research centers


Search results: Found 20

Listing 1 - 10 of 20 << page
of 2
>>
Sort by

Article
Fine Needle Aspiration Cytology In Bone Lesions

Authors: Wahda M. AI- Neaimy --- Kassim S.Ibrahim
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 1 Pages: 74-76
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

OBJECTIVE: To assess the efficiency of fine needle aspiration cytology (FNAC) in the diagnosis of bone/esions PATIENT AND METHODS This Prospective study was conducted in the orthopedic surgical wards at Al- Zahrawi teaching hospital of the Mosul city over one year period from 2003-2004.Thirty seven patients presented with bone lesions were included in this study. The lesions were provisionaly diagnosed by clinical and radiological methods. RESULTS: The results of the aspirated lesions include 20 malignant lesions, 8 tumour like lesions, 5 benign and potentially malignant lesions and 3 inflammatory lesions . In one aspirate the materials was inadequate The results were compared with the histopathological diagnosis. CONCLUSION: FNAC of bone lesion is safe, quick, easy, economical and helpful in planning the correct therapy

Keywords

Bone --- FNAC --- Lesion.


Article
Assessment of spermatogenesis by fine needle aspiration of testes in patients with azoospermia
تقييم تكوين النطف بواسطة الرشف بالإبرة الدقيقة في المرضى المصابين بانعدام النطف

Author: Ibrahim K. S. قاسم سعيد ابراهيم
Journal: Annals of the College of Medicine Mosul مجلة طب الموصل ISSN: 00271446 23096217 Year: 2013 Volume: 39 Issue: 2 Pages: 143-146
Publisher: Mosul University جامعة الموصل

Loading...
Loading...
Abstract

ABSTRACTBackground and objectives: Recent advances of Invitro Fertilization (IVF) and Intracytoplasmic Sperm Injection (ICSI) combined with the progress in sperm retrieval from testes have provided a hope for azoospermic patients to become fathers. The aim of this study is to describe the cytological features of the cells aspirated from testes of patients with azoospermia and to select those who have mature spermatozoa in their aspirate for assisted fertilization.Design and setting: A descriptive study (case series) conducted in private clinic from Jan. 2007 to Sept. 2012.Patients and methods: Under local anasthesia Fine Needle Aspiration Cytology (FNAC) was performed on 250 patients whose sperm count was zero in at least three consecutive semen samples.The size of the testes was measured and recorded for each case. The cytological features of the aspirated cells were described and the patients who have mature spermatozoa were identified for assisted fertilization.Results: Normal spermatogenesis was found in 54 patients (21.6%), complete maturation arrest at primary spermatocytes in 95 patients (38%), complete maturation arrest at secondary spermatocytes in 32 patients (12.8%), germ cell aplasia in 62 patients (24.8%), and atrophic testis in 7 patients (2.8%). The mean age of the patients was 29.8 years. Regarding the greatest dimension of the testes, there was a significant difference in the greatest dimension of atrophic testes and in testes with germ cell aplasia, from the other groups. The procedure was well tolerated by the patients and no complications were encountered. Conclusions: The technique can differentiate obstructive from intrinsic causes of azoospermia. It is simple, quick, cost effective and free from complications.Keywords: FNAC, testis, infertility azoospermia.

