Computed Tomography Guided Percutaneous Thoracic: Fine Needle Aspiration Cytology in Lung and MediastinumE. JayaShankar1*, B. Pavani1, Eshwar Chandra2, Ravinder Reddy3, M. Srinivas4 and Ashwin Shah4
- *Corresponding Author:
- E. JayaShankar MD
Department of Pathology
Kamineni Hospitals Limited
L.B.Nagar, Hyderabad, India
E-mail: [email protected]
Received date: October 17, 2010; Accepted date: December 01, 2010; Published date: December 15, 2010
Citation: JayaShankar E, Pavani B, Chandra E, Reddy R, Srinivas M, et al. (2010) Computed Tomography Guided Percutaneous Thoracic: Fine Needle Aspiration Cytology in Lung and Mediastinum. J Cytol Histol 1:107. doi:10.4172/2157-7099.1000107
Copyright: © 2010 JayaShankar E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
A prospective and retrospective hospital based descriptive study was done to know the pathological spectrum of thoracic lesions and to correlate the radiological findings with cytological findings obtained from computed tomography guided percutaneous transThoracic fine needle aspiration of lung and mediastinum. The clinical, radiological and cytological data of 60 patients were studied who underwent CT guided FNAC from January 2008- June 2009. Diagnostic accuracy of FNAC is more than 90%. Out of 60 cases 19 cases are non malignant and 41 cases were malignant. The Diagnostic sensitivity of Bronchogenic carcinoma is 84% and Specificity is 76%. Male to Female ratio is 2.3:1. Majority of cases were seen in 5th and 6th decade. Apart from Non small cell carcinoma cases like small cell carcinoma, Carcinoid tumor, Chondroid hamartoma, SFT were also noted. Cytological diagnosis is correlated with cell block sections in available cases. Post procedural complications like Pneumothorax, Pulmonary hemorrhage and hemoptysis were noted in few cases. CT guided FNAC is a simple and safe procedure with high diagnostic accuracy in the evaluation of chest lesions. Pneumothorax, hemorrhage and hemoptysis are usually encountered complication. Very few cases require active management.