Study to assess the diagnostic utility of percutaneous aspiration in intraabdominal and pelvic masses among the patients attending a private teaching hospital, Telangana state

Introduction: Most of the intra-abdominal masses are not palpable and even if palpable, the exact size, shape and extent of lesion is not markable. Therefore, various imaging modalities like USG, CT and fluoroscopy are used for guiding fine needle aspiration. This emphasizes the need to analyze the value of percutaneous aspiration biopsy cytology of intra-abdominal masses as a diagnostic modality, in avoiding operative intervention and facilitating treatment planning. Aim and objective of this study is to assess the diagnostic utility of percutaneous aspiration in intra-abdominal and pelvic masses.

Methodology: Prospective study conducted in RVM Institute of Medical Sciences, Siddipet Telangana state. The study participants are 30cases. All the 30 cases were subjected for ultrasound guided FNAC in the departments of Pathology with the aid from Radiology department. Study period was one year from January 2019 to December 2019.

Results: Out of the 30 cases the most observed lesions are hepatic with 9 cases, followed by ovarian lesions 7 and retroperitoneal 6 cases. Most of the lesions are malignant (77%) in nature, among the ovarian lesions 43% are benign, followed by 50% malignant type in retroperitoneal lesions according to the histo-pathology findings.

Conclusion: FNAC showed 100% accuracy in diagnosing hepatic, ovarian and retroperitoneal lesions. All the patients tolerated the procedures and no complications were noted.