الخلاصةالخلفية والأهداف: التطور الحاصل في الإخصاب في المختبر وزرق النطف داخل السايتوبلام بالإضافة إلى التطور في الحصول على النطف من الخصية وفر فرصة لمرضى إنعدام النطف لكي يصبحوا آباء. والهدف من هذه الدراسة هو وصف الخلايا الناتجة عن الرشف بالإبرة الدقيقة وإختيار من لديهم نطف ناضجة للإخصاب المساعد. التصميم والمكان: دراسة وصفية أجريت قي مختبر الباحث الخاص من كانون الثاني 2007 لغاية أيلول 2012.المرضى والطرق: تحت التخدير الموضعي تمت عملية الرشف بواسطة الإبرة الدقيقة لــ 250 مريض يعانون من عدم وجود نطف في السائل المنوي لثلاث فحوصات على الأقل بواسطة السرنج والإبرة الدقيقة23 G ، ثم سحب الخلايا من الخصية وعمل مسحة، ثم ثتبيت المسحة في كحول أثيلي تركيز 95%، ثم صبغها بصبغة هيماتوكسلين أيوسين. وتم وصف الخلايا المسحوبة وتم تشخيص المرضى الذين لديهم نطف ناضجة لغرض إجراء تخصيب مساعد. النتائج: كانت عملية تكوين النطف كاملة في 54 مريض 21,6%، وتوقف كامل لإنتاج النطف في مرحلة الخلايا النطفية الأولية في 95 مريضا 38%. التوقف الكامل لإنتاج النطف في مرحلة الخلايا النطفية الثانوية في 32 مريضا 12,8 %. عدم وجود خلايا بزرات النطاف في 62 مريضا 24,8 %، خصية ضامرة في 7 مرضى 2,8%. وكان المعدل العمري للمرضى 29,8 سنة. بالنسبة للأبعاد القصوى للخصية في حالة ضمور الخصبة وإنعدام الخلايا النطفية كانت تختلف إحصائيا" من المجاميع الأخرى. كانت عملية السحب متحملة من قبل المرضى ولا يوجد مضاعفات. الاستنتاج: بواسطة هذه الطريقة يمكن معرفة أسباب إنعدام النطف (الإنسداد أو أسباب في الخصية). كانت الطريقة سهلة وسريعة ولم تكلف كثيرا". وكانت خالية من المضاعفات.


Article
DIAGNOSIS OF THYROID NODULES USING FNA
تشخيص عقد الغدة الدرقية عن طريق الرشف الخلوي بالإبر الدقيقة دراسة تطلعية تحليلية

Author: Ali Swailem
Journal: journal of kerbala university مجلة جامعة كربلاء ISSN: 18130410 Year: 2013 Volume: 11 Issue: 4 Pages: 302-310
Publisher: Kerbala University جامعة كربلاء

Loading...
Loading...
Abstract

BACKGROUND :- Thyroid gland differs from other endocrinal organs in it s heaviness and early working in embryonic period (1).The main reason for intense interest of thyroid research is the outbreak of thyroid cancer after disaster of Chernobel nuclear energy plant leaks in 1986(2). Most common clinical findings in the thyroid gland is different pictures of neck swellings which defined as Any disorders of growth of thyroid cells changes into a swelling in thyroid. Nodule—means knot or knob. Benign nodules can be caused by1-Adenomas 2-Colloid nodules 3-Cysts 4-Infectious nodules5-Lymphocytic nodules 6-Hyperplastic nodules. 7-Thyroiditis .8-Congenital anomalies.Malignant nodules are classified as 1-Differentiated tumors a-Papillary adenocarcinoma b-Follicular adenocarcinoma2-Medullary carcinoma3-Undifferentiated tumors like : anaplastic 4-Others :- a-Lymphoma b-sarcoma c-squamous cell carcino ma d-Metastatic tumors. (3)FNAC plays an important role in diagnosis of thyroid nodules.AIMS OF STUDY:- To test suitability of fine needle aspiration cytology & avoid morbidity and complications of unwise thyroid operative decisions. PATIENTS MATERIALS& METHODS:- This study was carried out in Al-Hussein Teaching Hospital in Karbala city during the period from 1st January 2011 to 31st December 2012=2years. ( 120 ) patients were included in this study; designed as a prospective study.RESULTS :-The results studied were compared with pathological and importance of FNAC was tested byfinding of Sensitivity(83.3%),Specificity(95.3)PositivePredictiveValue=PPV(78.1%) and Negative Predictive Value=NPV(48.6%)Accuracy ratio=95% . Out of 120 patients FNAC showed 98 patients as benign and 22 patients as malignant while pathological examination revealed 96 patients had benign and 24 patients had malignant lesions . FNAC was able to correctly diagnose (94/98) as benign lesions while (4/98) cases of benign lesions appeared to be malignant on pathological examination (False negative) . Out of (24) cases which appeared to be malignant on pathological examination. FNAC confirmed 22 cases while (2/24) benign lesion was misdiagnosed as malignant (False positive). Conclusions:- This study showed a sensitivity of( 83.3 )%, specificity( 95.3%)and accuracy ratio=95% of FNAC in diagnosis of thyroid cancer in thyroid swelling lesions.

