Role of ultrasound guided fine needle aspiration cytology of right hypochondrial masses

Verma, Nidhi; Neetu, .; Sharma, Shipra; Singh, Preeti; Kumar, Anuj

doi:10.18203/2320-6012.ijrms20175447

Cited by 3 publications

(2 citation statements)

References 2 publications

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“…Among the liver lesions, the most common malignancy was metastasis to the liver, Among the metastasis to the liver, metastatic adenocarcinoma was found to be the most common. This is similar to observation of study done Verma N et al 18 (2017) and Barbhuiya, et al 19 (2014) where also the most common lesion of liver was metastatic adenocarcinoma. The present study was discordant with the study carried out by Asghar F et al 20 (2010) where hepatocellular carcinoma was the most commonly encountered lesion in liver.…”

Section: Discussionsupporting

confidence: 91%

Cytomorphological study of intraabdominal lesions by FNAC

Patel¹,

Vyas

Bhagat³

et al. 2022

ACHR

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Fine Needle Aspiration Cytology (FNAC) is a simple, safe, low-cost and rapid procedure for diagnostic purpose which makes surgical intervention and exploratory laparotomy unnecessary. The deep seated organs like gall bladder, spleen, pancreas, retroperitoneum and ovary are sampled safely and routinely aspirated using the fine needle under radiological guidance. To assess the utility of FNAC in the diagnosis of intraabdominal lesions, to study the cytomorphological features and to determine the reliability of ultrasonography guided FNAC in distinguishing neoplastic from non-neoplastic intraabdominal mass lesions. The study included 48 intra-abdominal lesions which were detected clinically or radiologically. USG guided FNA was done whenever indicated. The smears were stained with Haematoxylin and eosin (H and E), May Grunwald Giemsa (MGG) and Papanicolaou’s stains. Among 48 cases, 45 cases were usg-guided, 2 cases were blind and one case was intraoperative. The diagnostic yield of usg-guided FNAC was 84.4%.Majority of aspirations were done in the age group of 51-60 years with male:female ratio of 1:1.53. Most common organ subjected to FNA was Liver followed by ovary. Majority of the lesions were found to be malignant. The most common lesion encountered in the whole study was metastastatic carcinoma. Fine needle aspiration cytology is a repeatable and rapid diagnostic procedure that has application in the evaluation of deep seated abdominal mass lesions. With the help of radiological guidance, diagnostic accuracy of FNAC of deep seated lesions dramatically increases.

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Section: Discussionsupporting

confidence: 91%

Cytomorphological study of intraabdominal lesions by FNAC

Patel¹,

Vyas

Bhagat³

et al. 2022

ACHR

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show abstract

“…Among the 75 hepatobiliary lesions in the present study, majority were primary Hepatocellular carcinoma followed by metastatic carcinomatous deposits in liver similar to studies done by Adhikari et al 12 , Sidhalingreddy et al 7 , Satish et al 13 and Parajuli et al 4 . In contrast, metastatic deposits in liver were reported to be more common in studies done by Tasleem et al 6 , Dosi et al 3 , Verma et al 14 and Tailor et al 15 .…”

Section: Discussionmentioning

confidence: 90%

Key Role of Image Guided Fine Needle Aspiration Cytology in Diagnosing Intra-Abdominal Lesions

