Fine Needle Aspiration Cytology as a diagnostic technique in bone tumors and tumor-like lesions

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Title Fine Needle Aspiration Cytology as a diagnostic technique in bone tumors and tumor-like lesions
 
Creator Dhamal, Sayali R.
Soni, Ramawatar R.
Deshmukh, Anil T.
Pundkar, Ganesh N.
 
Description Background: Fine needle aspiration is routinely used as a highly effective technique in various lesions. The present study was carried out to evaluate the role of FNAC in diagnosing primary bone tumors and tumor-like lesions so as to overcome the disadvantage associated with surgical biopsy, though surgical biopsy being the procedure of choice.
Method: This study was conducted in 57 cases of bone tumor and tumor-like lesions over a period of 18 months by various methods like Conventional FNAC; Radiology (CT, ‘C’ arm, USG) guided FNAC, Double Bore FNAC in medullary bone lesions with intact cortex as and when required, followed by staining of obtained smear with PAP and MGG stain. The cytological diagnosis of cases was then correlated with available histopathological diagnosis.
Results: Among 57 cases, the histopathology samples were available in 45 cases and in only those cases cyto-histopathological correlation was made possible. The overall sensitivity and specificity of FNAC in diagnosing primary bone tumors and tumor-like lesions were found out to be 89.7% and 83.3% respectively with the diagnostic accuracy (effectiveness) of 88.8%.
Conclusion: FNAC plays a vital role in diagnosing bone tumors and tumor-like lesions and also helps the surgeons to plan the extent and type of surgery based on the cytological diagnosis. With the use of C-arm guided FNAC and double bore FNAC technique in intramedullary bone lesions with the intact cortex, the rate of the inadequacy of cytology smear can be reduced, as in the present study.
 
Publisher Scholar Science Journals
 
Date 2019-06-30
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
 
Format application/pdf
 
Identifier https://ssjournals.com/index.php/ijbar/article/view/5204
10.7439/ijbar.v10i6.5204
 
Source International Journal of Biomedical and Advance Research; Vol 10 No 6 (2019): Jun; e5204
2229-3809
2455-0558
 
Language eng
 
Relation https://ssjournals.com/index.php/ijbar/article/view/5204/3525
 
Rights Copyright (c) 2019 International Journal of Biomedical and Advance Research
http://creativecommons.org/licenses/by/4.0
 

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