عقدة الغدة الدرقية حالة سريريه شائعة قد تصل إلى 50%عند كبار السن معظم هذه الحالات حميدة . معظم هذه الحالات حميدة حيث أن سرطان الغدة الدرقية يمثل حالة سريريه غير شائعة الحصول . أذا كانت إفرازات الغدة الدرقية طبيعية فان استخدام خزعة الرشف الخلوي بالإبر الدقيقة يوفر معلومات مباشرة حول نوعية الوضع الخلوي لعقدة الغدة الدرقية المنفردة. أهداف هده الدراسة هي لتقييم دقة طريقة الرشف الخلوي في تشخيص العقدة المنفردة للغدة الدرقية وتجنب العمليات الجراحية غير الضرورية للغدة الدرقية. هده الدراسة أجريت على 120 مريضا في قسم الجراحة في مستشفى الحسين (ع) التعليمي في كربلاء المقدسة للفترة من 1/1/2010 لغاية 31/12/2011 وهي دراسة تطلعية تحليلية. وهي أول دراسة من نوعها في العراق. نتائج هذه الدراسة قورنت مع الفحص النسيجي كما إن كفاءة الفحص الخلوي بالرشف بالإبر الدقيقة قد قيست بالحساسية – النوعية ألآحصائية كما تم قياس القيمة التوقعية الايجابية والسلبية. من 120 مريضا اظهر الفحص الخلوي98 حالة حميدة 22 حالة سرطانية بينما الفحص النسيج اظهر96 حالة حميدة و24 حالة سرطانية . الفحص الخلوي كان قادرا على التقاط94 حالة حميدة بينما هناك 4حالات حميدات (بالفحص الخلوي بالرشف بالإبر الدقيقة) بينما اثبت الفحص النسيجي أنها خبيثة وهذا يسمى (السلبية الكاذبة) 0 من 24مجموع حالة شخصت نسيجيا على كونها خبيثة تم تشخيص 22 حالة بالفحص الخلوي (مطابق للفحص النسيجي ) بينما تم الاشتباه بحالتين حميدتان على أنهما سرطان بينما اثبت الفحص النسيجي أنهما حميدتان وهدا يسمى (الايجابية الكاذبة)0 نتائج تحليل هده الدراسة يظهر الحساسية = 33, 8%والنوعية =95,3% استنتجت هده الدراسة أن الفحص الخلوي للرشف بالإبر الدقيقة مفيدة جدا في تشخيص السرطان في عقد للغدة الدرقية.

Keywords

FNAC --- Biopsy --- Thyroid nodules .


Article
Fine Needle Aspiration Cytology in Thyroid Lesions: a Personal Experience

Authors: Ahmed Mehdi Al-Hashimi --- Mohammad Jasim Mohammad
Journal: Diyala Journal of Medicine مجلة ديالى الطبية ISSN: 97642219 Year: 2014 Volume: 6 Issue: 1 Pages: 81-85
Publisher: Diyala University جامعة ديالى

Loading...
Loading...
Abstract

Background: Different invasive and non-invasive investigations are used in the diagnosis and management of thyroid. Fine needle aspiration cytology (FNAC) is a safe test, technically easy to perform and cost effective. This study was conducted to throw a light on practicing FNAC in Baghdad, Iraq.Aim of the study: This study was conducted to throw a light on FNAC from a personal experience with thyroid disorders in Baghdad, Iraq.Methods: A total of 79 patients of clinically diagnosed thyroid swelling was included in the study. FNAC performed and then all patients subjected to surgery. Thyroidectomy specimens were evaluated by histopathological exam. Analysis of variance ANOVA (Is a collection of statistical models used to analyze the differences between group means and their associated procedures such as variation among and between groups) was used to examine the effect of age and duration on FNAC results. Chi square was used to examine the effect of histopathological diagnosis on FNAC readings. Accuracy of the FNAC was assessed using 2X2 table.Results: FNAC results was significantly affected by age of the patients (p=0.005), duration of thyroid swelling (p=0.0001) and histopathological diagnosis (p = 0.0001). Sensitivity, specificity, positive predictive value and negative predictive value were 75%, 57%, 94.7% and 18.2%, respectively.Conclusion: Low negative predictive value for FNAC was reported. the accuracy of FNAC affected by the experience of the histopathologist.