Sireesha

Inuganti

et al. 2020

APALM

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Background: Masses in the abdominal cavity are often deep, non-palpable and palpable at times which can be inflammatory, benign or malignant. With increased sophistication of radiologic imaging techniques these deep seated lesions are detected more frequently and confirmed tissue diagnosis is essential for both planning of treatment and staging in case of malignant lesions. Image guided aspiration is an effective way to obtain diagnostic material and avoid diagnostic laparotomy. This study was conducted to categorize various intraabdominal lesions according to their site of involvement, study their cytomorphological features, and classify them as benign, malignant and inflammatory and assess the utility of image-guided cytology in the diagnosis of intra-abdominal lesions.Methods: This cross sectional study approved was done on image guided fine needle aspiration cytology smears of intra-abdominal masses. Age, sex and site details were retrieved from the archives. Hematoxylin and Eosin stained smears were reviewed by the Cytopathologist and diagnosis was arrived at after correlating with clinical and radiological data. Core biopsy or excision biopsy of the available cases were also reviewed and checked for correlation.Result: A total of 120 cases were studied with age ranging from 18-81years, 30% of patients were in the 61-70 years age group, followed by 27% cases in 51-60 years age group and 20% cases in 41-50 years age group. The male to female ratio was 1.03:1. 62.5% of cases were from hepatobiliary region, followed by 17.5% cases from pancreatic masses and 11 cases (9.16%) from ovarian masses. 80% cases were malignant, 10% were inflammatory cases, 9.2% cases were inconclusive and 1 (0.8%) benign lesion. Among the malignant lesions primary malignancies (Hepatocellular carcinomas and Adenocarcinomas) were more common than secondary deposits. This study showed 88.9% sensitivity, 83.3% specificity and 87.5% of diagnostic accuracy. Conclusion:Image guided aspiration of intra-abdominal lesion is a simple, economical, less complicated and less time consuming procedure that differentiates between malignant and non malignant conditions with high accuracy and can be used as pre-operative diagnostic procedure for planning further management of patient.

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Utility of Image-Guided Fine-Needle Aspiration Cytology from Neoplastic Hepatic and Gallbladder Lesions

Mahla

Iyengar

2022

Journal of Datta Meghe Institute of Medical Sciences University

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Introduction: Fine-needle aspiration cytology (FNAC) is an important and successful method for liver and gallbladder (GB) lesion diagnosis. Aspiration from liver and GB masses and its cytological evaluation differentiate whether it is benign or malignant. It is of huge help to the clinician for deciding on timely and appropriate management of the patient. Image-guided FNAC of liver lesions helps to know lesion localization whether it is multifocal, with the benefit of multiple passes for adequate sampling. Aims and Objective: This study aims at finding the importance and effectivity of image-guided FNAC of liver and GB masses with the main focus on the diagnosis of neoplastic lesions. Materials and Methods: The study was a prospective study conducted in the Cytology Section in the Department of Pathology, Gajra Raja Medical College, Gwalior, from January 2019 to March 2021. All the slides of liver and GB fossa mass aspiration done with help of image guidance were stained and examined. Results: There were a total of 86 cases, out of which six cases had unsatisfactory material, thus rendering them as nondiagnostic (7%). The diagnostic efficacy is 93%. Out of 80 cases, 71 (87.5%) were reported neoplastic and 9 (12.5%) were nonneoplastic. Among neoplastic lesions (71/80, i.e., 88.7%), 70 were malignant and one case was reported as suspicious for malignancy. Out of 71 neoplastic lesions, 39 were from liver mass and 32 were from GB fossa. Among 38 malignant neoplastic tumors of the liver, six cases were hepatocellular carcinoma (15.7%). Out of 32 metastatic lesions to the liver, 30 were of adenocarcinoma and one case each of small-cell morphology and lymphoma. Conclusions: Cytological evaluation is an important tool and can be applied as the first line of diagnostics in the management of liver masses and can characterize liver masses. GB lesion cytology has more diagnostic yields and accuracy of differentiating neoplastic lesions from nonneoplastic lesions. Hence, from the study, we can conclude that advanced techniques in the cytological study of liver and GB mass can give an early diagnosis.

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Role of ultrasound guided fine needle aspiration cytology of right hypochondrial masses

Cited by 3 publications

References 2 publications

Cytomorphological study of intraabdominal lesions by FNAC

Cytomorphological study of intraabdominal lesions by FNAC

Key Role of Image Guided Fine Needle Aspiration Cytology in Diagnosing Intra-Abdominal Lesions

Utility of Image-Guided Fine-Needle Aspiration Cytology from Neoplastic Hepatic and Gallbladder Lesions

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