A RETROSPECTIVE STUDY OF USG and CTGUIDED FINE NEEDLE ASPIRATION CYTOLOGY IN A TERTIARY HEALTH CARE CENTER

Abstract

Background: Ultrasonography and computed tomography guided fine needle aspiration cytology has emerged as an important diagnostic tool for deep- seated and non-palpable lesions. It has high accuracy and efficacy. To study Aim: the spectrum of USG and CT- guided aspirations.Most common site aspirated, age & sex distribution was presented in our result. We did retrospective study of 248 guided aspirates received in the department of Materials and Methods: pathology, Gajraraja Medical College for a period of 1.4 years from January 2021 to April 2022. Cytological diagnosis was correlated with clinical and radiological data to arrive at a final diagnosis. The most common Results: organ aspirated was liver (47 cases). Adenocarcinoma (69 cases , 39.4%) was the most common malignancy diagnosed with maximum cases in Lungs ( 20 , 11.42%) .In breast lesions, fibroadenoma was more common as a benign lesion and ductal cell carcinoma as malignancy. In lymph nodes, granulomatous lymphadenitis and metastasis of squamous cell carcinoma were commonest inflammatory and malignant conditions respectively. In thyroid lesions, follicular neoplasm was common. CT guided aspiration from spine showed 9 cases of pott's spine and 5 cases of plasmacytoma. Some rare and deep seated pathologies like benign histiocytic tumor of breast,GIST, Chondroma of sacral region and neuroendocrine tumor of lung were also reported. Ultrasonography and computed tomography guided Conclusion: fine needle aspiration is effective in final diagnosis of various benign and malignant deep-seated lesions.