Study on Ultrasound and Computed Tomography-Guided Aspiration Cytology in Deep Seated Thoracic and Abdominal Lesions in Civil Service Hospital.

INTRODUCTION: Deep seated lesions, in the body are always a source of confusion and chaos. FNAC is a well established method of diagnosing neoplastic and non-neoplastic deeply seated lesions of thorax and abdomen. METHOD: This was retrospective study carried out in the department of pathology, Civil Service Hospital for period of two years from January 2013 to December 2015. Cases were divided into malignant, benign, nonneoplastic lesions and suspicious of malignancy. RESULT: Ultrasonography and Computed tomography guided fine needle aspiration cytology were performed from different anatomical sites like Liver, gallbladder, lung, pleura etc. There were 39 cases (48.75%) of deep thoracic lesions and 41 cases (51.25%) of deep abdominal lesions respectively. Lung was the commonest site, constituting 47.5% of all radiological guided FNACs followed by liver constituting 22.5%. Adenocarcinoma was commonest malignancy encountered in lung FNACs (22.5%) and metastatic adenocarcinoma was commonest malignancy in FNACs of liver (8.7%). CONCLUSION: USG and CT guided FNAC is relatively simple and efficient procedure for the diagnosis of deeply seated abdominal and thoracic lesions.