Preoperative Ultrasound Guided Fine Needle Aspiration Cytology of Ovarian Lesions- Is It a Rapid and Effective Diagnostic Modality?
Published: March 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/.7447
Soumit Dey, Saikat Datta, Snehamay Chaudhuri, Prabir Chandra Paul, Binny Khandakar, Sonali Mandal
1. Demonstrator, Department of Pathology, Nilratan Sircar Medical College, Kolkata, India.
2. Ex-Junior Resident, Department of Pathology, Nilratan Sircar Medical College, Kolkata, India.
3. Associate Professor, Department of Obstetrics & Gynecology, Nilratan Sircar Medical College, Kolkata, India.
4. Professor, Department of Pathology, Malda Medical College, Malda, West Bengal, India.
5. Demonstrator, Department of Pathology, Nilratan Sircar Medical College, Kolkata, India.
6. Ex-Junior Resident, Department of Pathology, Nilratan Sircar Medical College, Kolkata, India.
Correspondence
Dr. Soumit Dey,
6D, Scott Lane, First Floor, P.S- Muchipara, P.O- Amherst Street, Kolkata- 700009, India.
E-mail: drsoumitdey@gmail.com
Introduction: The deep seated ovarian lesions unapproachable by unguided aspiration cytology were easily done under ultrasound guidance. It gave a before hand cytological diagnosis of the lesion to the surgeon determining the modality of treatment for the patient.
Aim: To find the diagnostic accuracy of the method of ultrasound guided cytological assessment of ovarian lesion.
Materials and Methods: The study was conducted as a prospective observational study over a period of one year, in hospital setting, where ultrasound guided fine needle aspiration had been used to aspirate ovarian lesions, giving a rapid cytological diagnosis. In 43 sample cases, aspiration of fluid done from ovarian lesions were followed by cyto-centrifugation and staining by May-Grunwald-Giemsa (MGG) and Papanicolaou (Pap) stain providing a cytological opinion regarding benign/malignant nature of the lesion and further categorization. Later the cytological diagnosis was compared with final histopathological diagnosis, taking it as a gold standard.
Results: The overall sensitivity, specificity, and diagnostic accuracy of ultrasound guided aspiration and cytological analysis were high, 96%, 76.92% and 89.47% respectively as calculated by comparing the cytological diagnosis with histological diagnosis, taking it as gold standard.
Conclusion: This method has evolved as a highly sensitive, rapid, simple and effective modality for screening and as well as accurate preoperative diagnosis of ovarian lesions.
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