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title:FNAC of head & neck lesions and its utility in clinical diagnosis: a study of 290 cases

Author:Shaan Khetrapal , Sujata Jetley , Zeeba Jairajpuri, Safia Rana, Sunil Kohli

Keywords:Head neck, FNAC, cytology

Type:Original Article

Abstract:Background: FNAC (Fine Needle Aspiration Cytology) is a well accepted technique and plays an important role in early diagnosis of head and neck lesions. It is a safe and inexpensive outdoor procedure. Material and methods: This was a retrospective observational study of 290 cases of FNACs done on head and neck swellings performed as an outdoor procedure over a 26-month period from January 2011 to February 2013.Results: Aspirates from head and neck lesions in this study were largely from lymph nodes i.e. 185(64.1%), followed by thyroid lesions 49(16.9%), 21 cases were malignant. The largest subgroup among lymph node was of granulomatous lymphadenitis comprising of 91 cases. Out of 290 cases in this study, histopathological correlation was available in 74/290 (25.51%) cases only and was consistent with the cytological diagnoses in 68(91.8%) cases and inconsistent in 6(8.2%) cases, Conclusion: FNAC serves as a guide to the appropriate therapeutic management whether to locally excise a benign tumor or plan radical surgery and helps as an adjunct to histopathology.

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