Article
BI-RADS 4 and 5 breast lesions: correlation between sonographic findings and histopathological results following ultrasound-guided FNAC
آفات الثدي (بيرادس 4 و5) : العلاقة بين مشاهدات فحص الأمواج فوق الصوتية والنتائج المرضية بعد الرشف بالإبرة الدقيقة بدلالة فحص الأمواج فوق الصوتية

Author: Abdullateef Aliasghar Mustafa
Journal: kufa Journal for Nursing sciences مجلة الكوفة لعلوم التمريض ISSN: 22234055 Year: 2014 Volume: 4 Issue: 2 Pages: 188-195
Publisher: University of Kufa جامعة الكوفة

Loading...
Loading...
Abstract

Background: clinical application of breast imaging reporting and data system (BI-RADS) lexicon for breast ultrasound useful to characterization of breast lesion and to inform the level of likelihood of malignancy.Objectives: to correlate between the ultrasound findings and pathological results of BIRADS 4 and 5 lesions on the basis of the imaging-pathologic concordance or discordance. Patients and methods: This prospective study enrolled 185 patients classified as BI-RADS-4 and BI-RADS-5, who were referred for breast ultrasound examination at breast clinic in oncology hospital-medical city complex-Baghdad that obtained between January 2013-August 2013 who had palpable breast lump on clinical examination or mass detected by mammography. Ultrasound findings were reviewed by board-certified radiologist and description of ultrasound finding bases on fourth edition BI-RADS lexicon; BI-RADS 4 and 5 was selected for breast lesions that were features suggesting malignancy, category 5 having more likelihood of malignancy than category 4. In both cases, ultrasound guided fine needle aspiration cytology (FNAC) were performed then pathological diagnoses were obtained. Finally, five possible results illustrated for ultrasound-pathology correlation according the concordance and discordance between ultrasound findings and pathological results and malignancy rates were estimated. Results: Over a period of 8 months, 185 patients with BI-RADS 4 and 5 breast lesions were included in this study; the age at presentation ranged from 20 to 73 years. The mean age was 39 years. High resolution ultrasound with Doppler facility applied on all patient and results are categorized according breast imaging and reporting data system and category 4 and 5 were ended by fine needle aspiration cytology with ultrasound guidance and subsequently the histopathology was done. FNAC results revealed 68.35% (n=108) of BI-RADS 4 patients had benign pathologies, 18.99% (n=30) had malignancy and just 12.66% (n=20) showing borderline or high risk lesions. The majority (85.18%) of women with BI-RADS 5 displayed malignant lesion and benign lesions were 2% and rest were borderline. following imaging-pathology correlation, the concordant malignancy in BI-RADS 4 was 18.9% versus 85.18% in BI-RADS 5 and discordant benign in BI-RADS 4 noted in 68.3% of patients while only in 7.4% in BI-RADS 5 and borderline high-risk lesion identified in 12.6% in BI-RADS 4 and 7.4% in BI-RADS 5.Conclusion: the current study shows high agreement with the likelihood of malignancy after application of BI-RADS terminology in category 4 and 5. Careful imaging-pathologic correlation is integral part of multidisciplinary team and very important in establishing the concordance.Recommendation: the previous knowledge about fourth edition of ACR BI-RADS lexicon and practicing it in daily work recommended for radiologist who working in dedicated breast care centers to avoid delays in diagnosis of breast malignancy.

