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

Solo, Seyiechutuo; Siddaraju, Neelaiah; Srinivasan, Renuka

doi:10.1159/000325084

Cited by 14 publications

(27 citation statements)

References 24 publications

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“…Furthermore, in these not uncommon cases (relative frequency: 11% [1]), it also serves as a confirmation of the diagnosis [22,23], as demonstrated by our plasmacytoma (fig. 1a, b) and RCC-affected patients [24].…”

Section: Discussionsupporting

confidence: 72%

The Role of Fine Needle Aspiration of Orbital Lesions: A Case Series

Pagni¹,

Jaconi²,

Smith³

et al. 2016

Acta Cytologica

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Objective: This paper analyzes a series of ultrasound (US)-guided orbital fine needle aspirations (FNAs) which provide diagnostic information that cytopathologists approaching orbital lesions for the first time can find useful and underlines the importance of teamwork. Study Design: The investigators retrospectively obtained data from 24 consecutive orbital FNAs. For all patients, a complete clinicoradiological database was created. FNAs were performed under US guidance with 25-gauge needles and an aspiration biopsy syringe gun, and sent to the Department of Pathology for examination and data management. Results: The mean age of the patients was 54 years. Imaging studies included US, magnetic resonance imaging and computed tomography scans; 9 lesions involved the right orbit and 15 the left orbit. The mean lesion size was 23.6 ± 7.2 mm. After microscopic examination, 7 smears were labeled as ‘nondiagnostic', while in 17 cases a definitive diagnosis was proposed, which always proved to be correct (70.8%, specificity = 100%). Conclusions: The investigators believe that FNA biopsy of orbital masses is a necessary step; its weaknesses lie in the particularly delicate site of sampling and the extreme heterogeneity of lesions. Nevertheless, when orbital FNA is performed within a well-coordinated multidisciplinary team, it is a powerful tool that can be used to define the most appropriate management of these patients.

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Section: Discussionsupporting

confidence: 72%

The Role of Fine Needle Aspiration of Orbital Lesions: A Case Series

Pagni¹,

Jaconi²,

Smith³

et al. 2016

Acta Cytologica

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“…Orbital FNA is performed via transcleral, transcorneal or transvitreal approach using 25-30guage needle (Augsburger et al, 2002;Char et al, 2006;Young et al, 2007Young et al, , 2008. For tiny and vascular lesions, non-aspiration technique is preferable (Solo et al, 2009). In case of suspected conjunctival melanoma, imprint cytology using cellulose acetate strips has been found to be very useful (Paridaens et al, 1992).…”

Section: Technical Aspectsmentioning

confidence: 99%

“…Ocular cytology, in particular FNAC can assist in its accurate diagnosis, especially with the ancillary aids (Kashyap et al, 2002;Augsburger et al, 2002;Char et al, 2006;Young et al, 2007Young et al, & 2008Solo et al, 2009). FNAC, when done with essential precaution under the supervision of an ophthalmologist and under CT/ US guidance, provides highly accurate results (Solo et al, 2009 (Young et al, 2008).…”

Section: Role Of Cytology In Ocular Melanomasmentioning

confidence: 99%

“…In one of our studies that evaluated the use of fine needle cytology in orbital and eyelid lesions, we had a single case of recurrent choroidal melanoma, which was diagnosed with the non-aspiration needling technique. Although grossly, material obtained appeared scanty, presence of obvious malignant cells with melanin pigment facilitated an easy diagnosis (Solo et al, 2009). …”

Section: Role Of Cytology In Ocular Melanomasmentioning

confidence: 99%

“…literature is also available with regard to the cytologic diagnosis of ocular melanomas (Paridaens et al, 1992;Kashyap et al, 2002;Augsburger et al, 2002;Char et al, 2006;Young et al, 2007Young et al, , 2008Solo et al, 2009). Ultrasound (US) or computed tomography (CT) guided FNAC is particularly valuable for visceral metastases.…”

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confidence: 99%

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Clinical Cytology in the Diagnosis and Management of Melanoma

Siddaraju¹

2011

Current Management of Malignant Melanoma

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Fine‐needle aspiration cytology of orbital and eyelid lesions

Agrawal

Dey

Lal

2013

Diagnostic Cytopathology

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Fine-needle aspiration cytology (FNAC) of orbital lesions is now increasingly popular. Because of its unique location and the occurrence of varieties of lesions, diagnosis of orbital lesion is a challenge to the cytopathologists. FNAC of orbital and eyelid tumors is a suitable diagnostic technique that necessitates close co-operation between the ophthalmologist and pathologist. No radical procedure should be planned on the basis of FNAC, but it allows the diagnosis of a new primary lesion or the recurrence or metastasis of a tumor and can be done to identify lesions that require either specific medical therapy, as in nonresectable, inflammatory, and lymphoid tumors, or limited surgery for benign resectable neoplasms. With the help of various ancillary techniques a definitive diagnosis is possible on orbital and adnexal lesions. It is essential to have a detailed knowledge on the FNAC of these lesions and their potential pitfalls. In this present review, we have discussed various orbital lesions, their clinical presentations, cytomorphology, and ancillary techniques to confirm the diagnosis.

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

Cited by 14 publications

References 24 publications

The Role of Fine Needle Aspiration of Orbital Lesions: A Case Series

The Role of Fine Needle Aspiration of Orbital Lesions: A Case Series

Clinical Cytology in the Diagnosis and Management of Melanoma

Fine‐needle aspiration cytology of orbital and eyelid lesions

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