2011
DOI: 10.1002/dc.21812
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Utility of ultrasound‐guided fine‐needle aspiration in splenic lesions

Abstract: Indications of fine-needle aspiration (FNA) of spleen have increased as more splenic lesions are detected because of advanced imaging techniques. A retrospective analysis of cytological material of 36 patients on whom ultrasound-guided splenic FNA was performed was done. No complications were noted. There were 16 inflammatory lesions, 12 neoplastic and 8 cases were reported as descriptive either because of scant cellularity, blood only, or normal splenic cytology. Inflammatory lesions included nine cases of ac… Show more

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Cited by 19 publications
(14 citation statements)
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“…Moreover, in contrast to previously published studies where the majority of patients had malignant FSL, all our patients had benign FSL that could be accurately diagnosed as well as medically managed, avoiding splenectomy in the majority of patients. Previously, US-guided splenic FNA has been reported to be a useful technique for the diagnosis of benign diseases such as tuberculosis [ 3 ]. There are also case reports describing the utility of EUS-guided FNA for the diagnosis of splenic tuberculosis [ 15 , 16 ].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Moreover, in contrast to previously published studies where the majority of patients had malignant FSL, all our patients had benign FSL that could be accurately diagnosed as well as medically managed, avoiding splenectomy in the majority of patients. Previously, US-guided splenic FNA has been reported to be a useful technique for the diagnosis of benign diseases such as tuberculosis [ 3 ]. There are also case reports describing the utility of EUS-guided FNA for the diagnosis of splenic tuberculosis [ 15 , 16 ].…”
Section: Discussionmentioning
confidence: 99%
“…Focal splenic lesions (FSL) are relatively rare and are caused by a variety of benign and malignant etiologies [ 1 , 2 ].Studies from western countries have reported a preponderance of malignant etiologies causing FSL [ 1 , 2 ].However, in tropical countries like India, various benign infectious diseases, such as kala-azar, tuberculosis, and malaria, are responsible for the majority of FSL [ 3 ]. Correct diagnosis of etiologies causing FSL requires histological evaluation; previously, many of these patients required histological evaluation of a splenectomy specimen for correct diagnosis [ 4 ].However, with recent advances in imaging techniques, FSL are being accurately diagnosed using image-guided fine-needle aspiration cytology (FNAC).…”
Section: Introductionmentioning
confidence: 99%
“…Percutaneous US-guided FNA has been considered an effective and less invasive alternative to surgical splenectomy for the diagnosis of lymphoma [66,67,68]. However, the use of this diagnostic technique remains controversial.…”
Section: Fna Diagnosis Of Specific Organ-based Primary Deep-seated Lymentioning
confidence: 99%
“…However, splenic abscess, lymphoma, or metastasis to spleen can closely mimic splenic TB and therefore histopathological diagnosis is essential for proper management. Ultrasound-guided FNA has been shown to be useful for diagnosis of splenic lesions 2. EUS also provides good images of the spleen through the gastric wall and in difficult situations especially inaccessible splenic lesions that are located closely to hilum.…”
mentioning
confidence: 99%