CLINICO-RADIOLOGICAL AND PATHOLOGICAL EVALUATION OF THORACIC MASS IN A TERTIARY CARE HOSPITAL OF ODISHA

Dr Jeetendra Kumar Patra; Dr Bijaya Ku Meher; Dr Pravati Dutta; Dr Rekha Manjhi; Dr Sudarshan Pothal; Dr Narayan Mishra

Volume : VII, Issue : IX, September - 2018

CLINICO-RADIOLOGICAL AND PATHOLOGICAL EVALUATION OF THORACIC MASS IN A TERTIARY CARE HOSPITAL OF ODISHA

Dr Jeetendra Kumar Patra, Dr Bijaya Ku Meher, Dr Pravati Dutta, Dr Rekha Manjhi, Dr Sudarshan Pothal, Dr Narayan Mishra

Abstract :

INTRODUCTION: Thoracic mass, which is classified into Lung, Mediastinal, Pleural, and Chest wall masses may be inflammatory, benign or malignant origin. Since specific therapies are now available for different histological types, diagnosis has to be made specific and precise.

OBJECTIVE: The aim of the study is to classify the various thoracic masses into appropriate categories and to evaluate the possible aetiology and to correlate the clinico–radiological findings with the pathological diagnosis.

DESIGN: A prospective study carried out between August’2011 and August’2013 in the Department of Pulmonary Medicine, VSS medical College & Hospital, Burla, Odisha.

METHODOLOGY: A total of 60 patients of various age groups with strong clinical suspicion and/or chest radiographic diagnosis of thoracic mass were aspirated by “free hand” approach under sonographic and computed tomography scan guidance by using Lumbar Puncture needle and specimens obtained were sent for cytological evaluation. Data was analysed and compared between clinico–radiological and pathological diagnosis using Chi–Square test.

RESULT: Image guided FNAC/ Trucut needle biopsy was performed in 51 cases out of 60 cases. Definitive diagnosis was possible in 48 cases. Among these, majority of thoracic mass were Lung mass(76.66%) followed by Mediastinal mass(18.33%). Malignancy was detected in 66.7%, benign neoplasm in 9.8%, inflammatory in 5.9%, tuberculosis in 7.8% and diagnosis could not be ascertained in 9.8% cases due to inadequate material.