Dr. G. Raja Mohan, Dr. D. Sampath Rao


BACKGROUND: - The evaluation of a neck mass is a common clinical dilemma and a condition to which an ENT clinician routinely encounters. .
In the head and neck region, FNAC is of great value because of the multiplicity of accessible organs and heterogeneous pathologies encountered.
An early differentiation of benign from malignant pathology greatly influences the planned treatment. The purpose of this study was to evaluate the
adequacy and accuracy of FNAC in diagnosis of neck mass.
AIMS AND OBJECTIVES: - to know the commonest cause of neck swellings in the study area, and to compare the accuracy of FNAC over open
METHODOLOGY: - It is Descriptive, observational, hospital based study. Study conducted in out-patient department R.V.M hospital, R.V.M
MEDICAL COLLEGE, Laxmakkapally, Siddipet, Telangana, from DEC 2017 to NOV 2018 for a period of 1 year. All patients attending ENT OPD
with neck swelling of both sexes and all age group were included with 100 sample size.
RESULTS:- Most of the study population belongs to 31-40 years, Mean age is 34.25 years and Male predominance (74%).Neck swellings were
asymptomatic, most common site was midline. Lymph nodes (43%), thyroid swellings (41%) were majority among all.Average Sensitivity of
66.32%, and specificity of 70.40% recorded with FNAC.
CONCLUSION; - FNAC is proved to be the promising diagnostic tool with less discomfort and minimal trauma when compared with biopsy.


Neck swellings, Fine Needle aspiration cytology (FNAC), Thyroid swelling, Lymphadenitis, sensitivity, specificity, Accuracy.

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Lumley JSP, Chan S, Harris H, Zangana MOM. Physical signs. 18th edition. Oxford: Butterworth-Heinemann, Oxford, 1997

Watkinson JC, Wilson JA, Gaze M, Stell PM, Maran AGD. Stell and Maran's Head and neck surgery, Butterworth-Heinemann, Oxford, 4th edition, chapter 2; 2000. p 20-21

Afridi S, Malik K, Wahed I. Role of fine needle aspiration biopsy and cytology in breast lumps. J college of Physicians and Surgeons Pakistan. 1995; 5:75-7.

Samreen Naz, Atif Ali Hashmi, Amna khurshid, Naveen Faridi, Muhammad Muzzammil Edhi, et al, “Diagnostic role of fine needle aspiration cytology(FNAC) in the evaluation of salivary gland swelling:an institutional experience” BMC Research Notes (2015) 8:101

Sanjay Chauhan, Mehul Patel, Masum Bhavsar, Bipin Chavda, “ Cytopathological Study Of Head & Neck Swellings In Tertiary Care Centre” Int J Res Med. 2016; 5(3); 106-109.

Gunvanti B. Rathod, Pragnesh Parmar, “Fine Needle Aspiration Cytology Of Swellings Of Head And Neck Region” Indian Journal of Medical Sciences, 2012, April March , Vol. 66, No. 3 and 4, page no. 49-54.

Manjula K., C.S.B.R. Prasad, Gayathri B.N., Harendra Kumar M.L. “Cytomorphological study of Lateral Neck Swellings” Journal of Clinical and Diagnostic Research. 2011 October, Vol-5(5): 1016-1019.

Tippu Ishar, Ram Kumar Gupta, Arvind Khajuria “Role of FNAC In Diagnosis of Non-Thyroidal Head and Neck Lesions” JK Science publications, January-March 2012,Vol. 14 No.1, Pages 9-13.

Tariq Ahmad, Mohammad Naeem, Siddique Ahmad*, Ambreen Samad, Amir Nasir, “Fine Needle Aspiration Cytology (FNAC) And Neck Swellings In The Surgical Outpatient” J Ayub Med Coll Abbottabad 2008;20(3), page no.30-32.

Tilak V, Dhaded AV, Jain R “Fine needle aspiration cytology of head and neck masses” Indian Journal of Pathology & Microbiology [01 Jan 2002, 45(1):23-29].

M Bista, Toran KC, D Regmi, M Maharjan, P Kafle, S Shrestha “Diagnostic Accuracy of Fine Needle Aspiration Cytology in Thyroid Swellings” Journal of Nepal Health Research Council, 2011-11-24, Volume-9 Number-1,page no.14-15.


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