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Saudi Journal of Pathology and Microbiology (SJPM)
Volume-5 | Issue-12 | 471-476
Original Research Article
Ultra-Sonography Guided Fine Needle Aspiration Cytology for the Diagnosis of Intra-Abdominal Lesions: An Institutional Study
Dr. Deepika Hemrajani, Dr. Palak Upadhyay
Published : Dec. 5, 2020
DOI : 10.36348/sjpm.2020.v05i12.001
Abstract
Guided FNAC has become a clinching investigation for intra-abdominal lesions be it palpable or non-palpable. FNAC as superseded the need for biopsy as it involves a complex setup for laparotomy procedure and very small and deep-seated lesions cannot be approached by biopsy. This study included all palpable and non-palpable lesions in different abdominal organs presented in various departments of Sawai Man Singh Hospital, Jaipur. Relevant investigations were taken by the patients before posting them for procedure including prothrombin time and contraindications considered like haemangiomas, bleeding tendencies. The aspirates were stained with H &E stain and MGG stain and special stains applied when required. A total of 1220 cases were received in the duration of one year. A female preponderance was noted with M: F (1:1.32). The age range was from 11-month-old to 98-year-old patients. Maximum cases were in the age group of 51-60 years (219 cases). Liver was the most common site (45%) followed by gall bladder (31.3%) and then pancreas (6.55%). Majority of lesions were malignant (55.8%) followed by benign (15%). Malignant lesions were noted more in females whereas male population had more of benign and inflammatory lesions. The rate of malignant lesions increased as the age increased. In liver most common malignancies were metastatic lesions whereas in gall bladder, primary lesions were more common. FNAC has a very high sensitivity which makes it a first line investigation in evaluation of abdominal lesions. It has both diagnostic and prognostic value and enables a surgeon for treatment modalities.
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