خلفية البحث: التطبيق السريري لنظام البيرادس في فحص الأمواج فوق الصوتية للثدي مفيد جدا في وصف آفات الثدي والإخبار عن مستوى احتمالية السرطان. الهدف : المقارنة بين مشاهدات فحص الأمواج فوق الصوتية والنتائج المرضية لآفات الثدي من فئة البيرادس 4 و 5 ومدى التطابق بينهما. المنهجية : دراسة مستقبلية شملت 185 مريضة من فئة البيرادس 4 و 5 اللاتي تم تحويلهن إلى استشارية الثدي في مستشفى الأورام بمدينة الطب في بغداد لغرض إجراء فحص الأمواج فوق الصوتية للثدي وأجريت الدراسة للفترة من كانون الثاني 2013 إلى آب 2013 ، تم مراجعة مشاهدات فحص الأمواج فوق الصوتية من فبل اختصاصي الاشعة اعتمادا على الطبعة الرابعة لمعجم البيرادس، بعدها تم اختيار فئة البيرادس 4 و 5 والتي تتصف باحتمالية السرطان أكثر من الفئات الأخرى وفي كلا الفئتين تم إجراء الرشف بالإبرة الدقيقة لآفات الثدي وبعد ذلك تم تتبع نتائج الرشف بالإبرة الدقيقة ومقارنتها مع مشاهدات فحص الأمواج فوق الصوتية للحصول على خمس احتمالات حسب درجة المطابقة بينهما ومن تم حساب معدلات السرطان. النتائج: خلال فترة ثمانية أشهر تم دراسة 185 مريضة من فئة البيرادس 4 و 5 وتتراوح أعمارهن بين 20 – 73 سنة والعمر المتوسط كان 39 سنة. بعد إجراء فحص الأمواج فوق الصوتية للثدي تم تصنيف آفات الثدي حسب نظام البيرادس والآفات من الفئة 4 و 5 أجريت لها الرشف بالإبرة الدقيقة بدلالة فحص الأمواج فوق الصوتية وإجراء الفحص النسيجي فيما بعد. 68,35% من فئة البيرادس 4 أظهرت نتائج حميدة و 18,99% بينت نتائج خبيثة و 12,66% أظهرت أفات تحمل خطورة عالية. أغلبية المرضى من فئة البيرادس 5 (85,18%) بينت نتائج خبيثة و2% كانت نتائجها حميدة والنسبة الباقية تحمل خطورة عالية وبعد إجراء المقارنة بين مشاهدات فحص الأمواج فوق الصوتية والنتائج المرضية وجد التطابق في معدلات سرطان الثدي بنسبة 18,9% لفئة البيرادس 4 بينما كان التطابق بنسبة 85.18 % لفئة البيرادس 5. عدم التطابق الحميد شوهد قي 68,3% من المرضى من فئة البيرادس 4 بينما وجد في 7,4% من فئة البيرادس 5 ، والصنف الأخير الذي يحمل خطورة عالية وجد في 12,6% في فئة البيرادس 4 و 7,4% في فئة البيرادس 5.الاستنتاجات: بينت الدراسة الحالية توافق بين النتائج المستحصلة لمعدلات سرطان الثدي مع المعدلات المذكورة في نظام البيرادس للفئة 4 و 5. المقارنة الدقيقة بين مشاهدات التصوير الطبي والنتائج المرضية هو جزء أساسي لفريق متعدد التخصصات ومهم جدا في تأسيس التطابق بينهما. التوصيات: المعرفة السابقة حول الطبعة الرابعة لمعجم البيرادس والممارسة اليومية لها في العمل ضرورية لاختصاصي الأشعة في مراكز رعاية الثدي المتخصصة لتجنب أي تأخير في تشخيص الأورام الخبيثة للثدي.

Keywords

breast --- BI-RADS --- ultrasound --- FNAC


Article
MULTINODULAR GOITER AND RISK OF MALIGNANCY, SURGERY OR FOLLOW UP ?

Authors: Ali Yousif Alwajeeh --- Abutalib Bader Al Luaibi
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2019 Volume: 25 Issue: 1 Pages: 61-65
Publisher: Basrah University جامعة البصرة

Loading...
Loading...
Abstract

MULTINODULAR GOITER AND RISK OF MALIGNANCY, SURGERY OR FOLLOW UP ? Ali Yousif Alwajeeh@ & Abutalib Bader Al Luaibi* @MB,ChB, CABS, Consultant General Surgeon. MB,ChB, FIBMS, General Surgeon, Almawanee Teaching Hospital, Basrah, IRAQ. Abstract Nodular goiter is one of the most common presentation of thyroid gland diseases. The risk of development of thyroid cancer is relatively rare (1%) of all types of tumors, however, it is the most common endocrine malignancy, and usually presented as multinodular goiter. Fine needle aspiration cytology (FNAC) considered as the golden tool in the diagnosis of thyroid nodule though, it still has false negative rate which is variable depending on the experience and the technique being used. This means that even if the FNAC done prior to surgery shows negative finding, this doesn't exclude the presence of carcinoma, especially in multinodular goiter where it is possible not to sample the involved area. In this prospective study which was done in Almawanee Teaching Hospital between 2012-2018, 69 patients with Multinodular goiter where considered for the risk of harboring an incidental malignancy. The results of patients with multinodular goiter of benign origin was 57 patients (82.86%) while multinodular goiter which has an incidental malignancy was 12 patients (17.14%). Conclusion: due to relatively high risk of malignancy in multinodular goiter especially with noncompliance for follow-up from patients and risk of missing incidental malignancy by FNAC in multinodular goiter, it is preferable to do total or near total thyroidectomy. Key words: Goiter, Malignancy, FNAC, Surgery, Incidence

