Correlation of C.T Guided Aspiration Cytology of Lung Masses with the Histopathological Diagnosis in RIMS, Raipur

1. BACKGROUND: A uick cytological diagnosis of lung masses is now a general practice in all parts of the word in the last decade. Keeping this in view this attemt has been tried by us. OUR INTENTION: To ssess the role of Computed Tomogram (CT) guided FNAC in pulmonary mass lesions; to analyze the results; and to compare with histopathological findings. MATERIALS & METHODS: All the clinical radiological and cytological data of 130 patients were prospectively studied who underwent CT guided FNAC from January 2016-February 2017 with the mutual help of Radiology Department. Thereafter these patients underwent transthoracic or bronchoscopic trucut biopsies and even lobectomy, wherever clinically indicated. Smears and tissue sections were evaluated to reach at a final diagnosis by cytological and histopathological diagnosises. OBSERVATIONS: In 130 cases, we found adequate FNAC smears and histopathology confirmations could be done only in 124 cases. The age range varied from 33 to 75 years with the peak in the fifth to sixth decades. The benign lesions were 10 (8.07%) and malignant lesions were114 (91.93%) shown by cytology. The most common tumor isolated was adenocarcinoma (51.72%) followed by squamous cell carcinoma (22.41%) and small cell carcinoma 6.89%. Diagnostic accuracy of CT guided FNAC was found to be 96%. Post procedural complications such as hemorrhage and chest pain were noted only in 3cases(i.e.1% ) 2. INFERENCE: C.T guided FNAC of pulmonary masses provides simple, easy, and reliable method forreaching rapid tissue diagnosis with minimal complication.