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LETTER TO EDITOR
Year : 2020  |  Volume : 9  |  Issue : 10  |  Page : 5386-5387  

Role of image-guided fine needle aspiration cytology of lung lesions in diagnosis and primary care of patients: Experience in a Government Medical College of Eastern India


Department of Pulmonary Medicine, AIIMS, Patna, Bihar, India

Date of Submission25-Jul-2020
Date of Decision20-Aug-2020
Date of Acceptance23-Aug-2020
Date of Web Publication30-Oct-2020

Correspondence Address:
Dr. Deependra Kumar Rai
Department of Pulmonary Medicine, AIIMS, Patna - 801 507, Bihar
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_1521_20

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How to cite this article:
Rai DK. Role of image-guided fine needle aspiration cytology of lung lesions in diagnosis and primary care of patients: Experience in a Government Medical College of Eastern India. J Family Med Prim Care 2020;9:5386-7

How to cite this URL:
Rai DK. Role of image-guided fine needle aspiration cytology of lung lesions in diagnosis and primary care of patients: Experience in a Government Medical College of Eastern India. J Family Med Prim Care [serial online] 2020 [cited 2020 Nov 25];9:5386-7. Available from: https://www.jfmpc.com/text.asp?2020/9/10/5386/299354



Dear Editor,

I read this article with great interest entitled, “Role of image-guided fine needle aspiration cytology of lung lesions in diagnosis and primary care of patients: Experience in a Government Medical College of Eastern India” by Chakrabarti et al.[1] and congratulate the author for well written manuscript. But there are few queries considering very frequently performed procedure and common condition. First title should be CT guided unless you have used more than one radiological modality like CT and Ultrasound both for procedure. This is full length article in which ethical approval was taken and author must had submitted their research proposal. But it was not clear, what was the inclusion and exclusion criteria. Whether author included all non-resolving radiological lesion for fine needle aspiration cytology (FNAC) or all suspected malignancy case are only included in study.

Author mention there one of the objectives to assess clinic-radiological and pathological correlation but it was not done. At least author should tabulate type of radiological lesion and their pathological diagnosis. Percutaneous CT-guided transthoracic fine needle aspiration cytology (TTFNA) is a well-established diagnostic method used in cytological evaluation of thoracic mass lesions but how many passes were taken, whether slides were screened for adequacy of the aspirate and those with inadequate material were also included is not clear. Proportion of patient have different lesion but what proportion of patient have combination of lesion like consolidation with effusion or collapse-consolidation etc?

Imaging guided FNAC or biopsy generally performed in peripheral locating tumour and most of the recent study[2],[3] showed adenocarcinoma is the common cancer even in smoker specially in female but this study showed squamous carcinoma type as most common type and there argument as most of the patients are male and smoker, but what proportion of study patients are smoker that was not mentioned?

CT guided FNAC is not free of complication and various studies showed the it is between 6 and 50%.[4],[5] We could not find their observation on safety of procedure in the article.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Chakrabarti PR, Chakraborty K, Kukreja P. Role of image-guided fine needle aspiration cytology of lung lesions in diagnosis and primary care of patients: Experience in a Government Medical College of Eastern India. J Family Med Prim Care 2020;9:2785-8.  Back to cited text no. 1
  [Full text]  
2.
Pradhan R, Mondal S, Pal S, Sikder M, Biswas B. Computed tomography-guided fine-needle aspiration and concurrent core biopsy in diagnosis of intrathoracic mass: An evaluation of 54 cases in a tertiary care hospital. Clin Cancer Investig J 2018;7:176-9.  Back to cited text no. 2
  [Full text]  
3.
Mondal SK, Nag D, Das R, Mandal PK, Biswas PK, Osta M. Computed tomogram guided fine-needle aspiration cytology of lung mass with histological correlation: A study in Eastern India. South Asian J Cancer 2013;2:14-8.  Back to cited text no. 3
[PUBMED]  [Full text]  
4.
Sing JP, Garg L, Setia V. Compared tomography (CT) guided transthoracic needle aspiration cytology in difficult thoracic mass lesions – not approachable by USG. Indian J Radiol Imaging 2004;14:395-40.  Back to cited text no. 4
    
5.
Bandyopadhyay A, Laha R, Das TK, Sen S, Mangal S, Mitra PK. CT guided fine needle aspiration cytology of thoracic mass lesions: A prospective study of immediate cytological evaluation. Indian J Pathol Microbiol 2007;50:51-5.  Back to cited text no. 5
[PUBMED]    




 

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