Journal of Cytology
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ORIGINAL ARTICLE
Year : 2000  |  Volume : 17  |  Issue : 2  |  Page : 103-110

Diagnostic utility of fine needle sampling without aspiration in comparison to fine needle aspiration in head and neck swellings - A prospective study


1 Assistant Professor, BRD Medical College, Gorakhpur and Hanuman Prasad Poddar Cancer Hospital, Gorakhpur, India
2 Associate Professor & Head, BRD Medical College, Gorakhpur and Hanuman Prasad Poddar Cancer Hospital, Gorakhpur, India
3 Resident, Department of Pathology, BRD Medical College, Gorakhpur and Hanuman Prasad Poddar Cancer Hospital, Gorakhpur, India
4 Professor & Head Department of Surgery, BRD Medical College, Gorakhpur and Hanuman Prasad Poddar Cancer Hospital, Gorakhpur, India

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Fine needle sampling (FNS) without aspiration and fine needle aspiration (FNA) were done on 80 patients having swellings in head and neck region. All the smears obtained by both the techniques were evaluated using five objective parameters. Blood contamination was found to be less with FNS without aspiration as compared to FNA in all the cases. This difference was statistically highly significant for thyroid and lymph node (p<.01). Cellular yield was better with aspiration than in smears obtained from FNS without aspiration but the difference was statistically insignificant (p>.05). Lesser degree of cellular degeneration and trauma was observed with FNS without aspiration than with FNA. Smears obtained with former technique were superior in quality as compared to FNA smears. The overall diagnostic accuracy was 88.6% with FNS without aspiration than with FNA. Smears obtained with formertechnique were superior in quality as compared to FNA smears. The overall diagnostic accuracy was 88.6% with FNS without aspiration and 96.3% with FNA but this difference was not statistically significant (p>.05). It was found that small swellings (less than 2 cm in diameter) gave negative results more often with FNS without aspiration than larger ones. With FNS without aspiration the perception of tumour consistency was better as needle was held directly with fingers. It is more cost effective than FNA and is relatively painless and safe.


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