Journal of Current Surgery, ISSN 1927-1298 print, 1927-1301 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Curr Surg and Elmer Press Inc
Journal website http://www.currentsurgery.org

Original Article

Volume 3, Number 1, June 2013, pages 19-23

Role of FNAC in Evaluation of Neck Masses

Figure

Figure 1.
Figure 1. Percentage excision/incision biopsy results based on etiology.

Tables

Table 1. The Results of First and Second Attempt of FNAC
 
Satisfactory and conclusiveUnsatisfactoryInconclusive
First attempt (n = 47)31 (66%)6 (13%)10 (21%)
Second attempt (n = 6)6 (13%)0 (0)0 (0)

 

Table 2. Results of FNAC of Neck Swelling, Showing the Relative Frequencies of Various Pathological Conditions (n = 37)
 
DiagnosisNo. of cases/ (%)Action
Lymphadenitis
  Reactive8 (21%)Conservative management
  Tuberculous4 (11%)Referral to respiratory team
Sialadenitis5 (14%)Conservative management
Benign lesions
  Salivary Gland6 (16%)
    Pleomorphic adenoma-4-Surgical resection (HPE and FNAC corresponded)
    Benign mass-2-Conservative management
  Others4 (11%)Surgical excision (HPE and FNAC corresponded)
    Cystic lesions-4
Malignant lesions
  Lymph node3 (8%)
    Thyroid papillary carcinoma-2Referral to surgical department
    Nasopharyngeal carcinoma-1Referred to Oncologist
  Others2 (5%)
    Carcinoma of unknown primary-1Radical neck dissection and adjuvant radiotherapy
    Rhabdomyosarcoma-1Referred to oncologist
Thyroid
  Benign5 (14%)
    Goitre-4Referral to surgical department
    Thyroglossal cyst-1Conservative management since it’s the only function thyroid on thyroid scan

 

Table 3. HPE Results of Patients With Inconclusive or Unsatisfactory Sample of FNAC
 
FNAC reportHPE results
Inconclusive
  a) cervical lymph node
    1. suspicious cell seenHodgkin Lymphoma (n = 3)
    2. no atypical cell seenTB lymphadenitis (n = 1)
  b) salivary gland
    3. atypical cell seenSialedinitis (n = 1)
Unsatisfactory
  a) cervical lymph node
    4. unsatisfactory sampleTB lymphadenitis (n = 1)
  b) undetermined
    5. unsatisfactory sampleIntramuscular lipoma (n = 1)
    6. unsatisfactory samplePilomatrixoma (n = 1)