Volume : 6, Issue : 1, January - 2017

CT GUIDED FNAC OF CHEST LESIONS

Dr. Amitoj Singh, Dr. Harneet Narula, Dr. Amit Mittal, Dr. Sameer Singhal, Dr. Aditi Vohra

Abstract :

<p>&nbsp;Aims: To find out the accuracy, diagnostic efficacy and complications of CT guided FNAC of chest lesions. Material and method: This was a prospective study performed on 50 patients (38 males and 12 females) who presented with respiratory complaints, were found to have lesions on CT chest and underwent a CT guided FNAC. Results: In this study 74% of the lesions were malignant and 26% benign, with 30 cases of lung carcinoma, 2metastatic nodal deposits,&nbsp; one germcell tumor, &nbsp;3 cases of mediastinal lymphoma,&nbsp; one Pleural malignancy, seven Bacterial pneumonia, five tuberculosis, and one Fungal infection. CT proved to be an effective tool to select and guide FNAC procedures and thus give a cytological correlation. Sensitivity and Specificity of malignant and benign diagnosis made on CT was high and came out to be (92%) and (85%) respectively. Conclusion: In addition to characterizing the type of thoracic lesion, CT is an important tool in guiding FNAC.&nbsp; CT guided FNAC is relatively safe procedure, especially with development of finer needles.</p>