Original article / research
Year : 2015 Month : July Volume : 4 Issue : 3 Page : 13 - 18 Full Version

FNAC: Is it Useful in Diagnosis and Classification of Ovarian Lesions?
Pooja Kala, Monika Rathi, Atul Gupta, Pooja Agarwal, Himanshul Mohan Kala
1. Demonstrator, Department of Pathology, AIIMS, Rishikesh, Uttarakhand, India. 2. Junior resident, S.N. Medical college, Agra, UP, India. 3. Professor and Head, Department of Pathology, S.N. Medical college, Agra, UP, India. 4. Lecturer, Department of Pathology, S.N. Medical College, Agra, UP, India. 5. Senior Resident, Department of Otorhinolaryngology, HIMS, Dehradun, UK, India.
 
Correspondence Address :
Dr. Pooja Kala,
C/O Dr Dinesh Mohan Kala,
5- New Road, Opposite Doon Hospital,
Dehradun-248001, Uttarakhand, India.
E-mail : poojahimanshul@gmail.com
 
ABSTRACT
: Introduction: Although, infrequently used, Fine Needle Aspiration Cytology (FNAC) is a safe and quite helpful investigation in diagnosing as well as classifying ovarian lesions.

Objectives: Our aim was to assess the efficacy of fine needle aspiration cytology in diagnosis and subsequent classification of ovarian masses.

Material and Methods: This was a prospective study of 83 fine needle aspirates of ovarian masses in females, undertaken under image-guidance from November 2009 through October 2011. We tried to assess the adequacy rates, render cytodiagnosis and then correlate with histology whenever possible.

Results: Adequacy rates were 97.6%. Of 81 adequate cases, 3 were non-neoplastic, 2 benign (including 1 mature teratoma & 1 fibroma), 2 serous borderline tumour and remaining 74 were malignant on FNAC. Among the malignant tumours of ovary, most frequently diagnosed were epithelial tumours (65.2%) followed by germ cell tumours (15.6%). Correlation with histological diagnosis was done. The diagnostic accuracy of FNAC was 89.7%. Sensitivity and specificity were 100% and 80%, respectively. No significant complications were observed.

Conclusion: Fine needle aspiration cytology of ovarian lesions is an accurate, useful and safe diagnostic procedure. It also enables a fairly satisfactory classi-fication of ovarian tumours and thereby facilitates the choice of appropriate therapy.
Keywords : FNAC, Ovarian Masses, Ovarian tumours
DOI and Others : DOI: NJLM/2015/9197:2042 Date of Publishing: Jul 01, 2015 Financial OR OTHER COMPETINGINT ERESTS:None.
 
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