Computed Tomography Guided Transthoracic Fine Needle Aspiration Cytology in the Diagnosis of Sonographically Non-Approachable Intrathoracic Masses – A Study of 100 Cases

Authors

  • RN Sarjer Assistant Professor, Department of Radiology and Imaging, Dhaka Medical College and Hospital, Dhaka
  • AF Rabbi Lecturer, Dhaka Medical College, Dhaka.
  • A Hossain Ex-Professor Department of Radiology and Imaging, Dhaka Medical College and Hospital, Dhaka
  • MA Quddus Ex-Professor Dept. of Radiology and Imaging, Dhaka Medical College and Hospital, Dhaka
  • N Chowdhury Assistant Professor, Department of Radiology and Imaging, Dhaka Medical College and Hospital, Dhaka
  • T Sarker Registrar, Department of Radiology and Imaging, Apollo Hospitals, Dhaka
  • FK Kumu MPhil (Thesis) student, Department of Radiology and Imaging, Dhaka Medical College, Dhaka
  • KAK Azad Professor of Medicine, Dhaka Medical College, Dhaka

DOI:

https://doi.org/10.3329/jdmc.v20i1.8568

Keywords:

Computed tomography, Fine needle aspiration cytology, Intrathoracic masses

Abstract

Objective: To evaluate the diagnostic efficacy of computed tomography (CT) guided transthoracic fine needle aspiration cytology (FNAC) in the diagnosis of intrathoracic masses not approachable by ultrasound.

Materials and Methods: CT guided FNAC of intrathoracic masses was done in 100 patients and they were followed up to the final diagnosis. The diagnostic accuracy, sensitivity, specificity, positive and negative predictive values of the procedures were calculated.

Results: The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of CT guided transthoracic FNAC were 93.85%, 100%, 96%, 100% & 89.74% respectively for the diagnosis of sonographically nonapproachable malignant intrathoracic masses and 94.29%, 98.46%, 97%%, 97.06% & 96.97% respectively for benign intrathoracic masses.

Conclusion: CT guided transthoracic FNAC is a highly sensitive and specific procedure in the diagnosis of intrathoracic masses that are not approachable by ultrasound.

Keywords: Computed tomography; Fine needle aspiration cytology; Intrathoracic masses.

DOI: http://dx.doi.org/10.3329/jdmc.v20i1.8568

J Dhaka Med Coll. 2011; 20(1) :25-31

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How to Cite

Sarjer, R., Rabbi, A., Hossain, A., Quddus, M., Chowdhury, N., Sarker, T., Kumu, F., & Azad, K. (2011). Computed Tomography Guided Transthoracic Fine Needle Aspiration Cytology in the Diagnosis of Sonographically Non-Approachable Intrathoracic Masses – A Study of 100 Cases. Journal of Dhaka Medical College, 20(1), 25–31. https://doi.org/10.3329/jdmc.v20i1.8568

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