Cyto-Histopathological correlations of Head and Neck swellings in a rural hospital in North Maharashtra: Our experience

Authors

  • Kishor H Suryawanshi DEPT OF PATHOLOGY ACPM MEDICAL COLLEGE,DHULE.
  • Rajshri P Damle DEPT OF PATHOLOGY ACPM MEDICAL COLLEGE,DHULE.
  • Dhiraj B. Nikumbh DEPT OF PATHOLOGY ACPM MEDICAL COLLEGE,DHULE.
  • Nandkumar V. Dravid DEPT OF PATHOLOGY ACPM MEDICAL COLLEGE,DHULE.
  • Dhananjay V. Newadkar DEPT OF PATHOLOGY ACPM MEDICAL COLLEGE,DHULE.

Keywords:

Head and Neck, FNAC, Histopathology, Diagnostic

Abstract

Background: The head and neck encompass a relatively small anatomic area. But anatomy and pathology of this region is extremely complex with multitude of congenital, inflammatory or neoplastic lesions. Fine needle aspiration cytology (FNAC) is a simple, feasible, cost effective and minimally invasive procedure. But histopathological examination is more valuable for confirmatory diagnosis in suspected lesions.

Aim: 1.To study the diagnostic accuracy of FNAC by comparative study with histopathological examination. 2. To study the spectrum of non-neoplastic and neoplastic lesions of head neck in rural population.

 

Methods: A retrospective research study included 363 patients presented with  head and neck swellings in a rural hospital from April 2013 to April 2015. Detailed clinical history of patient was noted. Aspirations were done and smears were stained with PAP, Haematoxylin and eosin and Leishman stain. Cytomorphological diagnosis was given. Cyto-histopathological correlations were done in 205 cases.

Result: Out of 363 patients studied, lymph node (39.66%) was the predominant site aspirated followed by thyroid lesions (30.30 %), salivary gland (19.00%), soft tissue and miscellaneous (7.71%). FNAC was inconclusive in 3.30 % cases. A histopathological correlation was done in 56.47% cases. Overall accuracy rate of FNAC was 97.07%. The sensitivity, specificity, positive predictive value, negative predictive value of test was 80.00 %, 98.91 %., 88.88% and 97.86 % respectively.

Conclusion: Though, FNAC is a rapid, cheap diagnostic tool now-a-days, excisional biopsy remains the gold standard for diagnosis of suspected or grey zone of head and neck lesions.

Author Biography

Kishor H Suryawanshi, DEPT OF PATHOLOGY ACPM MEDICAL COLLEGE,DHULE.

Department Of Pathology

Associate Professor

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Published

26-10-2015

How to Cite

1.
Suryawanshi KH, Damle RP, Nikumbh DB, Dravid NV, Newadkar DV. Cyto-Histopathological correlations of Head and Neck swellings in a rural hospital in North Maharashtra: Our experience. Ann of Pathol and Lab Med [Internet]. 2015 Oct. 26 [cited 2024 Dec. 21];2(4):A120-126. Available from: https://pacificejournals.com/journal/index.php/apalm/article/view/apalm363

Issue

Vol. 2 No. 4 (2015)

Section

Original Article

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Copyright (c) 2015 Kishor H Suryawanshi, Rajshri P Damle, Dhiraj B. Nikumbh, Nandkumar V. Dravid, Dhananjay V. Newadkar

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