Kiran B. Budihal, Anuradha Kapali, B. Shwetha, D. Priya, S. D. Madhu and B. Chetan
Page: 666-670 | Received 02 Jul 2023, Published online: 02 Aug 2023
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Pediatric abdominopelvic masses comprises of a variety of conditions including inflammatory conditions, infections and malignancies. It is very crucial to diagnose and differentiate these conditions for the definitive treatment. USG guided FNAC is a safe, rapid, less expensive technique for cytological diagnosis with no exposure to ionizing radiation specially in pediatric patients. To evaluate the outcome of USG guided FNAC and cell block in pediatric abdominopelvic masses. This retrospective study was conducted in Department of Radiodiagnosis at Kidwai Memorial Institute of Oncology for a period of 1 year (May 2021‐2022). Fifty pediatric patients with abdominopelvic masses were included in this study. USG guided FNAC with cellblock was done from abdominopelvic masses and cytological reports were reviewed for the adequacy of sample. Among 50 patients 32 were males, 18 were females and most were less than 10 years old. About 47 of 50 (94%) USG guided FNAC were successful and obtained adequate material for cytological diagnosis. About 45 of 50 (90%) cell block samples had adequate for cytomorphological diagnosis. Most common site of FNAC was kidneys followed by liver and adrenals. Most common pathologies were Wilms tumor followed by Hepatoblastoma and Neuroblastomas. FNAC alone had less sensitivity in differentiating the small round tumors as Neuroblastoma, Hepatoblastoma and Wilms tumor, whereas FNAC with cell block can differentiate various small round cell tumors. USG Guided FNAC is very simple, safe and minimally invasive diagnostic technique without ionizing radiation. FNAC with cell block can be a good alternative for needle biopsy or diagnostic laparotomy in pediatric population with least complications. If initial FNAC and cell block sample is inadequate then needle biopsy can be useful second line investigation for pathological diagnosis.
Kiran B. Budihal, Anuradha Kapali, B. Shwetha, D. Priya, S. D. Madhu and B. Chetan. Outcome of Ultrasound Guided Fine Needle Aspiration Cytology (FNAC) and Cell Block in Pediatric Abdominopelvic Masses.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.666.670
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.666.670