Diagnostic yield of FNAC: Our Experience

Abstract

Introduction: Fine needle aspiration cytology (FNAC) is currently recommended as first line investigation in suspected malignancy as it provide useful information to plan surgery. FNAC is the most cost-effective method of obtaining a morphological diagnosis and prognostic purpose of superficial and deep-seated lesion throughout body and also as less expensive than diagnostic surgery.

Objective: To document diagnostic yield of FNAC at Mirpurkhas.

Methodology: This retrospective study was conducted between 1^st January 2019 to August 2020 at My Diagnostic Laboratory Mirpurkhas city. A total of 162 patients with the mostly swelling of head and neck and Breast underwent Fine needle aspiration procedure was performed. Tuberculosis suspected was additional sample was sent for slides were also stained with Ziehl Neelsen (Z.N) methods to detected acid fast bacilli (AFB) directly.

Results: In our series 162 cases were analyzed that had underwent FNAC. In 29.62% cases, finding was cystic & mesenchymal lesion, followed by granulomatous inflammation in 28.22% cases. In 20.37% cases lesion diagnosed as malignant.  

Conclusion: Tuberculosis is found as most common cause of cervical lymphadenopathy. Breast malignant lesion particularly in young patient can also be diagnosed with reasonable accuracy.