Diagnostic yield of fine needle aspiration cytology and biopsy [FNAC/FNAB] in thoracic mass lesions

To describe the diagnostic yield of USG and CT guided fine needle aspiration cytology/biopsy [FNAC/FNAB] in the bronchogenic carcinoma presenting as localized thoracic mass lesions. Descriptive study. This descriptive study was carried out in the Pulmonology Department, Nishtar Hospital, Multan from March 2011 to Oct 2011. A total of 60 patients were included in the study. All the patients were subjected to bronchoscopy first and then FNAC/B. Out of 60 patients, 40 [66.66%] were males and remaining 20 [33.33%] were females. As regards age of the patients, Most of the [36%] were in the age group 41-50 years. Of the total 60 patients 28 [47%] were smoker. Majority of the patients [72%] belong to urban areas. Chest radiograph showed right lung involvement in 36 [60%] cases. USG guidance was sought in 15 [25%] cases where as CT guidance was taken in 45 [75%]cases [FNAC] was also done in all cases with radiological/USG/CT guidance in all cases. Out of 60 cases, 37 [61.6%] were suffering from primary malignancy of lung [Table-4]. Out of 37 cases of malignancy the squamous cell carcinoma was confirmed in 18 [48.6%] cases. It is concluded from the study that percutaeous aspiration biopsy/cytology of the lung has a definite diagnostic role in lung lesions particularly those situated peripherally. FNAC/FNAB is especially more useful in those lesions not visible through bronchoscopy. FNAC is safe procedure especially when guided by computed tomography [CT] or USG

Pattern .of pulmonary tuberculosis and its associated complications amongst health care workers in a tertiary care hospital

To find out the pattern of pulmonary tuberculosis and its associated complications among health care workers in our hospital set up. Nishtar Hospital, Multan. It was a simple descriptive study. January 2003 to December 2004. The study was conducted among health care workers [Doctors, Nurses, Nursing students, and other paramedics like Lab. workers, ward assistants and cleaners], serving in the hospital for more than one year in the Medicine and Allied, Surgical and Allied and Pathology department. Among doctors, one case of active disease was detected [2.85%] while inactive disease was found in 4 subjects [11.4%]. Tuberculous infection rate was found to be 65.7%. Among nurses, 3 were detected having active [11.5%] and 5 inactive disease [19.2%]. Among nursing students, 4 were suffering from active disease [20%] and 3 inactive disease [15%]. The study showed that tuberculosis remains an occupational hazard for HCW

Diagnostic yield of fine needle aspiration cytology and biopsy [FNAC/FNAB] in localized lung lesions

Bronchogenic carcinoma is towards increase day by day and today remains the leading cause of cancer death in both sexes. Tobacco smoking, increasing industrialization, environmental pollution and certain occupations are the major risk factors associated with bronchogenic carcinoma. To describe the diagnostic yield of fine needle aspiration cytology/biopsy [FNAC/FNAB] in the bronchogenic carcinoma. All male and female patients above the age of 12 years with clinical and radiological evidence of a localized lung mass with strong clinical suspicion of malignancy were included. All patients with proved cystic or vascular lesions and those with lesions looking clearly as consolidation on radiograph were excluded. The age ranged from 18-72 years. In a total of 50 cases, 35 [70%] were male and 15 [30%] were female. Out of 50 patients, 38 [76%] belonged to urban area and 12 [24%] belonged to rural area. Details about the smoking habits along with type, degree and duration of smoking were obtained in all cases. In present study the commonest symptom was cough present in 40 [80%] cases, followed by chest pain in 35 [70%]. Anemia was found to be most common sign and it was detected in 18 [36%] cases followed by clubbing or the fingers, 15 [30%] cases. Chest radiograph showed right lung involvement in 28 [56%] cases and left lung was involved in remaining 22 [44%] cases. The lung has definite diagnostic role in lung lesions particularly those situated peripherally

Comparison of bronchoscopy and FNA in diagnosing local lung lesion [centrally located and peripherally located]

To compare the results of Bronchoscopy and FNA in diagnostic local lung lesion. This descriptive study of 50 patients was conducted in the Pulmonary Department of Nishtar Hospital, Multan during the period of one year extending from September 2003 to August 2005. The youngest patient in the study group was an 18 years old boy, while the oldest patient was also a male of 72 years male to female ratio was 2.3:1. In a total of 50 cases, 25 [70%] were male and 15 [30%] were female. Sex distribution is shown in. The incidence of complication was very low. Out of 50 cases in which FNAC was performed only 11 [22%] patients complained of chest pain at the site where FNA was done. The overall diagnostic yield of FNA in localized lung lesions in high in this study [86%]. Frequency of complications with fine needle aspiration is very low. FNA is more useful in our setting where patients cannot afford more expensive procedures