Image-guided fine-needle aspiration cytology of deep-seated enlarged lymph nodes

Saikia, Uma Nahar; Khirdwadkar, N.; Saikia, Biman; Sood, Bimal; Goldsmith, R.; Dey, Pranab; Gupta, Swapnil

doi:10.1034/j.1600-0455.2002.430227.x

Cited by 15 publications

(2 citation statements)

References 11 publications

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“…Thus, in lymph node malignancies prevailed over the benign lesions, similar to the some studies[45] but different from others. [9] Soft tissue tumors were next with 14 cases but here benign tumors (9 cases) prevailed over the malignant ones (5 cases).…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided aspiration cytology of retroperitoneal masses with histopathological corroboration: A study of 71 cases

Chakrabarti

Bhowmik

Sinha

et al. 2014

J Cytol

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Background:Diagnosis of retroperitoneal lesions is one of the most difficult areas in surgical pathology. Both primary and metastatic tumors can grow silently in retroperitoneum before the appearance of clinical signs and symptoms. Guided aspiration cytology has shown a promising role in diagnosis of lesions in this region.Aims:This study was undertaken to evaluate the reliability of guided fine-needle aspiration cytology (FNAC) in the diagnosis of retroperitoneal masses and to study the spectrum of retroperitoneal lesions in a rural tertiary care hospital.Materials and Methods:This study was done on 71 patients presenting with retroperitoneal masses over a period of 20 months in a tertiary care hospital. Ultrasound-guided FNAC was done and the smears were stained by MGG and H and E stains. Histopathological corroboration could be done on all neoplastic lesions along with some non-neoplastic lesions.Results:Out of 71 cases, 48 cases (67.6%) were found to be neoplastic. Malignant tumors (35 cases) were more common than benign ones (13 cases). Malignant lesions were predominantly composed of lesions of lymph node (17 cases i.e. 48.57%) followed by sarcomas (5 cases) and germ cell tumors. Some uncommon retroperitoneal lesions like adrenal myelolipoma, renal angiomyolipoma, Burkitt's lymphoma and adrenocortical carcinoma were found in our study. Guided FNAC could diagnose all the malignant lesions with 100% accuracy except in 2 cases of poorly differentiated carcinoma which came out to be non-Hodgkin lymphoma on subsequent biopsies.Conclusion:Guided FNAC is an inexpensive, rapid and reliable method for diagnosis of retroperitoneal masses.

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Section: Discussionmentioning

confidence: 99%

Ultrasound-guided aspiration cytology of retroperitoneal masses with histopathological corroboration: A study of 71 cases

Chakrabarti

Bhowmik

Sinha

et al. 2014

J Cytol

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“…Saikia et al . [17] found tuberculosis to be the most common lesion. Ten cases were confirmed by histopathological investigation, all of which were consistent with the cytological diagnoses; thus making us achieve a sensitivity, specificity, predictive value, and accuracy of 100%.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound guided fine needle aspiration cytology in the diagnosis of retroperitoneal masses: A study of 85 cases

Mangal

Sharma

Verma

et al. 2009

J Cytol

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Background:The diagnosis of retroperitoneal lesions is one of the most difficult areas in surgical pathology. The retroperitoneal space allows both primary and metastatic tumors to grow silently before the appearance of clinical signs and symptoms. Fine needle aspiration cytology has shown promising role in establishing the diagnosis in this region.Objectives:This study was undertaken to evaluate the reliability of ultrasonography (USG)-guided fine needle aspiration cytology (FNAC) in distinguishing between benign and malignant lesions in the retroperitoneum, and to correlate the diagnosis by cytology of retroperitoneal masses with the results obtained by histology.Materials and Methods:The study was carried out on 85 patients presenting over the last five years with retroperitoneal masses on ultrasound.Results:Out of 85 cases, 32 were of kidney, 27 of lymph nodes, 24 of retroperitoneal soft tissues, and two were of the adrenals. Malignant lesions (47) were more common than nonmalignant lesions (38). In the kidney, the maximum number of cases were of renal cell carcinoma (12-38%), followed by Wilm's tumor (6-19%), pyonephrosis (5-16%), renal cyst (4), angiomyolipoma (2), cortical pseudotumor (2), and tuberculosis (1). Out of 27 cases of retroperitoneal lymphadenopathy, 12 cases (44%) were of metastatic carcinoma followed by non-Hodgkin's lymphoma (8-30%), tuberculosis (6-22%), and Hodgkin's lymphoma (1). The two cases of the adrenals were of angiomyolipoma and metastatic carcinoma. Among the 24 soft tissue tumors in the study, seven (29%) were malignant and 17 (71%) were benign (lipoma being the most common benign neoplasm). Results from histopathological investigations were available in 47 cases, out of which 45 were consistent with the FNAC-based diagnoses. Two cases for which the histopathological results were inconsistent with the FNAC diagnoses, were of renal cell carcinoma, which had been diagnosed as renal cysts on cytology.Conclusions:USG-guided FNAC is an inexpensive, rapid, safe, and accurate procedure for the diagnosis of retroperitoneal masses.

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CT-Guided Biopsy and Drainage

Figueiredo

Trumm

2017

Multislice CT

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Image-guided fine-needle aspiration cytology of deep-seated enlarged lymph nodes

Abstract: Image-guided FNAC has a pivotal role, and is a cost-effective tool for establishing tissue diagnosis as a primary investigative modality. It is also helpful and accurate in follow-up of patients with a known malignant disease, thereby avoiding surgical intervention.

Cited by 15 publications

References 11 publications

Ultrasound-guided aspiration cytology of retroperitoneal masses with histopathological corroboration: A study of 71 cases

Ultrasound-guided aspiration cytology of retroperitoneal masses with histopathological corroboration: A study of 71 cases

Ultrasound guided fine needle aspiration cytology in the diagnosis of retroperitoneal masses: A study of 85 cases

CT-Guided Biopsy and Drainage

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