Fine needle aspiration cytology, Histopathological examination, Neck masses
Citation Information :
Khokle P, Garud S, Lahane VJ, Mishra S, Prakash NP. Role of Fine Needle Aspiration Cytology in Evaluation of Neck Masses: Our Experience. Int J Otorhinolaryngol Clin 2018; 10 (3):99-105.
Introduction: The neck masses are relatively common problem. The differential diagnosis in a patient presenting with neck mass is often extensive and will vary with age. These neck masses are evaluated by history, clinical examination and investigation like fine needle aspiration cytology (FNAC), ultrasonography (USG), neck, computed tomography (CT) neck and excisional biopsy. Fine needle aspiration cytology is a simple, quick and cost effective method to sample superficial masses in the neck but FNAC is not substitute for histology. Study aims at the clinical spectrum of the neck masses and efficacy of FNAC in the evaluation neck masses. Materials and methods: Prospective study including 100 cases of neck masses studied during the period of January 2012 to June 2013. Patients with acute neck space infection and nonpalpable neck masses were excluded. USG neck was done in all cases prior to FNAC examination. All surgically excised masses were sent for histopathological examination (HPE). FNAC results were compared with corresponding HPE reports. Results: It emerges from our analysis that FNAC is 71.43% sensitive, 100% specific, and 96% accurate in diagnosing neck masses. Conclusion: FNAC is a simple outpatient procedure for diagnosing neck masses with great sensitivity and accuracy and a complementary procedure to histopathological study.
Soni S, Pippal SK, Yashveer B, Srivastava P, Efficacy of fine needle aspiration in diagnosis of neck masses. World Articles of Ear Nose and Throat.
Beahrs OH, Barber Jr KW. The value of radical dissection of structure of the neck in the management of carcinoma of the lip, mouth and larynx. Archive Surgery 1962;85:49–56.
Feinmesser R, Freeman JL, Noyek AM, Birt BD. Metastatic neck diseases. Archives of Otolaryngology-Head and Neck Surgery 1987;113:1307-10.
Friedman M, Mafee MF, Pacella BL Jr, Strorigl TL, Dew LL, Toriumi DM. Rationale for elective neck dissection in Laryngoscope 1990;100(1):54–59.
Burnand KG, Young AE, Lucas J, Rolands BJ, Scholefield J. The new Aird‘s companion in surgical studies. 3rd edition. China: Elsevier; 2005.
Howlett DC, Harper B, Quante M, Berresford A, Morley M, Grant J, Ramesar K, Barnes S. Diagnostic adequacy and accuracy of fine needle aspiration cytology in neck lump assessment: results from a regional cancer network over a one year period. J Laryngol Otol. 2007 Jun; 121(6):571–579. Epub 201.
Watkinson JC, Wilson JA, Gaze M, Stell PM, Maran AGD. Stell and Maran‘s Head and neck surgery, Butterworth-Heinemann, Oxford, 4th edition, chapter 2; 200098. p. 20–21.
Tariq Ahmad, Mohammad Naeem, Siddique Ahmad, Ambreen Samad, Amir Nasir. Fine Needle Aspiration Cytology (FNAC) and Neck Swellings in the Surgical Outpatient. J Ayub Med Coll Abbottabad 2008;20(3).
Chauhan Setal, Rathod Dharmendra, FNAC of Swellings of Head and Neck Region Journal of Applied Basic Medical Sciences Year: 2011, Volume: 13B, Issue: 17 First page: (1) Last page : ( 6) Print ISSN : 0975-8917.
Vijay Tilak, A V Dhaded, Ragini Jain, Indian J Pathol Microbi ol. 2002:45(1): 23–30.
Khiery J, Ahmed ME. Cervical lymphadenopathy in Khartoum. J Trop Med Hyg 1992; 95(6):416–419.
Edward J, Young MD, et al. Needle aspiration cytologic biopsy in head and neck masses. The American Journal of Surgery. 1981 Oct;142 (4).
Jens Thomsen, J C Andreassen, C Bangsbo, Fine needle aspiration biopsy of tumours of head and neck. The Journal of Laryngology and Otology 1973;87:1211–1216.
Razmpa EH, Ghanaati B. Naghibzadeh P. Mazloom and A. Kashfi. Acta medicina Iranica The Journal of the Faculty of Medicine, Tehran University of Medical Sciences. 2002;40:3.
Abdulqadir M, Zangana S, Abu B, Sherwan A G. A Comparative Study Between Cytological and Histopathological Findings in Thyroid Swellings in Erbil City. Adv. in Med Dent Sci. 2009; 3(1): 29–34.