Clinical significance of cultures collected from fine‐needle aspiration biopsy

Granville, Laura; Laucirica, Rodolfo; Verstovsek, Gordana

doi:10.1002/dc.20648

Cited by 14 publications

(11 citation statements)

References 11 publications

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“…[34] To use these adjuvant tests, it is essential that the cytologic material be adequate in both quality and quantity to make an accurate diagnosis. In the literature, reports of unsatisfactory or inadequate quantities of material varies from 3.0% to 14.0%.…”

Section: Discussionmentioning

confidence: 99%

Inadequate fine needle aspiration biopsy samples: Pathologists versus other specialists

et al. 2009

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Background:Fine needle aspiration biopsy (FNAB) is a simple, sensitive, quick and inexpensive method in which operator experience is essential for obtaining the best results.Methods:A descriptive study in which the aspiration biopsy cases of the Pathology and Cytopathology Service of the University Hospital of the UANL (2003–2005) were analyzed. These were divided into three study groups: Group 1, FNAB performed by a pathologist; Group 2, FNAB performed by specialists who are not pathologists, Group 3, FNAB guided by an imaging study with immediate evaluation by a pathologist. The samples were classified as adequate and inadequate for diagnosis, the organ, the size and characteristics of the lesions were taken into consideration.Results:A total of 1905 FNAB were included. In Group 1: 1347 were performed of which 1242 (92.2%) were adequate and 105 (7.7%) were inadequate. Of the 237 from Group 2, 178 were adequate (75.1%) and 59 inadequate (24.8%); in Group 3 there were 321 of which 283 (88.1%) were adequate and 38 (11.8%) inadequate. A statistically significant difference was found between FNAB performed by Group 1 (p< 0.001) and the other groups. A multivariate analysis was done where the organ punctured, the study groups, the size and characteristics of the lesion by study group were compared, finding that the most important variable was the person who performed the procedure.Conclusion:The experience and training of the person performing the aspiration biopsy, as well as immediate evaluation of the material when it is guided, substantially reduces the number of inadequate samples, improving the sensitivity of the method as well as reducing the need for open biopsies to reach a diagnosis.

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Section: Discussionmentioning

confidence: 99%

Inadequate fine needle aspiration biopsy samples: Pathologists versus other specialists

et al. 2009

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“…However, FNA has been suggested to have an accuracy of only 34%. 3 Wound culture should be repeated more frequently to observe overgrowth of other microorganisms or change in resistance patterns.…”

Section: Discussionmentioning

confidence: 99%

SURGICAL TREATMENT OF OSTEOARTHRITIS IN HARBOR SEALS (PHOCA VITULINA)

García¹,

Contreras²,

Acosta³

et al. 2015

Journal of Zoo and Wildlife Medicine

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In 2012, 543 harbor seals (Phoca vitulina) and 124 grey seals (Halichoerus grypus) were admitted to the Seal Rehabilitation and Research Centre in Pieterburen, The Netherlands. In 19 seals (3%), signs of infection in a hind flipper were observed. Initial treatment consisting of antibiotics and anti-inflammatory drugs resolved the symptoms in 15 animals. In four harbor seals, estimated to be 3 to 4 mo old, a necrotizing infection developed that resulted in osteoarthritis of the tarsus or tibiotarsal joint or both. Bacterial culture revealed the presence of polymicrobial infection in three of the four animals. Treatment consisted of amputation of the hind flipper under general anesthesia combined with tumescent anesthesia in the operation field. Amputations were done at the diaphysis of the tibia and fibula. After resecting these bones, the flipper was discarded, leaving a good muscle-skin cuff to cover the edges of the bones and close the skin without tension. The estimated blood loss varied between <50 to 150 ml. Healing was uneventful, and both antibiotics and analgesics were gradually reduced according to the individual response. The seals did not show any functional impairment 1 mo postoperatively. After release to the sea, scrutinous revision of all radiographs showed signs of osteomyelitis in at least one animal in the proximal part of the tibia, also present preoperatively. It is concluded that tumescent anesthesia in seals may reduce perioperative blood loss and that a lower leg amputation is a surgically easy and clean approach for the treatment of osteoarthritis of the hind flipper of seals, giving good functional results (diving, catching fish, exiting a pool, and moving on land).

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“…Cultures were all negative in cases in which hyphal fungi were noted on cytology. Others have noted this finding and questioned the usefulness and cost‐effectiveness of fungal culture in FNA specimens because fungi were often identified by morphology and special stains . Lack of sporulation because of conditions such as the presence of nonviable fungus balls and traumatization of cultured material during processing may contribute to poor culture results .…”

Section: Discussionmentioning

confidence: 99%

Correlation of microbiologic culture and fine‐needle aspiration cytology: A 14‐year experience at a single institution

Clement

Williams‐Bouyer

Nawgiri

et al. 2015

Cancer Cytopathology

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identified by cytology and culture, 44 (34%) were identified by culture only, and 22 (17%) were identified by cytology only. Among the 67 cases of fungi, 34 (51%) were identified by cytology only, with 15 of these 34 cases being fungal hyphae; 25 cases (37%) were identified by cytology and culture, with a 100% concordance between the cytology diagnosis and culture result; and 8 cases (12%) were identified by culture only. CONCLUSIONS: FNA cytology-culture correlation is a valuable tool with which to assess the efficacy and limitations of the direct diagnosis of infectious agents, and to identify types of infections that may be negative on culture but positive on cytology diagnosis. Cancer (Cancer Cytopathol) 2015;123:612-9.

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Clinical significance of cultures collected from fine‐needle aspiration biopsy

Cited by 14 publications

References 11 publications

Inadequate fine needle aspiration biopsy samples: Pathologists versus other specialists

Inadequate fine needle aspiration biopsy samples: Pathologists versus other specialists

SURGICAL TREATMENT OF OSTEOARTHRITIS IN HARBOR SEALS (PHOCA VITULINA)

Correlation of microbiologic culture and fine‐needle aspiration cytology: A 14‐year experience at a single institution

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