Orbital Mass Lesions: US-guided Fine-Needle Aspiration Biopsy—Experience in 37 Patients

Gupta, Sanjay; Sood, Bimal; Gulati, Malvika; Takhtani, Deepak; Bapuraj, Rajeev; Khandelwal, Niranjan; Singh, Usha; Rajwanshi, Arvind; Gupta, Subhash K.; Suri, Sudha

doi:10.1148/radiology.213.2.r99nv24568

Cited by 31 publications

(31 citation statements)

References 16 publications

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“…The most common lesions found to be nondiagnostic on FNAC included fibrous lesions, chronic inflammatory pseudotumors and tumors located in the apex of the orbit. 1,8,9,11 In such lesions, even with use of guided FNAC, the rate of nondiagnostic aspirates may remain high. 8 Kennerdell et al 9 think that biopsy under direct vision by orbital endoscopy might be helpful in these cases.…”

Section: Nondiagnostic Aspiratesmentioning

confidence: 99%

“…This technique was first used by Schyberg 2 in 1975 for diagnosing orbital lesions, following which many authors have emphasized its utility in ophthalmic practice, with vari-able success. [3][4][5][6][7][8][9][10][11][12][13][14] The technique has been found to be especially useful in identifying malignant epithelial tumors, suspicion for which is the main indication for its use in the orbit. 10 Eyelids are also involved by a variety of neoplastic and nonneoplastic lesions; comparatively few studies have dealt with the role of FNA in the diagnosis of eyelid lesions.…”

mentioning

confidence: 99%

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Use of Fine Needle Cytology in the Diagnosis of Orbital and Eyelid Mass Lesions

Solo

Siddaraju²,

Srinivasan³

2009

Acta Cytologica

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Section: Nondiagnostic Aspiratesmentioning

confidence: 99%

mentioning

confidence: 99%

Use of Fine Needle Cytology in the Diagnosis of Orbital and Eyelid Mass Lesions

Solo

Siddaraju²,

Srinivasan³

2009

Acta Cytologica

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“…CT, MRI (Boroffka and Voorhout, 1999;Armour et al, 2011;Lederer et al, 2015) and ultrasound (US) have been demonstrated to be accurate in evaluating orbital disease (Mason et al, 2001;Boroffka et al, 2007). In addition, US has been demonstrated to be particularly useful in guiding interventional procedures throughout the body both in veterinary and in human patients (Phillips and Schneider, 1981;Gupta et al, 1999;Constantin et al, 2010;Orlandi et al, 2013;Spiess and Pot, 2013). However, imaging alone is not sufficient for a definitive diagnosis (Boroffka and Voorhout, 1999;Boroffka et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

Automated tru-cut imaging-guided core needle biopsy of canine orbital neoplasia. A prospective feasibility study

Cirla¹,

Rondena²,

Bertolini³

2016

Open Vet J.

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The purpose of this study was to evaluate the diagnostic value of imaging-guided core needle biopsy for canine orbital mass diagnosis. A second excisional biopsy obtained during surgery or necropsy was used as the reference standard. A prospective feasibility study was conducted in 23 canine orbital masses at a single centre. A complete ophthalmic examination was always followed by orbital ultrasound and computed tomography (CT) examination of the head. All masses were sampled with the patient still on the CT table using ultrasound (US) guided automatic tru-cut device. The most suitable sampling approach to the orbit was chosen each time based on the CT image analysis. One of the following different approaches was used: trans-orbital, trans-conjunctival or trans-masseteric. In all cases, the imaging-guided biopsy provided a sufficient amount of tissue for the histopathological diagnosis, which concurred with the biopsies obtained using the excisional technique. CT examination was essential for morphological diagnosis and provided detailed topographic information that allowed us to choose the safest orbital approach for the biopsy. US guided automatic tru-cut biopsy based on CT images, performed with patient still on the CT table, resulted in a minimally invasive, relatively easy, and accurate diagnostic procedure in dogs with orbital masses.

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“…Prior to performing FPABs, we undertake an image study. Results obtained using this technique have been deemed excellent by some experienced authors (12) and several published series report 80 to 97% matches with subsequent anatomopathological diagnoses (8,(43)(44)(45). The main concern regarding the use of FPAB is the possibility of disseminating tumoral cells, though studies performed on a large number of cases where FPABs were undertaken for a considerable range of tumors and locations show that, in this respect, the technique is safe (12).…”

Section: Discussionmentioning

confidence: 81%

Metástasis orbitarias: Serie de cuatro casos y revisión de la literatura

González

López

2006

Arch Soc Esp Oftalmol

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Objective: To report four cases of orbital metastases and review the literature related to this condition. Methods:We reviewed the clinical records of the four patients and the appropriate world literature. Results: Two women 51 and 82 years old presented with orbital metastases from a primary breast tumour and a third woman (45 years old) had orbital metastases from a primary lung tumour. One man 60 years old presented with a metastases from a renal tumour. Two patients, one with breast metastases and the one with lung metastases, died of their disease. The remaining two patients are still alive with stable disease at the time of writing this report. Conclusion:The metastases in our series originated from tumours that frequently produce orbital metastases-the breast, lung and kidney. The clinical characteristics of the orbital syndromes they caused were similar to those reported in the literature. The clinical presentation was torpid in three cases and had a fulminating course in the ORIGINAL ARTICLE RESUMEN Objetivo: Describir cuatro casos clínicos de metás-tasis orbitarias y hacer una revisión de la literatura sobre esta patología. Métodos: Revisión de historias clínicas y de la bibliografía. Resultados: Dos mujeres de 51 y 82 años de edad presentaron una metástasis orbitaria procedente de un tumor de mama y una tercera (45 años de edad) de una neoplasia pulmonar. Un paciente varón de 60 años de edad presentó una metástasis orbitaria procedente de un tumor renal. Dos de los pacientes, una paciente con metástasis de tumor de mama y la paciente con metás-tasis de tumor pulmonar, fallecieron a consecuencia de su tumor primario, la primera a los dos años y medio y la segunda dos meses después de los primeros signos de metástasis orbitaria. Los otros dos pacientes continúan vivos en situación estable. Conclusiones: Las metástasis en nuestra serie se originaron en tumores de mama, pulmón y riñón, que se encuentran entre los tumores que con más frecuencia producen metástasis orbitarias. Las características clínicas del síndrome orbitario coin-452 ARCH SOC ESP OFTALMOL 2006; 81: 451-462 GONZÁLEZ F, et al.

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Orbital Mass Lesions: US-guided Fine-Needle Aspiration Biopsy—Experience in 37 Patients

Abstract: US provides safe and effective guidance for performing fine-needle aspiration biopsy in orbital mass lesions and is especially useful in deep-seated nonpalpable retrobulbar lesions.

Cited by 31 publications

References 16 publications

Use of Fine Needle Cytology in the Diagnosis of Orbital and Eyelid Mass Lesions

Use of Fine Needle Cytology in the Diagnosis of Orbital and Eyelid Mass Lesions

Automated tru-cut imaging-guided core needle biopsy of canine orbital neoplasia. A prospective feasibility study

Metástasis orbitarias: Serie de cuatro casos y revisión de la literatura

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