Role of image-guided fine needle aspiration cytology of lung lesions in diagnosis and primary care of patients: Experience in a Government Medical College of Eastern India

Chakrabarti, Preeti Rihal; Chakraborty, Kaushambi; Kukreja, Prachi

doi:10.4103/jfmpc.jfmpc_89_20

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…If the aspirated material is not properly processed, the entire process would be a waste. [6] The Evidence suggests that FNAC with CT scan can diagnose malignancy in 93−96.6% cases. [7] 100% specificity for a malignant diagnosis by FNAC with CT scan was reported by Sterrett et al in their thoracic review study.…”

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confidence: 99%

Epidemiological and Cyto-Morphological Spectrum of Pulmonary Lesion by Ct Guided Fnac

Siddika¹,

Rocky²,

Akhter³

et al. 2023

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Background: CT-guided fine-needle aspiration cytology is an established, indeed effective and precise method for diagnosing of pulmonary lesions. Though this procedure has the possibility to lead lung complications. Therefore, this study aimed to learn about the pathological spectrum of pulmonary lesions, examine the pattern of FNAC diagnosis of lung lesions, and analyse and compare the data with published figures. Material & method: This study was carried out at the Pathology Department of Tairunnessa Memorial Medical College and Hospital, as well as the Popular Diagnostic Center in Gazipur, Bangladesh, where all cases were FNAC and cytologically diagnosed. From September 2000 to April 2022, a total of 171 cases were evaluated. All of the patients had nodular or mass lesions in their lungs and were diagnosed with a CT-guided FNAC by following a standard procedure. Result: Out of 171 cases about 119 (69.59%) were male and 52 (30.40 %) female. It was noticed that approximately 117 (68.42%) were malignant cases. Of these, most common malignancy was adenocarcinoma (43.27%). There were about 31.67 % benign lung lesions cases. Among them, 17.54%, 8.87%, 3.5%, and 1.67% cases had pulmonary inflammatory lesions, tuberculosis, aspergillosis and abscess, respectively. Conclusion: CT guided FNAC can diagnose pulmonary lesion fairly and accurately as well as may leading to less morbidity & mortality as treatment can be started early.

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Section: Introductionmentioning

confidence: 99%

Epidemiological and Cyto-Morphological Spectrum of Pulmonary Lesion by Ct Guided Fnac

Siddika¹,

Rocky²,

Akhter³

et al. 2023

tajmspr

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“…The etiological diagnosis of pulmonary lesions in renal transplant recipients has been based on invasive procedures like bronchoscopy, thoracoscopic lung biopsies, and endobronchial ultrasound-guided biopsies (EBUS), which are challenging in patients with respiratory failure. [ 5 6 7 8 ] Utility of image-guided fine needle aspiration cytology (FNAC) has been studied in nontransplant settings for diagnosis of suspected malignant lung lesions,[ 9 10 ] but has seldom been tried in renal transplant recipients. [ 11 ]…”

Section: Introductionmentioning

confidence: 99%

Role of fine needle aspiration cytology in the rapid diagnosis of pulmonary infections in renal allograft recipients with respiratory failure

Kaur,

Selhi,

Chahal

et al. 2023

Indian J Nephrol

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Background: Renal transplantation is the treatment of choice in patients with end-stage renal disease. However, allograft recipients are at a higher risk of infection due to immunosuppressive therapies. This study aimed to analyze the utility of fine needle aspiration cytology (FNAC) lung in the etiological diagnosis of pulmonary infections in renal allograft recipients with respiratory failure. Materials and Methods: This is a retrospective study done in post-renal transplant patients presenting with pulmonary infections and respiratory failure in the past 7 years, in whom image-guided lung FNAC was done for diagnosis. Results: A total of 35 renal allograft recipients presenting with respiratory failure and having focal or diffuse pulmonary opacities (lesions) on radiological imaging were subjected to lung FNAC. The mean age of the patients was 41.1 ± 11.8 years (range 19–72), with the majority being males (n = 28, 80%); six (17.1%) of them were on invasive ventilation. The diagnostic yield of FNAC in our cohort was 77.1% (27 out of 35). Microorganisms were isolated in 21 cases (60%), with Nocardia being the most common (nine cases, 25.7%), Mycobacterial tuberculosis identified in six patients (17.1%), Aspergillus in three (8.6%), and one (2.9%) each had atypical Mycobacterium, zygomycetes, and Cryptococcus. FNAC suggested viral cytopathic effect in five patients, and cytomegalovirus (CMV) quantitative polymerase chain reaction test was found positive in four of these. One case was diagnosed as adenocarcinoma lung. Conclusion: Lung FNAC is a useful for establishing the etiological diagnosis of pulmonary lesions in renal transplant patients with respiratory failure.

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“…I read this article with great interest entitled, “Role of image-guided fine needle aspiration cytology of lung lesions in diagnosis and primary care of patients: Experience in a Government Medical College of Eastern India” by Chakrabarti et al . [ 1 ] and congratulate the author for well written manuscript. But there are few queries considering very frequently performed procedure and common condition.…”

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confidence: 99%