ASSESSMENT OF DIAGNOSTIC EFFICACY IN LYMPHADENOPATHY BY FINE NEEDLE ASPIRATION CYTOLOGY AND CELL BLOCKS VERSU HISTOPATHOLOGY AT A TERTIARY CARE HOSPITAL

Author:

Dattatray Pawar Shubhashree1,Mankar P. G.2,Deshmukh A.T.3

Affiliation:

1. Consultant Pathologist, Global Hospital, Nanded

2. Assistant Professor, Dept of Pathology Dr. Panjabrao Deshmukh Memorial Medical College, Amravati

3. Professor & Dean Dr. Panjabrao Deshmukh Memorial Medical College, Amravati

Abstract

Background- Fine Needle Aspiration cytology (FNAC) is easy to do for diagnosis of lymphadenopathy, but it does not yield sufcient information for precise diagnosis. Cell block (CB) preparation in a way mimics the histopathological sections, thus help in sub classifying various lesions. Methods- This was observational study with evaluation of diagnostic efcacy in lymphadenopathy by ne needle aspiration cytology and cell blocks versus histopathology at a tertiary care hospital from June 2018 to Jan 2020. Results- In this study, (Combined FNAC plus Cell Block) showed concordance with histopathogical diagnosis in 90% cases. For Combined FNAC and Cell Block Sensitivity was 95%, Specicity was 100%, Diagnostic Accuracy was 95%.Conclusion- FNAC as the rst line approach supplemented by Cell Block in selected cases, where the information given by FNAC is in doubt or insufcient to guide clinical management. This strategy is likely to reduce the risk of misdiagnosis and the impact of cytological pitfalls

Publisher

World Wide Journals

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