Journal of Cytology
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Year : 2008  |  Volume : 25  |  Issue : 4  |  Page : 133-137

Cytohistological study of eyelid lesions and pitfalls in fine needle aspiration cytology

Department of Pathology, Medical College, Kolkata, India

Correspondence Address:
Santosh Kumar Mondal
"Teenkanya Complex", Flat 1B, Block B, 204 R N Guha Road, Dumdum, Kolkata - 700 028
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-9371.50798

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Aims : The purpose of the study was to evaluate different eyelid lesions appearing as a swelling or mass, using fine needle aspiration cytology (FNAC), to conduct a cytological diagnosis of these lesions with subsequent histopathological correlation, and to identify the problems faced during microscopical examination of the smears. Materials and Methods : Fine needle aspirates from 80 eyelid swellings and histopathological correlation in 62 cases were studied. Results: Forty eight cases of benign and 32 cases of malignant lesions were diagnosed by FNAC. The five leading benign lesions were chalazions (12 cases, 15%), epithelial cysts (eight cases, 10%), chronic nonspecific inflammation (six cases, 7.5%), seborrheic keratosis (five cases, 6.25%) and benign adnexal adenoma (four cases, 5%). The most common malignant lesion was basal cell carcinoma (12 cases, 15%) followed by sebaceous gland carcinoma (nine cases, 11.25%) and squamous cell carcinoma (eight cases, 10%). Conclusions: Histopathological correlation showed that the accuracy of fine needle aspiration cytology in making diagnosis was 83.87%. Incidence of basal cell carcinoma in the study was lower, compared to most western studies. Therefore, there may be a racial and geographical variation.

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