Chakrabarti Preeti Rihal, Chakraborty Kaushambi, Kukreja Prachi
Department of Pathology, ESI PGIMSR and ESIC Medical College and ESIC Hospital, Joka, Kolkata, West Bengal, India.
J Family Med Prim Care. 2020 Jun 30;9(6):2785-2788. doi: 10.4103/jfmpc.jfmpc_89_20. eCollection 2020 Jun.
Lung cancer is the most common cancer affecting males worldwide. Its incidence in females is also on an increasing trend. Other conditions affecting lung-like tuberculosis are on a rise in middle-east countries due to overcrowding and poor living conditions. In developing countries, image-guided fine-needle aspiration cytology (FNAC) of lung lesions is a cost-effective method for early detection and apt treatment of patients by physicians.
The main aim of this study is to identify the importance of computed tomography (CT)guided FNAC as an accurate and cost-effective tool in early diagnosis of lung lesions.
It was prospective and retrospective study done in a government medical college of West Bengal, India.
Over a period of two years, 42 cases were included in the study. These were further subjected to evaluation of pulmonary mass lesions by CT guided transthoracic fine needle aspiration cytology.
Out of these 42 cases majority were males with cough being most common clinical presentation. On CT guided FNAC of pulmonary lesions 69% of cases were malignant. Cytoradiological correlation in this study was 90.4%.
CT guided FNAC of lung lesions is an accurate, cost effective and quick technique for early diagnosis, referral and appropriate treatment of patients in developing countries.
肺癌是全球影响男性的最常见癌症。其在女性中的发病率也呈上升趋势。由于过度拥挤和恶劣的生活条件，中东国家其他影响肺部的疾病如结核病也在增加。在发展中国家，影像引导下肺病变细针穿刺细胞学检查（FNAC）是医生早期发现和恰当治疗患者的一种经济有效的方法。
本研究的主要目的是确定计算机断层扫描（CT）引导下的FNAC作为一种准确且经济有效的工具在肺病变早期诊断中的重要性。
这是在印度西孟加拉邦一所政府医学院进行的前瞻性和回顾性研究。
在两年时间里，42例患者被纳入研究。这些患者进一步接受了CT引导下经胸细针穿刺细胞学检查以评估肺部肿块病变。
在这42例患者中，大多数为男性，最常见的临床表现是咳嗽。在CT引导下对肺部病变进行FNAC检查，69%的病例为恶性。本研究中的细胞放射学相关性为90.4%。
CT引导下肺病变FNAC检查是发展中国家早期诊断、转诊和恰当治疗患者的一种准确、经济有效且快速的技术。
