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Diagn Cytopathol. 2018 Nov 26. doi: 10.1002/dc.24062. [Epub ahead of print]

Fine needle aspiration cytology in Mozambique: Report of a 15-year experience.

Author information

1
Departamento de Patologia, Hospital Central de Maputo, Maputo, Moçambique.
2
Faculdade de Medicina, Universidade Eduardo Mondlane, Maputo, Moçambique.
3
National Cancer Control Program Ministry of Health, Maputo, Mozambique.
4
Department of Infectious Disease, University of California, San Diego, San Diego, California.
5
Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina, Universidade do Porto, Porto, Portugal.
6
EPIUnit, Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.
7
Instituto de Patologia e Imunologia Molecular da Universidade do Porto, IPATIMUP, Porto, Portugal.
8
Departamento de Patologia da Faculdade de Medicina, Universidade do Porto, Porto, Portugal.

Abstract

BACKGROUND:

Fine needle aspiration cytology (FNAC) is an important diagnostic tool in a range of medical settings. It is fast, quick and a highly accurate diagnostic method and can be used, in settings with minimal laboratory infrastructures.

METHODS:

In this report, we describe the experience in the use of FNAC since it is introduction in 1996 in the Anatomical Pathology Service of the Maputo Central Hospital (MCH), along with more detailed data referring to 2009-2010.

RESULTS:

The number of FNAC analyses increased gradually from 269 (4.1% of all pathologic tests of the Service) in 1996, when it was introduced in Mozambique, to 3234 (17% of all tests) in 2010. Lymph nodes were the organs most frequently biopsied, followed by breast and soft tissues. Inflammatory conditions, especially tuberculosis, were the most frequent diagnoses (22.2% of the cases), followed by hyperplastic conditions (20.6%), benign tumors (13.4%) and malignant tumors (12.3%).

CONCLUSION:

Our results clearly demonstrate that even in an environment with poor laboratory resources, it is possible to establish a FNAC clinic that can provide a quick and precise diagnosis for clinicians to aid in early treatment interventions, especially in inflammatory diseases which were the majority of our cases.

KEYWORDS:

Mozambique; fine needle aspiration cytology; lymph node; tuberculosis

PMID:
30478961
DOI:
10.1002/dc.24062

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