Usefulness of fine needle aspiration cytology in diagnosis of soft tissue lesion and determining their pattern.

Dr. Rajeev Bhardwaj; Dr. Shyam Kishor Pathak; Dr. M. A. Ansari; Dr. Manoj Kumar Paswan

Volume : VIII, Issue : XII, December - 2019

Usefulness of fine needle aspiration cytology in diagnosis of soft tissue lesion and determining their pattern.

Dr. Rajeev Bhardwaj, Dr. Shyam Kishor Pathak, Dr. M. A. Ansari, Dr. Manoj Kumar Paswan

Abstract :

Soft tissue tumors are heterogeneous group of tumors [1]. FNAC has developed as very useful technique for initial diagnosis of soft tissue mass [2]. It is very useful in distinguishing benign and malignant lesion[3]. FNAC has diagnostic value in evaluating neoplastic lesion with epithelial and reactive lesion. There is much less trauma and complication and early results[5]. FNAC is painless,safe and easy procedure[6]. It is sensitive and specific for diagnosis of primary, secondary and metastatic soft tissue lesion. FNAC is also valuable in diagnosing recurrent malignant lesion and for starting treatment[7]. This study was done for determining the effectiveness of FNAC for diagnosing the type of soft tissue lesion and comp� respective histopathological diagnosis. MATERIAL AND METHOD :- This was a prospective study done between a period of one year starting from OCT 2018 to OCT 2019 in department of pathology of Rajendra Institute of Medical Sciences. Patients presenting with palpable soft tissue lump were included in this study. A total 256 cases were studied. Clinical history, radiological reports and other data were collected. FNAC was performed with 22G needle fitted with 10ml syringe. Usually material was obtained by single needle pass but for larger lesion two or three passes were made. Staining was done by Leishman Giemsa and pap stain. Histopathological study of excised tissue was done by hematoxylin and Eosin stain. Cellularity, cell pattern, type of cell group, nuclear pattern were noted. Finally cytological and histopathological reports were correlated.