Evaluation Of Fine Needle Aspiration Cytology In Primary Soft Tissue Tumors With Its Histopathological Correlation In Tikur Anbessa Specialized Hospital Addis Ababa Ethiopia A Five Year Retrospective Study From July 2016 To J
Soft tissue tumors constitute a large and heterogeneous group of neoplasms. Benign tumors outrnnumber their malignant counterparts by a ratio of about 100:1 in hospital population. FNAC hasrnemerged as a major outpatient procedure for the diagnosis of soft tissue tumors due to low costrnof the procedure, less complications, feasibility, quick results and high therapeutic efficiencyrnwith specificity and sensitivity of approximately 95%. The diagnostic accuracy of FNAC of softrntissue tumors in distinguishing benign and malignant lesion is also very high. The objectives ofrnthis study will be to study the role of FNAC in the diagnosis of soft tissue tumors and itsrncorrelation with histopathology. Also, this study aimed at studying various cytomorphologicalrnpatterns of soft tissue tumors and correlating cytological grading with histopathologicalrngrading. The aim of this study is to determine the role of fine needle aspiration cytology in softrntissue tumors and its histopathological correlation in TikurAnbessa Specialized Hospital.Thernstudy applies retrospective cross-sectional descriptive method to review the role of fine needlernaspiration cytology in soft tissue tumors and its histopathological correlation in the five yearsrnperiod (July 2016 to July 2021).The data is collected from the pathology data archives and datarnanalysis will be done by Using IBM SPSS 25.0.Both FNAC and biopsy done for soft tissuerntumors are more common in males than females and for malignant tumors than benign tumors.rnThe most common age at which both FNAC and biopsy done is from 2nd to 4th decade forrnbenign soft tissue tumors and from 2nd to 6th decade for malignant soft tissue tumors. Therncommonest site for both benign and malignant soft tissue tumors were lower extremities followedrnby trunk and upper extremities. The commonest soft tissue tumors for which both FNAC andrnbiopsy done were under spindle cell, adipocytic and small round blue cell tumor categories. Outrnof total of 34 sarcomas majority are grade 3 followed by 1 and most are under the group ofrnsmall round blue cell sarcoma and spindle cell sarcomas. The diagnostic accuracy of FNAC ofrnsoft tissue tumors is about 81.08%. Majority of discordant rate was found to be under a group ofrnspindle cell tumor. Excisional biopsy was recommended for majority of soft tissue tumors afterrnFNAC especially for malignant soft tissue tumors.In this study soft tissue tumors are morerncommon in males than females and the peak age at presentation was from 10 to 29 years. Therntop three commonest location of soft tissue tumors were lower extremities, trunk and head andrnneck regions. Malignant tumors outnumbered benign tumors and the commonest soft tissuerntumors were grouped under spindle cell, adipocytic and small round blue cell tumors. The majority of soft tissue tumor cytological diagnosis was a group diagnosis not specific diagnosisrnfor which excisional biopsy was recommended. The majority of soft tissue sarcomas were highrngrade which has high concordance rate with histopathological grading. In general FNA cytologyrnwas found to be fairly reliable diagnostic procedure for early diagnosis of soft tissue tumors