May 24, 2020

Diagnostic utility of cytology smears and cell block in adrenal lesions

Diagnostic Cytopathology
Sriranjan MukherjeeSatinath Mukhopadhyay

Abstract

Cytology of the adrenal gland is a less performed technique even in tertiary care centres; yet cytological evaluation is an important diagnostic tool for assessment of adrenal lesions. Our objective was to evaluate the diagnostic utility of FNAC smears and cellblock with immunohistochemistry (IHC) in lesions of the adrenal. We had a total of 50 cases over a period of 2 years where both FNAC smears and cellblocks were taken. The smears and cellblocks were examined for adequacy. They were subsequently categorised into four groups: unsatisfactory, benign, suspicious of malignancy and malignant. The diagnostic accuracy of FNAC smears and cellblock with IHC were evaluated and compared, taking histopathology, wherever available, as the gold standard, RESULT: We had 50 cases with age ranging from 6 to 53 years with a median of 7.5 years. Of these, 54% were cytologically malignant and neuroblastoma was the commonest lesion. Histopathology was available in 23 cases only, where the diagnostic accuracy was evaluated. The sensitivity and specificity of FNAC smear was 100% and 85.71%, respectively whereas the sensitivity and specificity of cellblock with IHC was 100% and 92.86%, respectively. Cellblock together with IHC provides a higher de...Continue Reading

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Mentioned in this Paper

Tertiary Care Centers
Lesion
Adrenal Medulla
Gold
Smear Cell
Neuroblastoma
Cytology
Malignant Neoplasms
Obstruction
Histopathology

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