Keywords

Goiter --- Malignancy --- FNAC --- Surgery --- Incidence


Article
The frequency of thyroid carcinoma in patients with solitary and multiple nodules utilizing ultrasound guided fine needle aspiration cytology (FNAC): A prospective study(Thyroid carcinoma and U/S guided FNA)

Authors: Qahtan A. Mahdi --- Basim S. Ahmed --- Mohammed A. Kadhim
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2010 Volume: 52 Issue: 2 Pages: 136-140
Publisher: Baghdad University جامعة بغداد

Loading...
Loading...
Abstract

Background: Population studies suggest that 3–8% of asymptomatic adults have thyroid nodules. Nodules have a 5–15% prevalence of malignancy. Fine-needle aspiration cytology is the primary and frequently initial tool for assessing the risk of malignancy in thyroid nodules and selecting patients for thyroid surgery. Patients and Methods: This prospective study was done during the period from June 2007 to November 2008. The study includes 141 patients with palpable solitary or multiple thyroid nodules. Only patients with normal or low TSH values were referred for ultrasound examination and ultrasound guided FNAC, which were done using fine needles (G 20).
Results: eleven patients (7.8%) have insufficient or non-diagnostic aspirates and were excluded from the study. Of the remaining 130 patients that were included in our study, only 20 patients had thyroid carcinoma (15.3%). Seventy-nine patients (60.7%) had solitary nodule larger than 10 mm in largest dimension and 51 patients (39.3%) had two or more such nodules. The rate of cancer in males with thyroid nodules was higher than in females. The prevalence of thyroid cancer did not differ between patients with a solitary thyroid nodule (12 of 79 patients, 15.1%) and patients with multiple nodules (8 of 51 patients, 15.7%), the deference is statistically insignificant (P = 0.95). A nodule that is one of several nodules had a lower likelihood of being malignant than did a solitary nodule: (8.9% versus 15.1%) (P < 0.001).
Conclusion: Ultrasound guided FNAC is the primary and frequently initial tool for assessing the risk of malignancy in thyroid nodules. The prevalence of thyroid cancer did not differ between patients with a solitary thyroid nodule and those with multiple thyroid nodules. FNAC have limited role in cytological diagnosis of follicular carcinomas, unless it is confirmed by histopathological diagnosis.


Article
The Predictive Value of Fine Needle Aspiration Cytology in the Assessment of Cervical Lymphadenopathy

Author: Hayder M. Abdulnabi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2007 Volume: 6 Issue: 3 Pages: 190-193
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT :BACKGROUND:Cervical lymphadenopathy is a common clinical problem that needs a prompt diagnosis to manage. FNAC plays an increasing role in the differentiation of its pathology. The aim of this study was to show the value of cytological examination in the assessment of cervical lymphadenopathy in relation to histopathological examination.METHODS :A prospective study where 50 randomly selected patients with cervical lymphadenopathy underwent fine needle aspiration cytology in the pathological department, college of medicine, Kufa university, for the period from Feb.2004 to Feb.2005.RESULTS :Non specific lymphadenitis was the common pathology in 20 patients (40%), followed by tuberculous lymphadenitis in 16 patients (32%), lymphoma in 22% and metastatic tumour in 12% of cases respectively.In 44 patients out of 50 the the pathology was confirmed histopathologically.CONCLUSION :It is proved by this study that FNAC play an important role in the diagnosis of cervical lymphadenopathy as accurate as histopathological examination.


