“…The accuracy of the FNA findings was assessed by comparing the cytological diagnosis from histopathology reports, obtained with incisional biopsy, excisional biopsy or total organ resection. The FNA were performed by two different specialty trained pathologists utilizing a 22-24 gauge needles attached to a 10 ml syringe mounted on aspiration device [4,5,7]. In most cases two separate passes were inserted into the lesion with the needle.…”
Section: Methodsmentioning
confidence: 99%
“…Primarily the superficial and palpation guided mass lesions and when FNA is performed by trained cytopathologists [1][2][3], it have become increasingly popular as a valuable tool for initial assessment of various neoplastic and non-neoplastic lesions of many body sites. FNA has an easy approach, being inexpensive and can be performed with little complications without anesthesia with low false negative and false positive rates [4]. Other important primary purpose of FNA is to distinguish benign lesion from malignant lesions and thereby ovoid unnecessary surgical operation and improve surgical selection with considerable resource saving [5].…”
Background: Fine needle aspiration (FNA) is accepted as the diagnostic procedure of choice in the management of superficial palpable body masses. The purpose of this study is to evaluate the diagnostic accuracy of fine needle aspiration with histopathological confirmation when it is performed by experienced hands to get more reliable results.
“…The accuracy of the FNA findings was assessed by comparing the cytological diagnosis from histopathology reports, obtained with incisional biopsy, excisional biopsy or total organ resection. The FNA were performed by two different specialty trained pathologists utilizing a 22-24 gauge needles attached to a 10 ml syringe mounted on aspiration device [4,5,7]. In most cases two separate passes were inserted into the lesion with the needle.…”
Section: Methodsmentioning
confidence: 99%
“…Primarily the superficial and palpation guided mass lesions and when FNA is performed by trained cytopathologists [1][2][3], it have become increasingly popular as a valuable tool for initial assessment of various neoplastic and non-neoplastic lesions of many body sites. FNA has an easy approach, being inexpensive and can be performed with little complications without anesthesia with low false negative and false positive rates [4]. Other important primary purpose of FNA is to distinguish benign lesion from malignant lesions and thereby ovoid unnecessary surgical operation and improve surgical selection with considerable resource saving [5].…”
Background: Fine needle aspiration (FNA) is accepted as the diagnostic procedure of choice in the management of superficial palpable body masses. The purpose of this study is to evaluate the diagnostic accuracy of fine needle aspiration with histopathological confirmation when it is performed by experienced hands to get more reliable results.
“…[7][8][9][10][11][12][13][14][15][16] Fine-needle biopsy is widely practiced in Africa as evidenced by the many publications on the topic, only a few of which are cited. [17][18][19][20][21][22][23][24][25] Reports on the use of FNAB in Ethiopia have appeared, including diagnosis of solitary thyroid nodules, 26 soft-tissue lesions, 27 breast lesions, 28 lymphadenopathy, 29 superficial malignancies, 30 the use of ultrasound-guided FNAB, 31 and various case reports.…”
Context.—Most of the population in Ethiopia lives below the poverty line with severely limited access to health care. The burden of infectious diseases is high, but benign and malignant neoplasms are also encountered frequently. For diagnosis of palpable lesions in this setting, fine-needle aspiration biopsy is the method of choice.
Objective.—To present findings from several patients from 3 major hospitals in Ethiopia who underwent fine-needle aspiration biopsy.
Data Sources.—Representative cytopathology cases of routinely encountered problems are shown. Often patients present with clinically advanced lesions. Staffing, technique, and equipment used for fine-needle aspiration biopsy are described at Black Lion Hospital (Addis Ababa), the University of Gonder Hospital (Gonder), and Ayder Referral Hospital of Mekelle University in the Tigray region of northern Ethiopia.
Conclusions.—Fine-needle aspiration biopsy is a highly effective method for diagnosis of mass lesions, especially in an environment with sparse health care resources, such as Ethiopia. This article illustrates the work of Ethiopian cytopathologists and emphasizes the constraints under which they perform their work.
“…Fine-needle aspiration (FNA) and core biopsy are both fast and simple techniques, requiring only local anesthesia. In patients with palpable tumors, these techniques can accurately diagnose the lesion in more than 90% of cases (Vega et al 1995, Scopa et al 1996, O'Neil et al 1997, Pijnappel et al 1997, Gotzinger et al 1998. Newer techniques, including the Advanced Breast Biopsy Instrumentation (ABBI) system and several vacuum-assisted core-sampling devices (Mammatome, and Minimally Invasive Breast Biopsy (MIBB)) have been developed that may increase diagnostic accuracy by increasing the size of the tissue samples while maintaining a relatively non-invasive profile.…”
The surgical management of breast cancer is rapidly evolving towards less invasive procedures. Alternative biopsy techniques, including fine-needle aspiration and core needle biopsy, are replacing excisional biopsy as the treatment standard. Breast conservation therapy is now widely used in place of mastectomy, both for small tumors and for larger tumors that have been downstaged through induction chemotherapy. Less invasive procedures for axillary treatment such as lymphatic mapping and sentinel lymph-node biopsy are being explored in an effort to avoid the morbidity associated with axillary lymph-node dissection. For women who still prefer or need to receive a mastectomy, immediate breast reconstruction with autologous tissue provides an excellent cosmetic outcome that is oncologically sound. This is especially appealing to high-risk women who opt to have a prophylactic mastectomy. High-risk women are also being offered the option of receiving chemopreventive treatment that may reduce their lifetime risk of cancer by almost 50%. These new, less invasive approaches require the close cooperation of a team of physicians, including surgeons, pathologists, radiologists, and medical and radiation oncologists.
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