Cytomorphology of head and neck lesions: A study in tertiary care hospital

Rathore H, Jethani N, Pachori G, Bansod P, Ratnawat Kalpana

Abstract


Head and neck swellings are the most common and challenging lesions in the field of FNAC diagnosis. FNAC is simple, inexpensive and fairly accurate alternative to the time consuming, complicated and invasive excision biopsy. The study was carried out to access the role of FNAC in diagnosing various head and neck lesions. This prospective study was undertaken on palpable head and neck lesions in all age groups for the duration of 9 months from September, 2013 to May, 2014 in Pathology Department of tertiary care hospital. Total 756 cases were evaluated in the cytopathology section and aspiration was done using 10 ml syringe and 22-26 gauge needles. The results of material positivity were compared with histopathology material obtained in follow-up. Out of the total 756 patients, 376 were males and 380 were females. Overall male to female ratio was 1:1. Head and neck swelling were present most frequently in the third decade. Lymph node swellings were the most common lesion (64.3%), followed by thyroid (17.5%), skin and soft tissue (13.5%) and salivary gland swellings were least common (4.8%). Non - neoplastic lesions were the commonest (67.3%) followed by malignant lesions (13.1%). Histopathological correlation was performed in 40 cases. We concluded that FNAC is a reliable, cost effective, convenient and easily accessible method as the best initial work up and management of head and neck lesions. In expert hands accompanied by good clinical information, proper history and relevant laboratory investigation the results are even better.

 

Keywords: Fine needle aspiration, Cytology, Histopathology, Head and neck region

Full Text:

PDF

References


Bagga PK, Mahajan NC. Fine needle aspiration cytology of thyroid swellings: How useful and accurate is it? Indian Journal of Cancer. 2010 October –December;47(4);437-442.

Sunita Bamanikar, Pinky Soraisham, Sudhir Jadhav, Harsh Kumar, Pradeep Jadhav, Arvind Bamanikar. Cyto‑histology and clinical correlation of thyroid gland lesions: A 3 year study in a tertiary hospital. Clinical Cancer Investigation Journal. 2014 May-June; 3(3); 208-212.

Manjunath BS. Fine needle aspiration cytological study of palpable head and neck (excluding thyroid) lesions. Rajeev Gandhi University of Health Sciences, Karnataka. 2006.

Gunvanti B Rathore, Pragnesh Parmar. Fine needle aspiration cytology of swellings of head and neck region. Indian Journal of Medical Sciences.2012 March- April; 66(3); 49-54.

Solanki Piyush K, Patel Ankur P, Taviad Pankaj P, Chaudhari Vipul P, Patel Shirish M. Fine needle aspiration cytology as a diagnostic procedure in head and neck swellings. National Journal of Community Medicine.2012 July – Sept; 3(3); 433-436.

Amatya BB, Joshi AR, Singh SK, Panth R, Basnet RB. A study of fine needle aspiration cytology of head and neck masses and their corroboration by histopathology. Post Graduate Medical Journal of National Academy of Medical Sciences. 2009; 6(2).

Garima Gupta, D.S. Joshi, Alpa Shah, Minesh Gandhi, N.R. Shah. FNAC of head and neck swellings. GCSMC J Med Sci.2014 January-June; 3(1) 38-41.

Alok Mohan, Rajender Thakral, Swarn Kaur, Shruti Singh.. Fine needle aspiration cytology in metastatic lymphadenopathy-A five year experience in muzaffarnagar region. Journal of Advance Researches in Biological Sciences, 2013, 5 (2) 172-176.

Sudarat Nguansangiam, Somnuek Jesdapatarakul, Nisarat Dhanarak, Krittika Sosrisakorn. Accuracy of Fine Needle Aspiration Cytology of Salivary Gland Lesions: Routine Diagnostic Experience in Bangkok, Thailand. Asian Pacific J Cancer Prev, 13, 1583-1588.

Agravat AH, Dhruva GA, Pujara KM, Sanghvi HK. Role of Fine Needle Aspiration Cytology in Salivary Gland Pathology and its Histopathological Correlation: A Two Year Prospective Study in Western India. Online Journal of Health Allied Sciences. 2012;11(3):5.

Tippu I, Gupta RK, Khajuria A. Role of FNAC in Diagnosis of Non- Thyroidal Head and Neck Lesions. JK Science Journal, 2012 Jan- March;14 (1), Page 9- 13.

Bhagat VM, Hemali J Tailor, Peeyush K Saini, Reena B Dudhat, Gopal R Makawana, Ravi M Unjiya. Fine needle aspiration cytology in non-thyroidal head and neck masses: A descriptive study in tertiary care hospital. National Journal of Medical Research,2013 July-Sept , 3(3); 273-276.

Sankalap Tandon, Riad Shahab, James I. Benton, Samit K. Ghosh, Jonathan Sheard, Terry M. Jones, Fine needle aspiration cytology in a regional head and neck cancer centre: comparison with a systematic review and meta-analysis. Wiley Inter Science, DOI: 10.1002/hed.20849.

Neveen Tahoun, Noha Ezzat. Diagnostic Accuracy and Pitfalls of Preoperative Fine Needle Aspiration Cytology in Salivary Gland Lesions. Journal of the Egyptian Nat. Cancer Inst 2008; 20( 4); 358-68.

Deniz Nart, Yeşim Ertan, Asuman Argon, Murat Sezak, Ali Veral, Özer Makay, İrem Paker, Müge Tuncyurek. Role of Fine Needle Aspiration Cytology and Intraoperative Diagnosis in the Diagnosis of Thyroid Nodules. Turkish Journal of Pathology 2010; 26(1);48-54.

Palak Modi, Haren Oza, Jignasa Bhalodia. Utility and Adequacy of Fine Needle Aspiration Cytology in Head and Neck Lesions: A Hospital Based Study. International Journal of Scientific Study 2014; 2(8): 100-105.