Incidence of Different Cytological Cell Types of Lung Cancer Diagnosed Under CT-guided FNAC in a Tertiary Care Hospital in Khulna
DOI:
https://doi.org/10.3329/mediscope.v12i1.79890Keywords:
Bronchogenic carcinoma, Clinico-radiological profile, CT-guided FNACAbstract
Background: Lung cancer is the leading cause of cancer-related mortality worldwide, and its incidence is increasing in developing countries, including Bangladesh. CT-guided fine-needle aspiration cytology (FNAC) is a minimally invasive and reliable diagnostic modality for lung cancer diagnosis. This study aimed to investigate the incidence of different histopathological cell types of lung cancer diagnosed under CT-guided FNAC in a tertiary care hospital in Khulna.
Methods: This is a hospital-based observational study carried out on 60 subjects in the Medicine Department of Gazi Medical College Hospital (GMCH), Khulna over 06 years, from March 2016 to March 2022 in collaboration with the Radiology and Imaging Department. A self-administered questionnaire containing different sets of questions regarding lung cancer was used for data collection. Detailed demographic data were collected from the patients and recorded in this study. Data were entered and analyzed using SPSS software.
Results: The mean age of the patient was 53.72±9.78 years. The male and female ratio was 4:1. The commonest presentations were cough, weight loss, dyspnea, and chest pain (76.66%, 73.33%, 70.00%, and, 53.33% respectively). Smoking was a prime risk factor. Primary diagnosis of lung lesion was made by evaluation of history, and clinical examination and based on CXR finding and categorization was done based on FNAC under CT scan guide. Among the clinically suspicious lung cancer cases, 54 (90%) were diagnosed as bronchial carcinoma and the remaining 6 (10%) were non-specific infection. Non-small cell carcinoma was found to be the most prevalent in 42 patients (70%) according to CT-guided FNAC. The correlation of cytological examination with clinical and radiological findings revealed that cytological examination was more precise, and correlated with the suspected malignant lung cancer.
Conclusion: CT-guided FNAC is a valuable and fairly accurate diagnostic aid for pulmonary mass lesions with a reasonable rate of complication in suspected cases. The Clinico-histopathological pattern of lung cancer has changed recently. The study emphasizes the early detection and diagnosis of lung cancer, particularly in high-risk populations such as smokers. The incidence of adenocarcinoma is increasing, and becoming the most common cause in both smokers and non-smokers.
Mediscope 2025;12(1): 18-22
Downloads
57
40
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Muhammad Ashraful Kabir, Md. Sohanur Rahman, S. M. Ikbal Kabir
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish in the Mediscope agree to the following terms that:
- Authors retain copyright and grant Mediscope the right of first publication of the work.
Articles in Mediscope are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0. This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
- Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.
