Journal of Cytology
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ORIGINAL ARTICLE
Year : 2015  |  Volume : 32  |  Issue : 1  |  Page : 6-11

Clinical audit of ultrasound guided fine needle aspiration in a general cytopathology service


Department of Pathology, University College of Medical Sciences and GTB Hospital, New Delhi, India

Correspondence Address:
Dr. Gunjan Mangla
House Number 598, Sector 15, Faridabad - 121 007, Haryana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9371.155223

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Background: Studies on ultrasonography (USG) guided fine needle aspiration cytology (FNAC) have been conducted in specialized settings such as thyroid, breast, and intra-abdominal aspirates. There is a paucity of literature on the practices of guided FNAC in a general cytopathology service. Aim: The aim was to determine prevailing practices of USG guided FNAC in a general cytopathology service of a teaching hospital. Settings and Design: Metropolitan hospital, clinical audit. Materials and Methods: Audit of 112 USG guided percutaneous FNAC done over 12 months. Statistical Analysis: Data were coded, entered in an excel spreadsheet and analyzed by translating into percentages and proportions. Results: The 112 guided FNACs included constituted 36 thyroid (32.14%), 45 intra-abdominal (40.17%), 11 breast (9.82%), 10 superficial lymph node (8.92%) and 10 soft tissue and miscellaneous (8.92%) lesions. Previous freehand FNAC was documented on the requisition forms in 14 cases. The reports were: Inadequate 33 (29.46%), nondiagnostic descriptive 35 (31.25%) or diagnostic 44 (39.28%). Inadequacy rates of aspirates from thyroid were 11 (30.56%) breast were 2 (18.18%), and intra-abdominal lesions were 13 (28.88%). Majority of the reports were nonstructured: 108 (96.42%) and nonrecommendatory: 101 (90.17%). Conclusions: Reporting practices varied and did not conform to a uniform structure. The inadequacy rates of breast and thyroid aspirates were comparable to the rates in the literature. Comparable studies were not available for intra-abdominal aspirates.


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