Accuracy of Fine Needle Aspiration Cytology in the Diagnosis of Neck Masses

Abstract

were included in the study. After a detailed clinical examination, relevant investigations and a valid informed consent, Fine Needle Aspiration Cytology of the neck swelling was performed, followed by biopsy and histopathological examination of the neck swelling. The result of Fine Needle Aspiration Cytology was correlated with result of Histopathological examination of neck swelling. STATISTICAL ANALYSIS USED: The result of this study was calculated by using the method of Galen and Gambino for substantiating the correlation. RESULTS: The histopathological correlation of Fine Needle Aspiration Cytology in our study was 92%. The sensitivity, specificity and efficiency of Fine Needle Aspiration Cytology in our study were 87.5%, 100% and 98% respectively. CONCLUSION: Fine Needle Aspiration Cytology is an excellent first line method for investigating patients presenting with neck masses. Since the masses of the neck are easily accessible, Fine Needle Aspiration Cytology is a diagnostic procedure which suits well for such a situation.

Cytopathological and histopathological evaluation of neck mass in a tertiary care hospital

“…Salivary gland mass accounted for 18% of total number of cases in the present study. Among the salivary gland mass, pleomorphic adenoma of parotid gland was most common and which was in accordance to study conducted by Shariff et al, Tilak et al and Fernandes et al [5][6][7] Similar studies conducted by Suryawanshi et al and Cristallini et al had sialadenitis as the most common salivary gland mass which is in contrast to our study. 8,9 Out of the 18 cases of salivary gland mass FNAC and histopathology were similar in 15 cases and in 3 cases FNAC and HPE reports were different.…”

“…8,14,15 FNAC was done in 8 congenital swellings and all the 8 HPE reports were in correlation with FNAC reports. The diagnostic accuracy of FNAC was 100% in congenital swellings which is in accordance with study conducted by Shariff et al 5 Aspiration was done in 7 other cases of palpable neck mass and all the 7 HPE reports correlated to FNAC reports. The diagnostic accuracy of FNAC was 100% in other neck masses and specificity was 100%.…”

“…The study included 100 cases aged above 18 years with palpable neck mass, out of which 33 (33%) were male patients and 67 (67%) were female patients (M:F ratio 1:2.03). Similar findings were seen in studies by Kapoor et al and Shariff et al 4,5 Out of the 100 cases clinically evaluated neck masses, 43 were from thyroid, 18 were from salivary gland, 24 were from lymph nodes, 8 were congenital neck mass and 7 were miscellaneous mass. Majority of patients were in the age group 41-50.…”

“…12 Similar study conducted by Shariff et al FNAC correctly diagnosed tubercular lymphadenitis in 18 out of 21 cases which accounts for sensitivity of 85.7% which was less compared to our study. 5 All 5 lymphoma cases were correctly diagnosed by FNAC in our study with a diagnostic accuracy of 100%.…”

Clinico-pathological evaluation of neck swellings at our tertiary care hospital

“…In our study males constituted 42% of the patients and females constituted 58% of the patients in the ratio of 1:1.38. Similar results were also obtained by Fernandes H et al 10 and Soni S. et al 11 with ratios of 1:4.41 and 1:1.51 respectively…”