Role of FNAC in Diagnosis of Intra-Abdominal Lump and its Histological Correlation
K. S. Likhar1, S. SakhUja3, N. Sawke1, S. K. Likhar2, Puja1 and M. K. Mishra21Department of Pathology, Peoplces College of Medical Sciences and Research Centre, Bhanpur, Bhopal - 462 010 India.
2Department of Community Medicine, Peoplces College of Medical Sciences and Research Centre, Bhanpur, Bhopal - 462 010 India.
3Department of Pathology, G.S.V.M. Medical College, Kanpur India.
Abstract: FNAC is used in the present study as a clinching investigation of palpable & non-palpable, intra-abdominal mass which may prove to be neoplastic or non-neoplastic. FNAC was done on patients attending OPD as well as admitted in the Medicine, Surgery, Obs/Gynae department, LLR & associated hospitals, Kanpur presenting with intra-abdominal lumps Patients clinically diagnosed as cases of intra-abdominal lumps were studied thoroughly & subjected to detailed clinical history with regards to age, sex, occupation chief complaints. patients are subjected to routine investigations like Hb%,TLC,DLC,ESR,GBP,BT,CT,PT,whenever needed followed by FNA either directly or USG guided. The smear was stained with H & E and Pap smear was categorized into inflammatory, benign, malignant lesions on the basis of individual cell and nuclear morphology. The entire study was statistically analyzed for its sensitivity, specificity and overall accuracy. Total 46 cases were included in our study of which most cases was USG guided. Most commonly involved organ in our study was liver 30.4% followed by intestine 21.7% and gall bladder 17.4%. Maximum no. of cases in our study were of malignant lesion 63.06%wheras benign & inflammatory lesions constituted 6.51% and 23.92% of the cases respectively 6.5 % aspirates were inconclusive / inadequate for diagnosis. 100 % accuracy was obtained in cases of liver, intestine, ovary and kidney cases.The overall sensitivity of FNAC on our study was 91.3%. FNAC provides a very convenient, simple, inexpensive and accurate method for preoperative diagnosis; at the same time it enables the surgeon to plan the modality of treatment accordingly.
Keywords: FNAC; Intra-abdominal lump Back to TOC