DOI: 10.36347/sjams.2017.v05i12.001

Pages: 4784-4790

In remote regions like hills of Uttarakhand, the health care facilities are still in preliminary phase. Most of the cases, even the treatable once, are lost due to lack of awareness and meager diagnostic modalities. The study was conducted to evaluate the usefulness of the procedure in a minimally equipped set up so that the district level health centers can be provided with such facilities. It can overcome the problem of patients presenting late to the health care facilities. Also the pattern of the lung carcinoma is required to be studied so that it is possible to correlate it with the various socio-demographic factors. After the selection of patients, FNAC was done under CT guidance in the presence of a qualified radiologist as an outpatient procedure after explaining the risks and benefits and obtaining informed consent. A 22or 23 gauge needle or a spinal needle was used depending on the depth and site of the lesion, attached to a 10ml syringe. FNAC smears were prepared and fixed immediately in 90% ethanol for routine staining with hematoxylin and eosin (H&E) stain and Papanicolaou (PAP) stain. The procedure of Fine needle aspiration cytology under the guidance of computed tomography is proved to be very useful in making the diagnosis of lung masses. The procedure is easy to perform, minimally invasive and gives quick results. The cytological examination of the aspirate is sufficient to differentiate between benign and malignant lesions and also makes the sub typing of the malignant lesions possible.