Anima Hota1, Pranita Mohanty2, Mitu Mohanty3
BACKGROUND
The head and neck region is an anatomic site having lymph nodes, nerves, veins,
arteries, muscles, mucosal epithelium to salivary glands, thyroid, and a host of
developmental tissues. Any of these tissues can become pathological, resulting in
a mass. Fine needle aspiration cytology (FNAC) is regarded as a reliable method
of investigation in diagnosis of head and neck lesions. However, histopathology is
the gold standard of diagnosis. The purpose of this study was to assess the
frequency of head and neck tumours according to the sites of their occurrence and
to find out the correlation of cytopathological findings by FNAC and
histopathological findings by biopsy.
METHODS
This prospective study undertaken from June 2012 to June 2014 in the Department
of Pathology, IMS and SUM Hospital, Bhubaneswar, a tertiary care center. All the
patients attending different outdoor of IMS & SUM Hospital, Bhubaneswar with
head & neck lesions referred for FNAC were included in the study. The results of
FNAC were compared with that of histopathological findings by tissue biopsy. Data
collected was entered in MS Excel and analysed using the same software.
Descriptive statistical measures like frequency and percentage. Data was
presented in tabular form.
RESULTS
The commonest site of lesion was in the lymph node followed by thyroid gland.
There was preponderance of female sex in thyroid lesions whereas males were
commonest in other sites. The accuracy in cyto-histopathology correlation
between benign and malignant lesion was 96.36 % and 88.89 % respectively and
was most corroborated in the thyroid lesions (50.6 %).
CONCLUSIONS
Cyto-histo correlation of head and neck lesions provides an important, quick,
excellent, and sensitive diagnostic tool to exclude non-neoplastic lesions from
neoplastic lesions.
