Background: Since the turn of the century, splenic fine needle aspiration cytology (FNAC) has been utilised as a diagnostic technique, with the first report being in 1916. It has a reputation for being dangerous and difficult to judge, yet these stereotypes are completely false. The FNAC test is still the easiest, cheapest, and safest way to diagnose a problem.
The purpose of this research was to assess and determine the diagnostic value of aspiration cytology in splenic lesions.
Methods: In our retrospective investigation, fine needle aspiration cytology (FNAC) of the spleen was conducted in 34 patients, with 28 cases aspirated under ultrasonological guidance and 6 cases aspirated blindly. There were 23 male and 11 female patients with ages ranging from 2 to 69 years old, as well as 8 juvenile patients. Prior to the procedure, all necessary precautions and testing were completed, including a coagulation profile.
Results: Bloody aspirates were found in five of the 34 FNAC instances, whereas normal splenic aspirates were found in the other two. A definitive diagnosis could be made in 27 of the instances. Extramedullary hematopoiesis was the most common non-neoplastic condition (8 cases), followed by tuberculosis (4 cases), kala azar (3 cases), and storage disease (3 cases), and granulomas (2 cases). In the neoplastic group, we had two cases of non-Hodgkins lymphoma, one case of Hodgkin lymphoma, two cases of hairy cell leukaemia, and one case of histiocytosis. There were no significant variations in cellularity when aspiration was done blindly or with ultrasound assistance. There were no procedural issues uncovered during our investigation.
As a result, when used as a primary inquiry and carried out with extreme caution, FNAC spleen is a safe, low-cost, fast, and highly diagnostic treatment.Author(S) Details
Shweta Garg
Department of Pathology, LLRM Medical College, Meerut, Uttar Pradesh, India.
Nisha Malik
Department of Pathology, LLRM Medical College, Meerut, Uttar Pradesh, India.
Veena Sharma
Department of Pathology, LLRM Medical College, Meerut, Uttar Pradesh, India.
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