Clinical audit of ultrasound guided fine needle aspiration in a general cytopathology service

Abstract

Background:Studies on ultrasonography (USG) guided fine needle aspiration cytology (FNAC) have been conducted in specialized settings such as thyroid, breast, and intra-abdominal aspirates. There is a paucity of literature on the practices of guided FNAC in a general cytopathology service.Aim:The aim was to determine prevailing practices of USG guided FNAC in a general cytopathology service of a teaching hospital.Settings and Design:Metropolitan hospital, clinical audit.Materials and Methods:Audit of 112 USG guided percutaneous FNAC done over 12 months.Statistical Analysis:Data were coded, entered in an excel spreadsheet and analyzed by translating into percentages and proportions.Results:The 112 guided FNACs included constituted 36 thyroid (32.14%), 45 intra-abdominal (40.17%), 11 breast (9.82%), 10 superficial lymph node (8.92%) and 10 soft tissue and miscellaneous (8.92%) lesions. Previous freehand FNAC was documented on the requisition forms in 14 cases. The reports were: Inadequate 33 (29.46%), nondiagnostic descriptive 35 (31.25%) or diagnostic 44 (39.28%). Inadequacy rates of aspirates from thyroid were 11 (30.56%) breast were 2 (18.18%), and intra-abdominal lesions were 13 (28.88%). Majority of the reports were nonstructured: 108 (96.42%) and nonrecommendatory: 101 (90.17%).Conclusions:Reporting practices varied and did not conform to a uniform structure. The inadequacy rates of breast and thyroid aspirates were comparable to the rates in the literature. Comparable studies were not available for intra-abdominal aspirates.

A critical appraisal of the spectrum of image guided fine needle aspiration cytology: a three year experience from a tertiary care centre in delhi

“…Mangla et al conducted an audit of USG guided FNaC over a period of one year in a general cytopathology service based in Delhi catering to a similar patient population as in the present study (20). They observed that only 112 USG guided FNaCs were performed out of a total of 7795 FNaC.…”

USG-Guided FNAC of Pediatric Lesions: An Experience and Retrospective Analysis of Two Teaching Hospitals

“…In a study of guided FNAC in mixed pediatric and adult population, majority cases were that of thyroid lesions while in our study, lymph nodes appear to be the commonest organ to be sampled in the pediatric population. 10 The commonly detected non-neoplastic lesions in our study were infective with equal number of tubercular and bacterial lesions. Rest all other lesions were in almost similar frequency.…”

“…Out of 30 cases, 16 were females and 14 males with majority of males in the age group of 0 to 10 years and majority females in the age group of 11 to 18 years. The most common site to undergo FNAC in our experience was abdominal swellings [mesenteric lymph nodes (10) followed by kidney mass (2) and ovarian mass (2)]. Only 3 cases were categorized as neoplastic, malignant lesions, the rest were non-neoplastic.…”

Audit of the quality of medical care as a way to improve the efficiency of medical organizations

“…Клинический аудит широко используется не только в сферах лечения, но и при оценке правильности прове-дения различных диагностических процедур: например, при выполнении рентгенологических исследований [44,45], экспресс-тестов [46], аспирационных биопсий [47].…”