Article
Evaluation of Triple Assessment Modalities in the Management of Palpable Breast Lumps

Author: Khalid Nimat Saleem
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2010 Volume: 9 Issue: 1 Pages: 48-56
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

BACKGROUND:Breast masses are common clinical presentation in breast clinics, their managements require an efficient and accurate evaluation, using the least invasive, most accurate methods that cause minimal patients discomfort and limit any unnecessary procedure.OBJECTIVE:This study is designed to evaluate the diagnostic accuracy of triple assessment (a combination of clinical examination, imaging studies and tissue sampling) in the preoperative assessment and optimal management of palpable breast masses.PATIENTS AND METHODS:This clinical prospective study which was conducted in mosul breast center, department of surgery, al-jamhoory teaching hospital, mosul medical city, from november 2007 to november 2008 included 60 female patients with palpable breast masses, their age ranging between (20-76) years, were assessed prospectively using triple assessment modalities and the results of each modality were classified as benign, suspicious or malignant and compared with the confirmatory histopathological examination of the tissue specimens obtained from all patients under study via an appropriate surgical procedure. the data was collected, classified and analyzed.RESULTS:The results triple test (TT) was concordant (elements had either all benign or all malignant) in 31 cases (52٪) with diagnostic accuracy reaching (100٪). Again the TT achieved (100٪) diagnostic accuracy when all elements were either malignant or suspicious which appeared in 12 of 29 nonconcordant cases (20٪ of all cases). FNAC was the most reliable element of TT in cases where the elements of TT weren't concordant (NPV 94.5٪, sensitivity 92٪ and accuracy 96.7٪).CONCLUSION:The TT has proved to be accurate, reliable diagnostic approach for evaluation of breast masses, achieved (100٪) accuracy rate when all elements were concordant or when all elements were either suspicious or malignant, with the end result was neither missed cancer nor false positive malignant diagnosis, as the error or limitation of one modality was compensated by the other elements.Any positive result of fnac should be taken seriously with negative results not exclude malignancy while the negative or positive results of imaging studies and examination not necessarily reflect the actual pathology should be supported by tissue diagnosis.Patients in whom the TT elements were all benign can be safely observed, while patients in whom all the elements were malignant or suspicious, the diagnosis was certain enough to proceed with definite treatment without delay.


Article
DIAGNOSTIC ACCURACY OF (FNAC) BIOPSY IN PALPABLE MAMMARY LESIONS

Authors: Thamer T Sharrief ثامر طارق شريف --- Abdul-Ameer J Awad عبد الامير جليل عواد --- Ali J Awad علي جليل عواد
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2012 Volume: 10 Issue: 3 Pages: 273-277
Publisher: Al-Nahrain University جامعة النهرين

Loading...
Loading...
Abstract

Background:Fine Needle Aspiration Cytology (FNAC) has advantage of providing a diagnosis before the time of surgery; this situation enable the patient and surgeon to discuss and decide the type of surgery to be done and may obviate the need for a 2 stage procedure in surgical management of breast cancer.Objectives:To study the accuracy, sensitivity and specificity of FNAC of solid breast mass compared to histopathological examination.Methods:A retrospective study includes 126 female patients palpable solid breast mass aged 17 to 67 years with masses in the breast. FNAC and histopathological studies was done to all of them.Results:Fifty six patients had mass in the Rt. Breast and 70 (57.4%) had mass in the Lt. breast. 58 (47.5%) masses diagnosed as malignant (54 true-positive and 4 false negative) with diagnostic accuracy of 93% (54 of 58). Sixty four patients (52.5%) were diagnosed as benign (62 true-negative and 2 false positive) with diagnostic accuracy of 96.8% (62 of 64).Conclusions:FNAC is simple, quick and relatively low cost procedure, with minimal patient discomfort; it is helpful in reducing the number of breast biopsies done for benign breast disease. It can provide a diagnosis before the time that operation is performed and this may help to obviate the need for two stage procedure in surgical management of breast cancer.Keywords:Solid breast mass, FNAC, Histopathological examination.

Listing 1 - 10 of 20 << page
of 2
>>
Sort by
Narrow your search

Resource type

article (20)


Language

English (17)

Arabic and English (2)


Year
From To Submit

2019 (2)

2018 (1)

2017 (4)

2015 (1)

2014 (2)

More...