E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Ultrasound-guided fine-needle aspiration cytology of gallbladder masses – A solution to diagnostic dilemmas

Evarisalin Marbaniang, Vandana Raphael, Yookarin Khonglah, Jaya Mishra, Biswajit Dey, Zachariah Chowdhury, Chhunthang Daniala, Donboklang Lynser.

Abstract
Background: Advances in medical technology has revolutionized patient care. Ultrasound (USG)-guided fine-needle aspiration cytology (FNACs) is enlarging the realm of diagnostic cytology. This merger has increased the diagnostic accuracy especially in inaccessible body sites like the gall bladder (GB) masses. Impalpable, deep, and small lesions are now no longer a dilemma, thanks to image-guided FNACs.

Objectives: The objective of the study was to study the ultrasound-guided FNACs of GB masses for a 10 year period and evaluate the efficacy of ultrasound-guided FNACs in GB lesions.

Materials and Methods: USG-guided FNACs were collected and analyzed over a 10 year period (2007–2016) in the Department of Pathology North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong. This is a retrospective study and is in accordance with the ethical standards as laid by the Helsinki Declaration, 2000. Descriptive statistics were used for analysis.

Results: The age ranges from 27 to 83 years and the mean age was 53.2 years. The majority were females which constituted around 94.3% (50) and males constituted around 5.7% (3). Out of all the adequate cases (42 in number) that were evaluated, 37 (88%) were malignant and 5 (12%) were benign and inflammatory; 11 out of 53 cases (20.8%) were inadequate.

Conclusion: Although FNAC is established as a reliable diagnostic method, our study of 10 years has further proven that this test has stood the test of time, and with our high diagnostic yield and in the hands of a dedicated radiologist and cytopathologist, it will prove to surpass its expectations.

Key words: Gallbladder; Adenocarcinoma; May Grunwald Giemsa


 
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How to Cite this Article
Pubmed Style

Marbaniang E, Raphael V, Khonglah Y, Mishra J, Dey B, Chowdhury Z, Daniala C, Lynser D. Ultrasound-guided fine-needle aspiration cytology of gallbladder masses – A solution to diagnostic dilemmas. Int J Med Sci Public Health. 2019; 8(7): 485-488. doi:10.5455/jmsph.2019.06200201825042019


Web Style

Marbaniang E, Raphael V, Khonglah Y, Mishra J, Dey B, Chowdhury Z, Daniala C, Lynser D. Ultrasound-guided fine-needle aspiration cytology of gallbladder masses – A solution to diagnostic dilemmas. http://www.ijmsph.com/?mno=302642369 [Access: July 23, 2019]. doi:10.5455/jmsph.2019.06200201825042019


AMA (American Medical Association) Style

Marbaniang E, Raphael V, Khonglah Y, Mishra J, Dey B, Chowdhury Z, Daniala C, Lynser D. Ultrasound-guided fine-needle aspiration cytology of gallbladder masses – A solution to diagnostic dilemmas. Int J Med Sci Public Health. 2019; 8(7): 485-488. doi:10.5455/jmsph.2019.06200201825042019



Vancouver/ICMJE Style

Marbaniang E, Raphael V, Khonglah Y, Mishra J, Dey B, Chowdhury Z, Daniala C, Lynser D. Ultrasound-guided fine-needle aspiration cytology of gallbladder masses – A solution to diagnostic dilemmas. Int J Med Sci Public Health. (2019), [cited July 23, 2019]; 8(7): 485-488. doi:10.5455/jmsph.2019.06200201825042019



Harvard Style

Marbaniang, E., Raphael, . V., Khonglah, . Y., Mishra, . J., Dey, . B., Chowdhury, . Z., Daniala, . C. & Lynser, . D. (2019) Ultrasound-guided fine-needle aspiration cytology of gallbladder masses – A solution to diagnostic dilemmas. Int J Med Sci Public Health, 8 (7), 485-488. doi:10.5455/jmsph.2019.06200201825042019



Turabian Style

Marbaniang, Evarisalin, Vandana Raphael, Yookarin Khonglah, Jaya Mishra, Biswajit Dey, Zachariah Chowdhury, Chhunthang Daniala, and Donboklang Lynser. 2019. Ultrasound-guided fine-needle aspiration cytology of gallbladder masses – A solution to diagnostic dilemmas. International Journal of Medical Science and Public Health, 8 (7), 485-488. doi:10.5455/jmsph.2019.06200201825042019



Chicago Style

Marbaniang, Evarisalin, Vandana Raphael, Yookarin Khonglah, Jaya Mishra, Biswajit Dey, Zachariah Chowdhury, Chhunthang Daniala, and Donboklang Lynser. "Ultrasound-guided fine-needle aspiration cytology of gallbladder masses – A solution to diagnostic dilemmas." International Journal of Medical Science and Public Health 8 (2019), 485-488. doi:10.5455/jmsph.2019.06200201825042019



MLA (The Modern Language Association) Style

Marbaniang, Evarisalin, Vandana Raphael, Yookarin Khonglah, Jaya Mishra, Biswajit Dey, Zachariah Chowdhury, Chhunthang Daniala, and Donboklang Lynser. "Ultrasound-guided fine-needle aspiration cytology of gallbladder masses – A solution to diagnostic dilemmas." International Journal of Medical Science and Public Health 8.7 (2019), 485-488. Print. doi:10.5455/jmsph.2019.06200201825042019



APA (American Psychological Association) Style

Marbaniang, E., Raphael, . V., Khonglah, . Y., Mishra, . J., Dey, . B., Chowdhury, . Z., Daniala, . C. & Lynser, . D. (2019) Ultrasound-guided fine-needle aspiration cytology of gallbladder masses – A solution to diagnostic dilemmas. International Journal of Medical Science and Public Health, 8 (7), 485-488. doi:10.5455/jmsph.2019.06200201825042019





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