Original article / research
Fine Needle Aspiration Study of Cutaneous Metastatic Deposits in a Tertiary Care Centre in South India
Dr. PC Muraleedhar,
Assistant Professor, Department of Pathology, Government Medical College, Kozhikode-673008, Kerala, India.
Introduction: Cutaneous metastases are seen with a wide variety of internal malignancies. Cutaneous metastases are clinically important because they may represent the terminal stage of carcinoma, sign of relapse following failure of therapy or sometimes first manifestation of internal malignancy.
Aim: This study focuses on the role of Fine Needle Aspiration Cytology (FNAC) in the diagnosis of cutaneous metastatic deposits
Materials and Methods: This was a cohort study done in the Department of Pathology, Government Medical College, Kozhikode, India. Study subjects included retrospective cases diagnosed cytologically as cutaneous metastasis from January 2013 to June 2017. The smears were examined and morphology of primary tumour assessed. The subjects were divided into those with and without a known primary tumour.
Results: Total 128 patients were included in the study. The age of subjects ranged from 15 to 90 and majority of subjects were males. Chest wall was the most common site of cutaneous metastatic deposits. Adenocarcinoma was the predominant type of tumour which caused deposits. The most common primary organ was lung followed by breast. In younger age group, tumours observed were Ewing’s sarcoma and nasopharyngeal carcinoma.
Conclusion: This study focuses on the importance of FNAC in assessing predominant patterns of spread of various primary tumours. Cutaneous deposits should be assessed seriously as they may be the first manifestation of an unknown tumour or may be a sign of relapse.
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