Ultrasound Guided Fnac of Abdominal– Pelvic Masses-The Pathologists’ Perspective

Abstract

ABSTRACT Introduction: Fine Needle Aspiration(FNA) which is used for making a cytologic diagnosis has become an indispensable component of the work-up of many abnormalities.The objectives of this study were to adopt USG guided fine needle aspiration in the diagnosis of abdomino-pelvic masses, to assess its efficacy and to study the cytological features of abdominopelvic masses. Materials and Methods: Hundred patients with clinically or sonologically diagnosed abdomino-pelvic masses were taken up for the study. FNAC was performed under real time USG guidance. The aspirates were smeared onto a minimum of 2 slides and they were routinely stained with H&E, MGG and Papanicolaou stains. Observations: The diagnostic accuracy rates of USG guided FNAC for benign, malignant and non-neoplastic lesions were 100%,96% and 94.4% respectively.The overall accuracy rate was 96.3%. Conclusion: USG guided FNAC is a rapid , economical,non-invasive, highly accurate and a safe diagnostic procedure which can pre-empt a lengthy and expensive workup in various abdomino-pelviv masses.

Keywords

• abdomino-pelvic masses
• fnac
• ultrasonography