Sneha Sisodiya

Abstract

Context: Soft tissue lesions have a wide spectrum which includes non- neoplastic, benign & malignant lesions. FNAC act as preliminary diagnostic tool providing a predictive diagnosis of a benign or malignant soft tissue neoplasm and thus helps for further intervention. Aims: This study discusses the spectrum of FNAC of soft tissue lesions in upper and lower limbs. Methods and Materials: All cytology smears of soft tissue lesions from both upper and lower limbs were included over a period of three years at tertiary care hospital. Results: The most common age group was 31 to 40 years with male to female ratio being 1.3:1. The spectrum included broadly neoplastic (65.7%) & non-neoplastic (34.3%) cases. The neoplasms were further divided as benign (42.8 %), malignant (18.6%) and suspicious for neoplasm (4.3%) whereas (34.3 %) were non-neoplastic lesions. The most common lesion was giant cell tumor (GCT) of tendon sheath. The most common site was hand (24%) followed by feet (22.5%). Conclusions: FNAC of soft tissue lesions is useful for differentiating various lesions and neoplasms in extremities so as to help patients in further management.   Keywords: Soft tissue tumors of extremities, Sarcoma, Cytology of soft tissue tumors, Giant cell tumor, Fungal lesions involving extremities

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