Journal of Cytology
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ORIGINAL ARTICLE
Year : 2003  |  Volume : 20  |  Issue : 1  |  Page : 22-27

Diagnostic accuracy of fine needle aspiration cytology when compared with histopathology


1 Lecturer, Department of Pathology, Government Medical College, Jammu - 180 001, India
2 Professor and Head, Department of Pathology, Government Medical College, Jammu - 180 001, India
3 Senior Resident, Department of Pathology, Government Medical College, Jammu - 180 001, India

Correspondence Address:
Kuldeep Singh
D-3, Medical Enclave, Jammu - 180001 J & K
India
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Source of Support: None, Conflict of Interest: None


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To evaluate the diagnostic accuracy of fine needle aspiration cytology, we studied 2275 casesover a period of three years from 1996-1998. Most of specimens were from lymph nodes, breast,thyroid and soft tissues. Subsequent histopathological examination was subjected to, where tissue was available and results were compared. We achieved 92% accuracy with 4% false positivity in lymph node aspirations. 90% sensitivity and 81% specificity for absence of tumour in breast cases. The accuracy was 90.1%, 92%, 70% and 75% in cases of thyroid, soft tissues, salivary glands and prostatic aspiration respectively. It was 100% in cases of liver, thoraco - abdominal, skin and bone aspirations. Overall diagnostic accuracy of FNAC was 91.7% with no complication. Moreover errors of false positive diagnosis can be minimized with experience and careful evaluation of smears.


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