Image guided biopsy/FNAC in head and neck cancers in covid 19 pandemic

IF 0.6 Q3 Medicine

Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2021-08-15 DOI:10.18231/j.ijashnb.2021.011

R. Kantharia, R. Ganta, Shehnaz R. Kantharia, B. Shah

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引用次数: 0

Abstract

Suspected growth in the region of base of tongue, pharynx, and larynx need direct/indirect laryngoscopy for establishing Diagnosis and for Staging of the disease. The Covid 19 Pandemic has severely affected these modes of examination because they are Aerosol Generating Procedures and carry very high risk of transmission of the Virus. The Department of Head And Neck Oncosurgery at KCHRC is one of the busiest department at our Institute with an average annual footfall of around 20,000 new patients. The main objective of our study is to know the role of Image Guided Biopsy/FNAC for primary diagnosis in Head and Neck Cancers. Retrospective analysis of prospectively collected data of 35 patients was done from April to September 2020. Histopathological records along with patient’s clinical records were reviewed. Of the 35 patients, 23 patients underwent CT Guided biopsies, 11 patients had CT Guided FNA and one patient had USG guided biopsy. In 23 patients (CT Guided Biopsy), the biopsy was taken from tongue in 16 patients, Larynx in two patient, Pyriform sinus(PFS), posterior pharyngeal wall, RMT (retromolar trigone), lower GBS and Tonsil sites had one patient each. Of the 11 CT Guided FNAC patients, the site of FNA was from PFS in 7 patients, Tongue in 2 patients RMT and soft palate had one patient each. One patient had undergone USG Guided biopsy for PFS lesion. Out of 35 patients, tissue specimen taken was adequate in 33 patients and inadequate in two patients. The results were supported both histologically and clinically. The histological confirmation was found in 88.6% cases (31/35), squamous cell carcinoma was found in 74.3% cases (26/35), no malignancy in 8.5% cases(3/35), no specific lesion in 5.7% cases(2/35), no definitive diagnosis in 2.8% cases(1/35) and in inadequate in 8.5% cases(3/35). Repeat biopsy in one patient revealed no malignancy. There were no post procedure complications noted. Image guided biopsy/FNAC is a safe, reliable minimally invasive technique and can be used for primary diagnosis of Head and Neck cancers without the risk of Aerosol generation in the current Covid -19 Pandemic.

查看原文本刊更多论文

covid - 19大流行中头颈癌的图像引导活检/FNAC

舌底、咽部和喉部疑似生长需要直接/间接喉镜检查，以确定疾病的诊断和分期。Covid - 19大流行严重影响了这些检查模式，因为它们是产生气溶胶的程序，并且具有非常高的病毒传播风险。KCHRC的头颈部肿瘤外科是我们研究所最繁忙的部门之一，平均每年约有20,000名新患者。我们研究的主要目的是了解图像引导活检/FNAC在头颈癌初步诊断中的作用。对2020年4月至9月收集的35例患者的前瞻性数据进行回顾性分析。回顾了组织病理学记录以及患者的临床记录。35例患者中，23例患者行CT引导活检，11例患者行CT引导FNA, 1例患者行USG引导活检。在23例患者(CT引导活检)中，16例患者在舌部活检，2例患者在喉部活检，梨状窦(PFS)，咽后壁，RMT(磨牙后三角区)，下GBS和扁桃体部位各1例。11例CT引导下FNAC患者中，FNA部位来自PFS者7例，舌部2例，RMT和软腭各1例。1例患者行USG引导下PFS病变活检。在35例患者中，33例患者的组织标本充足，2例患者的组织标本不足。结果得到了组织学和临床的支持。组织学证实占88.6%(31/35)，鳞状细胞癌占74.3%(26/35)，无恶性8.5%(3/35)，无特异性病变5.7%(2/35)，无明确诊断2.8%(1/35)，诊断不完全8.5%(3/35)。1例患者复查活检未发现恶性肿瘤。无术后并发症。图像引导活检/FNAC是一种安全、可靠的微创技术，可用于头颈部癌症的初步诊断，在当前的Covid -19大流行中没有产生气溶胶的风险。

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来源期刊

Indian Journal of Otolaryngology and Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.90

自引率

0.00%

发文量

226

审稿时长

3 months

期刊介绍： Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.