diagnosis of head and neck tumors revisited. Cancer 1979; 43(4): 1541-8.
  8. Gupta G, Joshi DS, Shah A, Gandhi M,? Shah NR.? FNAC of head and neck swellings. GCSMC J Med Sci 2014; III(I): 38-41.
  9. Handa U, Chhabra S, Mohan H. Epidermal Inclusion Cyst: Cytomorphological Features and Differential Diagnosis. Diagn Cytopathol 2008;36(12): 861-3.
  10. Jain M, Majumdar DD, Agarwal K, Bais AS, Choudhary M. FNAC as a diagnostic tool in pediatric Head and Neck Lesions. Ind Pediatr 1999; 36: 921-3.
  11. Jasani JH, Vaishnani HV, Vekaria PN, Patel D, Shah Y, Savjiani N, et al.? Retrospective? study? of? fine needle aspiration? cytology? of? head and? neck lesion in tertiary? care? IJBAR?? 2013; 04(04): 253-7.
  12. Khandekar MM, Kavatkar AN, Patankar SA, Bagwan IB, Puranik SC, Deshmukh SD. FNAC of salivary gland lesions with histopathological correlation. Ind J Otolaryngol Head Neck Surg 2006; 58(3): 246-8.
  13. Kun M. A new instrument for the diagnosis of tumors. Monthly J Med Sci 1847; 7: 853-4.
  14. Orell SR, Sterrett GF. In: Orell SR, Sterrett GF(Eds). Orell & Sterrett?s Fine Needle Aspiration Cytology, 5th Ed. India, Elsevier; 2012. pp. 1-7.
  15. Platt JC, Davidson D, Nelson CL, Weisberger E. Fine needle aspiration biopsy: an analysis of 89 head and neck cases. J Oral Maxillofac Surg 1990; 48 (7): 702-6.
  16. 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.
  17. Schelkun PM, Grundy WG. Fine needle aspiration biopsy of head and neck lesions. J Oral Maxillofac Surg 1991; 49(3): 262-7.
  18. Schwarz R, Chan NH, MacFarlane JK. Fine needle aspiration cytology in the evaluation of head and neck masses. Am J Surg 1990; 159: 482-5.
  19. Solanki PK, Patel AP, Taviad P, Chaudhari VP, Patel SM. Fine Needle Aspiration Cytology as a diagnostic procedure in head and neck swellings. Natl J Community Med 2012; 3(3): 433-6.
  20. Taviad DS, Jadav K, Nikhra P, Panchal A, Patel V. Role of fine needle aspiration cytology in head and neck swelling. Int J Res Med 2014; 3(2): 131-4.

[Swati Arora, Kuldeep Singh and Ravi Kumar (2018); FINE NEEDLE ASPIRATION CYTOLOGY OF THE HEAD AND NECK MASSES: ONE YEAR PROSPECTIVE STUDY. Int. J. of Adv. Res. 6 (Oct). 793-797] (ISSN 2320-5407). www.journalijar.com

DR RAVI KUMAR

DOI:

Article DOI: 10.21474/IJAR01/7871      
DOI URL: https://dx.doi.org/10.21474/IJAR01/7871

Download Full Paper

Download PDF No. of Downloads: 48 | No. of Views: 142