FINE NEEDLE ASPIRATION CYTOLOGY IN NON-THYROIDAL HEAD AND NECK MASSES-A DESCRIPTIVE STUDY IN TERTIARY CARE HOSPITAL

Abstract

Background: Fine needle aspiration cytology (FNAC) of broad and highly sensitive head and neck region is particularly suitable for confirming non-neoplastic and metastatic lesions as it can prevent a surgical process and anaesthetic conditions and can provide a suitable guidance for conservative management.

Aim and objective: To access the role of FNAC in diagnosing various head and neck swellings.

Material and methods: This retrospective study was done in a tertiary care hospital from 1/1/2012 to 31/12/2012 in patients having swelling in head and neck region. Total 701 cases were evaluated in the cytopathology section and aspiration was done using 10ml syringe and 22-23 gauge needles.

Results: Cytodiagnostic yield was 90% while in only 10% cases, no diagnosis was given. Lymph node lesions were most common with granulomatous/ tuberculous lesions being the commonest variety. In salivary gland lesions, neoplastic lesions (benign: Pleomorphic adenoma) were commonest. Other common lesions were squamous cell carcinomas and lipomas as common malignant and benign tumours respectively.

Conclusion: FNAC provides a reliable, cost effective, convenient, easily accessible and non-traumatic method as the best initial work up and management of swellings of sensitive head and neck region.