A Study on Lung Cancer: Clinical Presentation and Diagnostic Yield of FNAC under CT Guidance in CMH Rangpur
Year: 2026
Type: article
Abstract: Background: Lung cancer is the leading cause of cancer death in both men and women and cigarette smoking is the major causative agent. Basic histological types are squamous cell carcinoma (35%), adenocarcinoma (30%), small cell carcinoma (20%) and large cell carcinoma (15%). It may present in a number of different ways including regional involvement of bronchus, spread to chest wall or mediastinum and distant metastasis or non-metastatic para-neoplastic syndrome. Objective: To find out the common modes of presentation of bronchial carcinoma and also to evaluate diagnostic yield o Fine- needle aspiration cytology (FNAC) under Computed Tomography (CT) guidance for histological classification as well. Methods: The cross-sectional type of study belongs to fifty four (54) Patients with clinical and radiological suspicion of bronchial carcinoma underwent CT guided transthoracic FNAC from suspected Lung lesion in Medicine department of CMH, Rangpur from November 2023 to September 2024. The subjects were acquainted about the conduct and purpose of the study and consent were taken from the patients themselves. Collected data was analyzed by the SPSS v23. Results: Among 54 participants including both male and female with mean age 58 years, radiologically thirty three patients presented with consolidation, five with collapse and consolidation, three patients with cavitary lesion, five patients with mediastinal enlargement and eight patients with pleural effusion. After having FNAC under CT guidance, twenty three patients diagnosed as squamous cell carcinoma (42.6%), eighteen patients as adenocarcinoma (33.3%), seven patients as small cell carcinoma (13%), two patients as large cell carcinoma (3.7%), one patient as alveolar cell carcinoma (1.8%) and three patients transthoracic FNAC under CT guidance could not be done due deep seated and centrally placed lung lesion (5.5%). Three patients developed pneumothorax of then two patients required introduction of tube. Conclusion: FNAC under CT guidance can be used as appropriate and trustworthy practice for the diagnosis of lung cancer and it further enlightens sub classification of lung cancer in most of the situation. The diagnostic yield is also excellent and safe method in case of large, superficial and peripheral lesion. JAFMC Bangladesh, Vol-22, No-1, June 2026: 16-19
Authors: Md Salim Uddin, Kabir Uddin
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7225889793
FWCI:
Cites:
Cited by:
Related to: