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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Role of Fine Needle Aspiration Cytology in Head and Neck Lesions of Paediatric Age Group
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Role of Fine Needle Aspiration Cytology in Head and Neck Lesions of Paediatric Age Group

机译：细针穿刺细胞学检查在小儿年龄组头颈部病变中的作用

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Context: Fine Needle Aspiration Cytology [FNAC] of the head and neck region is well accepted as a diagnostic procedure. Various studies in the context of FNAC in the head and neck region are available for the adult population, but only few studies are available for the paediatric age group.Aims: To study the role of fine needle aspiration cytology and its utility in paediatric head and neck lesions.Settings and Design: This was a hospital based, prospective study.Methods and Materials: Hundred cases of head and neck lesions of the paediatric age group [0-15 years] were studied for cytomorphology through fine needle aspiration cytology and the results were correlated with the histomorphology.Results: There was a male predominance in the case distribution among both the sexes in children [55%]. The head and neck lesions were most frequent in the age group of 10-15 years, followed by the age group of 5-10 years than the age group of 0-5 years. Lesions in the cervical lymph nodes constituted 81% of the head and neck lesions and 87% of the adequate smears, followed by those in the skin and subcutaneous tissues [3 cases (3.2%)], the thyroid [4 cases (4.3%)] and the salivary gland [1 case (1%)]. 88.17% cases of head and neck lesions in children were diagnosed as benign on their smears and 11.83% cases were diagnosed as malignant, of which 8 cases of malignant lesions were located in the cervical lymph nodes, 1 case was located in the thyroid and 2 cases of malignant lesions were located in the orbits.Conclusions: FNAC is an important and a non-invasive, investigational tool in children for identifying and planning the medical management of inflammatory and infectious conditions. It helped us in indicating the diagnosis of the lesions in congenital or aquired malformations, cystic lesions and benign neoplastic lesions, in which surgical management were needed and we got confirmations on histological examinations. For the malignant lesions, FNAC was a more important investigation tool than an accurate investigation tool, which suggested about the lesions and guided us to do more advanced specific investigations for obtaining the diagnosis.
机译：背景：头部和颈部区域的细针穿刺细胞学检查（FNAC）被广泛接受为诊断程序。对于成人人群，在头颈部区域进行FNAC方面的各种研究都是可行的，但对于小儿年龄组只有很少的研究。目的：研究细针穿刺细胞学的作用及其在小儿头部和颈部的实用性。设置与设计：这是一项基于医院的前瞻性研究。方法与材料：通过细针穿刺细胞学研究了数百例小儿年龄段[0-15岁]的头颈部病变的细胞形态，并对其结果进行了研究。结果：儿童的性别分布以男性为主（55％）。头颈部病变在10-15岁年龄段最常见，其次是5-10岁年龄段，而在0-5岁年龄段。颈部淋巴结中的病变占头颈部病变的81％，适当涂片占87％，其次是皮肤和皮下组织的病变[3例（3.2％）]，甲状腺[4例（4.3％）] ]和唾液腺[1例（1％）]。儿童头颈部病变涂片诊断为良性88.17％，恶性为11.83％，其中颈部淋巴结肿大8例，甲状腺肿1例，甲状腺肿2例。结论：FNAC是儿童的一种重要且非侵入性的研究工具，可用于识别和规划炎症和感染性疾病的医疗管理。它有助于我们诊断出先天性或后天性畸形，囊性病变和良性肿瘤性病变的诊断，需要手术治疗，并且在组织学检查中得到了证实。对于恶性病变，FNAC是比准确的调查工具更重要的调查工具，后者提出了有关病变的信息，并指导我们进行更高级的特定检查以获取诊断信息。

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