Clinical audit of ultrasound guided fine needle aspiration in a general cytopathology service

Clinical audit of ultrasound guided fine needle aspiration in a general cytopathology service

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Background: Studies on ultrasonography (USG) guided fine needle aspiration cytology (FNAC) have been conducted in specialized settings such as thyroid, breast, chorulon hcg and intra-abdominal aspirates.There is a paucity of literature on the practices of guided FNAC in a general cytopathology service.Aim: The aim was to determine prevailing practices of USG guided FNAC in a general cytopathology service of a teaching hospital.

Settings and Design: Metropolitan hospital, clinical audit.Materials and Methods: Audit of 112 USG guided percutaneous FNAC done over 12 months.Statistical Analysis: Data were coded, entered in an excel spreadsheet and analyzed by translating into percentages and proportions.

Results: The 112 guided FNACs included constituted 36 thyroid (32.14%), 45 intra-abdominal (40.17%), 11 breast (9.

82%), 10 superficial lymph node (8.92%) and 10 soft tissue and miscellaneous (8.92%) lesions.

Previous freehand FNAC was documented on the requisition forms in 14 cases.The reports were: Inadequate 33 (29.46%), nondiagnostic descriptive 35 (31.

25%) or diagnostic 44 (39.28%).Inadequacy rates of aspirates from thyroid were 11 (30.

56%) breast were 2 (18.18%), and intra-abdominal lesions were 13 (28.88%).

Majority of the reports were nonstructured: 108 (96.42%) and nonrecommendatory: 101 (90.17%).

Conclusions: Reporting practices varied bilstein shocks jeep xj and did not conform to a uniform structure.The inadequacy rates of breast and thyroid aspirates were comparable to the rates in the literature.Comparable studies were not available for intra-abdominal aspirates.