title: Preoperative Ultrasound Guided Fine Needle Aspiration Cytology of Ovarian Lesions- Is It a Rapid and Effective Diagnostic Modality?
abstract: BACKGROUND
  The deep seated ovarian lesions unapproachable by unguided aspiration cytology were easily done under ultrasound guidance. It gave a before hand cytological diagnosis of the lesion to the surgeon determining the modality of treatment for the patient.
  
  
  OBJECTIVE
  To find the diagnostic accuracy of the method of ultrasound guided cytological assessment of ovarian lesion.
  
  
  METHODS
  The study was conducted as a prospective observational study over a period of one year, in hospital setting, where ultrasound guided fine needle aspiration had been used to aspirate ovarian lesions, giving a rapid cytological diagnosis. In 43 sample cases, aspiration of fluid done from ovarian lesions were followed by cyto-centrifugation and staining by May-Grunwald-Giemsa (MGG) and Papanicolaou (Pap) stain providing a cytological opinion regarding benign/malignant nature of the lesion and further categorization. Later the cytological diagnosis was compared with final histopathological diagnosis, taking it as a gold standard.
  
  
  RESULTS
  The overall sensitivity, specificity, and diagnostic accuracy of ultrasound guided aspiration and cytological analysis were high, 96%, 76.92% and 89.47% respectively as calculated by comparing the cytological diagnosis with histological diagnosis, taking it as gold standard.
  
  
  CONCLUSIONS
  This method has evolved as a highly sensitive, rapid, simple and effective modality for screening and as well as accurate preoperative diagnosis of ovarian lesions.
authors.affiliation: Demonstrator, Department of Pathology, Nilratan Sircar Medical College , Kolkata, India .
authors.forename: Soumit
authors.initials: S
authors.lastname: Dey
authors.affiliation: Ex-Junior Resident, Department of Pathology, Nilratan Sircar Medical College , Kolkata, India .
authors.forename: Saikat
authors.initials: S
authors.lastname: Datta
authors.affiliation: Associate Professor, Department of Obstetrics & Gynecology, Nilratan Sircar Medical College , Kolkata, India .
authors.forename: Snehamay
authors.initials: S
authors.lastname: Chaudhuri
authors.affiliation: Professor, Department of Pathology, Malda Medical College , Malda, West Bengal, India .
authors.forename: Prabir Chandra
authors.initials: PC
authors.lastname: Paul
authors.affiliation: Demonstrator, Department of Pathology, Nilratan Sircar Medical College , Kolkata, India .
authors.forename: Binny
authors.initials: B
authors.lastname: Khandakar
authors.affiliation: Ex-Junior Resident, Department of Pathology, Nilratan Sircar Medical College , Kolkata, India .
authors.forename: Sonali
authors.initials: S
authors.lastname: Mandal
keywords: Diagnostic accuracy; Ovarian cancer; Ovarian tumour