Role of radiological-guided FNAC in intra-abdominal lesions

Abstract

Introduction: Diagnosis of intra-abdominal lesions is mysterious many a times, especially deep-seated lesions. Confirmed diagnosis is essential for proper management. FNAC with radiological assistance helps to approach the lesion and obtain diagnostic material.Aims and Objective:1. To study the utility of radiological-guided FNAC in intra-abdominal lesions.2. To distribute the lesions according to anatomical site and categorization of these lesions as non-neoplastic/inflammatory, benign and malignant based on cytomorphological features.Material and Methods: A total of 82 intra-abdominal and pelvic lesions detected clinically or radiologically from January 2015 to December 2017 were included in the study. CT or USG guided FNAC was performed. H&E and Leishman stained slides were retrieved from archives of pathology department. Histopathological follow up was done, wherever available.Results: The mean age was 52.5years, with male to female ratio being 2.03:1. The diagnostic yield in CT-guided FNAC was 96.8% and USG guided FNAC was 94.2%. Out of 82 cases, 4 were unsatisfactory, 12 were non-neoplastic, 8 were benign, and 57 were malignant lesions. Liver was the most common organ followed by retroperitoneum and kidney. Hepatocellular carcinoma was the most common malignant lesion.Conclusion: Radiological-guided FNAC is simple, relatively quick and safe method in diagnosing intra-abdominal lesions and can be used as a preliminary procedure in management of intra-abdominal lesions.