JPSB logo
Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 11 No. 1-2 (2020)

Ultrasonographic guided Fine Needle Aspiration Cytology (FNAC) in the Diagnosis of Intra-abdominal Solid Mass in Children

Cover
JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2020
CONTENTSVolume 11Number 1 & 2January - July 2020
Editorial
Pediatric Fluid Prescription, Close Monitoring and Raising Awareness
Mohammed Shadrul Alam
01
Original Articles
Cancer Status in Pediatric Population of Chittagong, Bangladesh
Tasmiah Tahera Aziz, Samira Hayee, Orindom Shing Pulock, Maliha Haider, Tahmina Banu
03
Snodgrass Procedure (TIP), game changing procedure: A single Surgeon’s Experience
Md Samidur Rahman, Md Shahin Reza, Zinat Tanjida, Elora Afroz Leema, Nazmul Haider Chowdhury Sonet, Md Ashekin Abir, Prosenjit Datta
11
Surgical Management and Outcome of Neural Tube Defects in Children
Anupam Das, Md Nurul Alam, Md Shamsur Rahman, Md Oyes Ahmed Chowdhury, Habib Ullah Khan, Md Sirajul Islam
17
Neonatal Surgical Situation in Bangladesh: Challenges and Way Forward
Md Sharif Imam, Tanvir Kabir Chowdhury, Md Mozammel Hoque, Tahmina Banu
24
Ultrasonographic guided Fine Needle Aspiration Cytology (FNAC) in the Diagnosis of Intra-abdominal Solid Mass in Children
Abdur Razzaque, Towhidul Islam, AKM Mizanur Rahman, Nazmun Naher Poly, Diponkar Kumar Saha
33
Evaluation of BATICH Score for the management of Paediatric Blunt Abdominal Trauma
Kamrul Ahasan Chowdhury, Rajib Khastagir, MA Mushfiqur Rahman, Rivu Raj Chakraborty, Tanvir Kabir Chowdhury
40
Understanding the Epidemiology of Labial Adhesion among Paediatric Age-groups in Bangladesh: A Single-center Cross-Sectional Study
Rifah Sanjeedah Tahsin, Sakibul Alam, Arpita Biswangree, Bijita Biswangree, Md Fahadul Islam, Debjyoti Barua, Md Sharif Imam
45
Case Reports
Tubercular ulcer on the dorsum of the penis in a toddler, a case report
Dipankar Kumar Saha, Khondoker Moynul Hasan, Sajal Kumar Majumdar, Mirza Kamrul Zahid, Abhi Kumar Chakraborty, Syed Mahmudur Rahman, AKM Maruf Reza, Soma Podder
52
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
View Contents

Authors

  • Abdur RazzaqueResident Surgeon department of pediatric Surgery, Sher-E-Bangla Medical Collage Hospital, Barisal.
  • Towhidul IslamAssoc. Prof. Pediatric Surgery SBMCH.
  • AKM Mizanur RahmanAssoc. Prof. Pediatric Surgery SBMCH.
  • Nazmun Naher PolyRegistrar (Gynae & Obs), TMCH Bogura.
  • Diponkar Kumar SahaAstt. Prof. Pediatric Surgery, SBMCH Barisal.

Keywords

Ultrasonography Cytology Histopathology

Abstract

Background: Ultrasound guided needle biopsy is rapidly growing and important diagnostic technique in radiology practices throughout the world. It has become an accurate, safe and widely accepted technique for confirmation of suspected malignant masses and characterization of many benign lesions in various intraabdominal locations. It also decreases patient costs by obtaining the need for an operation, decreasing the duration of hospital stay, and decreasing the number of examinations necessary during a diagnostic evaluation. Objectives of the study: To establish ultrasound guided FNAC as an accurate method of diagnosis of intraabdominal solid mass and to find out the correlation between FNAC with histological findings. Material and Methods: This was a prospective comparative study. The study has been carried out in the department of pediatric Surgery Sher-e-Bangla Medical College Hospital, Barisal and Radiology & Imaging Department, SBMCH. This study was conducted from November 2022 to January 2024 (15 months). Forty five cases, all undergone both FNAC and open biopsy. Among them 24 cases were male; 21 were females. Age ranges from 3 months to 14 years. Data, collected on predesigned data collection sheet for each individual case was compiled on a master chart from which data were analyzed using a computer based software, Statistical Package for Social Science (SPSS) to arrive at definitive conclusion in respect to objective of this study. Prior to the commencement of this study, the thesis protocol was approved by the Thesis Committee, SBMCH. Result: Out of 45 cases cytological diagnosis, 10 cases were found to be benign. Among them 4 cases nonneoplastic and 6 neoplastic (benign) and 33 malignant; 01 was found suspicious of malignancy and 01 was unsatisfactory for cytological examination. Comparison of cytological with histological diagnosis of all patients, 9 cases were benign and 36 cases were malignant. In the final histopathological diagnosis shows that out of 10 benign lesions diagnosed cytologically, 01 case was found malignant histologically (i.e. False negative 01). 33 malignant cases were diagnosed cytologically, all were confirmed histologically (i.e. no false positive). 01 suspicious case was reported cytologically, but found malignant histologically. 01 unsatisfactory case was proved malignant histologically. Conclusion: Ultrasound imaging can easily and precisely visualize the intra-abdominal mass lesion and sonography aided fine needle aspiration cytology can be regarded as the investigation of choice for early confirmation and exclusion of neoplastic diseases in cases presenting with intra-abdominal masses. It allows morphological evaluation of all doubtful lesions without time consuming and costly surgery, but without impairing the diagnostic reliability.

Journal of Paediatric Surgeons of Bangladesh (2020) Vol. 11 (1 & 2): 33–39

Read full article (PDF)