1Professor, Department of Pathology, Saraswathi Institute of Medical Sciences, Hapur, U.P.
2Demonstrator, Department of Pathology, Saraswathi Institute of Medical Sciences, Hapur, U.P.
*Corresponding author: Dr. Jay Kant Jha Professor, Department of Pathology, Saraswathi Institute of Medical Sciences, Hapur (U.P.) Email: aknirmal1981@gmail.com, Mob.: 9582088553
Online published on 6 September, 2018.
Head and neck lesion encompass a wide plethora of lesions including malignancy (primary and secondary), infectious, inflammatory and degenerative disorders. A preoperative cytological diagnosis of a primary neoplasm may permit more appropriate surgery.
To determine the efficacy of fine needle aspiration cytology in the diagnosis of head and neck lesions with special emphasis on the limitations.
This was a retrospective, cross sectional analytical study. Fine needle aspiration cy tology was performed on 250 cases presenting with head and neck lesions. The smears were categorized into four categories as inflammatory/reactive, benign, indeterminate and malignant. Results of these were correlated with histopathology in 50 cases in which surgery was performed.
Out of 250 cases 125 cases (50%) were from the thyroid, 84 (33.6%) were from the lymph node, 15 (6%) were from the salivary glands and 26 (10.4%) belonged to the miscellaneous group. The overall sensitivity, specificity, positive predictive value, negative predictive value and accuracy were 50%, 100%, 100%, 88.63% and 89.74% respectively.
FNAC is simple, safe and cost effective procedure in delineating the heterogeneous lesions occurring in the head and neck region with certain limitations.
Fine needle aspiration cytology, head, neck, lesions
