Open Access“COMPARATIVE STUDY OF FNAC, USG, US-FNAC, AND HPE IN DIAGNOSIS OF NECK SWELLINGS”
Author(s) -
Sachin Jain
Publication year - 2021
Publication title -
up state journal of otorhinolaryngology and head and neck surgery
Language(s) - English
Resource type - Journals
ISSN - 2321-3450
DOI - 10.36611/upjohns/volume9/issue2/3
Subject(s) - fine needle aspiration cytology , medicine , histopathology , histopathological examination , radiology , ultrasonography , head and neck , ultrasound , diagnostic accuracy , nuclear medicine , surgery , biopsy , pathology
Aims: This prospective study was carried out tocompare findings of the four procedures namelyFNAC (fine-needle aspiration cytology), USG(ultrasonography), US-FNAC (Ultrasound-guidedfine-needle aspiration cytology), and HPE(histopathological examination).MATERIAL AND METHODSTotal 80 cases of different neck swellings wereselected from ENT OPD at tertiary care hospitalPrayagraj Uttar Pradesh. All cases underwent thepreoperative procedure of FNAC,USG, US-FNACand postoperative HPE for diagnosing the neckswelling. The results of FNAC, USG, US-FNACw e r e c o m p a r e d a n d c o r r e l a t e d w i t hhistopathology findings and conclusions drawnafter statistical analysis.RESULTSMore than half (56.25%) of neck swellings were ofthyroid swellings. It was observed that sensitivity,specificity, PPV, NPV, accuracy of FNAC of all neckswellings were 85.71%, 91.78% ,50%, 98.53%,91.25% respectively. Sensitivity ,specificity, PPV,NPV , accuracy of all neck swellings of USG were71.43%, 98.63%, 83.33% , 97.26% 96.25respectively. Sensitivity ,specificity, PPV ,NPV ,accuracy of all neck swellings of US-FNAC were85.71% ,97.26% ,75% , 98.61%, 96.25 respectively.CONCLUSIONThe combined use of USG and FNAC give moreaccuracy for proper diagnosis of neck swellingthan FNAC alone. The most accurate diagnosis of