Fine Needle Aspiration Cytological study of Bone tumors and tumor like lesions with clinic pathological correlation

Abstract

Back Ground: Fine Needle aspiration Cytology (FNAC) is a minimally invasive and highly effective primary diagnostic method adopted worldwide to establish diagnosis. Application of FNAC in osseous neoplasm is limited as it requires a thorough understanding of histologic complexity and non-specific nature of varied cell morphologies commonly seen in bone tumors. In present study its role in the diagnosis of metastatic lesions has been stressed. Aims: The study is to establish the accuracy of the procedure as compared to the histopathology and the role of cytological study as a compliment to histopathology. Material and Methods: In the present three year study 42 cases of FNAC of bone lesions were done. Collected from department of orthopedics, Guntur General Hospital, Guntur. Cytological study was made and most of the cases were correlated with histopathology. Results: A total number of 42 aspirations were done 39 aspirations were neoplastic and 3 were non neoplastic. Successful aspirations were 38 and unsatisfactory aspiration were 4. FNAC and biopsy correlation of secondary deposits is 100%. Conclusion: With detailed clinical data, radio graphical data and analysis FNAC can be accurate in most of the lesions. FNAC can be of great help in differentiating between primary and secondary tumors.