Fine needle aspiration cytology in Mozambique: Report of a 15‐year experience
Open accessAbstract
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.
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Numerous studies from various hospitals in LMICs document rates of FNAB diagnoses of inflammatory lesions ranging from 8% to 15% and benign lesions ranging from 17% to 52%.
“Numerous studies from various hospitals in LMICs document the rates of FNAB diagnoses of inflammatory lesions ranging from 8% to 15% and the rates of benign lesions ranging from 17% to 52%.17,22,41”
From Fine needle aspiration biopsy in low‐ and <scp>middle‐income</scp> countries (2024) · cites this paper as [17]
In “Results and Discussion—The MCH Experience in FNAC” (page unavailable), this Mozambican hospital study reports inflammatory conditions in 22.2% of cases, outside the claimed 8%–15% range. It reports benign tumors in 13.4%, outside the claimed 17%–52% range; the paper lists hyperplastic conditions separately. (LLM, conf=0.88)
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- Authors
- Carrilho, C., Ismail, M., Lorenzoni, C., Fernandes, F., Alberto, M., Akrami, K., Funzamo, C., Lunet, N., & Schmitt, F.
- Affiliations
- Eduardo Mondlane University (MZ)
- Maputo Central Hospital (MZ)
- University of California San Diego (US)
- Ministry of Health (MZ)
- Universidade do Porto (PT)
- Corresponding author
- Schmitt, Fernando
- Venue
- Diagnostic Cytopathology
- Publisher
- Wiley
- Published
- 2018-11-26
- Volume
- 47
- Issue
- 3
- Pages
- 166-171
- ISSN
- 1097-0339 (ISSN-L)
- 8755-1039
- PMC
- PMC6377837
- OpenAlex
- W2902646621
- Cited by
- 8
- References
- 24
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 2
- FWCI
- 0.78
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Diagnostic Cytopathology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion)
- Funders
- Office of AIDS Research
- Health Resources and Services Administration (R24TW008910, R24TW008908)
- Fogarty International Center
- National Institutes of Health
- Topics
- Health Sciences › Medicine › Surgery › Lymphadenopathy Diagnosis and Analysis
- Health Sciences › Medicine › Physiology › Clinical Laboratory Practices and Quality Control
- Health Sciences › Medicine › Emergency Medicine › Hematological disorders and diagnostics
- Keywords
- fine needle aspiration cytology, Mozambique, lymph node biopsy, breast cytology, tuberculosis, inflammatory diseases, benign tumors, cancer
- MeSH terms
- Cytodiagnosis, Humans, Mozambique, Pathology, Clinical, Biopsy, Fine-Needle
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