Computed tomography guided fine needle aspiration cytology of mass lesions of lung: Our experience

Mimi Gangopadhyay; Indranil Chakrabarti; Nilanjana Ghosh; Amita Giri

doi:10.4103/0971-5851.95139

Indian Journal of Medical and Paediatric Oncology, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2011; 32(04): 192-196
DOI: 10.4103/0971-5851.95139

ORIGINAL ARTICLE

Computed tomography guided fine needle aspiration cytology of mass lesions of lung: Our experience

Autoren

Mimi Gangopadhyay

Department of Pathology, North Bengal Medical College, Sushrutanagar, Darjeeling, West Bengal, India
Indranil Chakrabarti

Department of Pathology, North Bengal Medical College, Sushrutanagar, Darjeeling, West Bengal, India
Nilanjana Ghosh

Department of Community Medicine, North Bengal Medical College, Sushrutanagar, Darjeeling, West Bengal, India
Amita Giri

Department of Pathology, North Bengal Medical College, Sushrutanagar, Darjeeling, West Bengal, India

Abstract

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Abstract

Context: Computerized tomography (CT) guided fine needle aspiration cytology (FNAC) of lung lesions has rapidly emerged as a less-invasive, cheap, rapid and fairly accurate diagnostic aid in lung lesions. Aims: The purpose of this present study was to evaluate the effectiveness of CT-guided FNAC in the diagnosis of pulmonary mass lesions (both benign and malignant) and to determine the complication rate of this procedure.Settings and Design: We conducted an institution-based, prospective study on 127 patients who presented with pulmonary mass lesions. Materials and Methods: After proper consent was obtained, CT-guided transthoracic fine needle aspiration was done and their diagnoses were confirmed by appropriate methods. The results were analyzed statistically. Results: Out of 127 cases selected for the study, 59.8% were males while the rest were females. Cough was the most common symptom present in 71.2% cases, followed by weight loss (62.4%). 21.2% cases were cytologically benign. Adenocarcinoma (54.2%) was the commonest malignant tumor. FNAC provided at least 96% sensitivity and 100% specificity in diagnosing lung tumors. Among the benign lesions, specific diagnoses were obtained in 48.1% cases. Thus, altogether a specific diagnosis was obtained in 109 of 127 cases, i.e. 85.8%. No major complication was noted. Conclusions: CT-guided FNAC is an extremely valuable and fairly accurate diagnostic aid of intrathoracic mass lesions, with a reasonable rate of complication.

Keywords

Computed tomography guided fine needle aspiration cytology - lung - mass lesion

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Referenzen

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