title: Intraoperative fine needle aspiration cytology of pancreas: a study of 97 cases.
abstract: Intraoperative fine needle aspiration cytology (FNAC) for pancreatic and ampullary lesions was carried out under direct vision using transduodenal approach in 97 patients. Cytological findings were classified as follows: positive for malignancy, suspicious for malignancy, benign (normal) cells from duodenum or pancreas, inflammatory and non-representative smears. Suboptimal smears (non-representative, suspicious and inflammatory) were excluded for calculating decision analysis values. Sensitivity for malignancy was 90.5% and specificity 100%. Positive and negative predictive values were 100% and 50% respectively. We conclude that intraoperative FNAC is useful in diagnosing malignant lesions of the pancreas.
authors.affiliation: Department of Pathology, Tata Memorial Hospital, Bombay.
authors.forename: S C
authors.initials: SC
authors.lastname: Krishnamurthy
authors.forename: M
authors.initials: M
authors.lastname: Soni
authors.forename: K S
authors.initials: KS
authors.lastname: Jagannath
authors.forename: L J
authors.initials: LJ
authors.lastname: DeSouza
mesh_terms: D001707:Biopsy, Needle / Q000379:methods*; D002277:Carcinoma / Q000473:pathology; D003581:Cytodiagnosis; D006801:Humans; D007432:Intraoperative Period; D010179:Pancreas / Q000473:pathology*; D010190:Pancreatic Neoplasms / Q000473:pathology; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity