Value of Image-Guided Needle Aspiration Cytology in the Assessment of Pelvic and Retroperitoneal Masses

Gupta, Raj K.; Cheung, Y. K.; Alansari, Ahmed; Naran, Sarla; Lallu, Sharda; Fauck, Robert

doi:10.1159/000326539

Cited by 12 publications

(11 citation statements)

References 5 publications

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“…The diagnostic yield of USG-guided aspiration, as shown in our study, was 93.27% (97 adequate aspirates out of 104 cases), which is similar to previous studies [9,10,11]. Different large studies also reported an age and sex distribution of cases comparable to that experienced by us [1,9,12].…”

Section: Discussionsupporting

confidence: 91%

Fine-Needle Aspiration Cytology of Retroperitoneal Lesions: A 5-Year Experience with an Emphasis on Cytohistological Discrepancy

Sengupta

Pal²,

Biswas³

et al. 2014

Acta Cytologica

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Background: The retroperitoneal space contains various organs which can be affected by various non-neoplastic and neoplastic pathological processes. A diagnosis of these retroperitoneal lesions is often difficult. Fine-needle aspiration cytology (FNAC) under image guidance is now becoming an effective tool for the initial evaluation of retroperitoneal lesions. Objective: The present study was undertaken to evaluate the role of ultrasound-guided FNAC in the diagnosis of retroperitoneal lesions in comparison to histopathology and to assess the probable causes of failure in cases of pitfalls in cytodiagnosis. Materials and Methods: During the study period of 5 years, a total of 104 cases of retroperitoneal lesions were aspirated under USG guidance. Seven cases yielded inadequate material, the remaining 97 cases were included in the study group. Results: Out of 97 cases, the kidney was the most common organ aspirated (27 cases; 27.8%). Malignant lesions (68 cases; 70.1%) were much more frequent than benign or non-neoplastic lesions (29 cases; 29.9%). Tuberculosis was the most common non-malignant lesion (14 cases) and renal cell carcinoma was the most frequent malignant lesion encountered (15 cases). In 5 cases (7.9%), the histological diagnosis showed inconsistent results in comparison to cytodiagnosis. Conclusion: USG-guided FNAC is a safe, rapid, relatively cheap and fairly accurate procedure for the assessment of retroperitoneal lesions.

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Section: Discussionsupporting

confidence: 91%

Fine-Needle Aspiration Cytology of Retroperitoneal Lesions: A 5-Year Experience with an Emphasis on Cytohistological Discrepancy

Sengupta

Pal²,

Biswas³

et al. 2014

Acta Cytologica

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“…[1][2][3][4][5][6] Several authors have studied the correlation between the cytologic diagnosis and the initial preaspiration clinicoradiological provisional diagnosis. It not only provides information in the initial primary diagnosis but also helps in identifying metastatic foci, further staging and planning treatment of a known case of malignancy.…”

Section: Discussionmentioning

confidence: 99%

“…Its usefulness and accuracy in deep seated lesions have been widely studied in different sites viz., intrathoracic, mediastinal, abdominal, retroperitoneal, and pelvic masses. [1][2][3][4][5][6] Several authors have studied the correlation between the cytologic diagnosis and the initial preaspiration clinicoradiological provisional diagnosis. [7][8][9] Imaging technology has improved over time and it is possible at present to locate smaller lesion with better ease, resolution and precision.…”

Section: Discussionmentioning

confidence: 99%

Value of image‐guided fine‐needle aspiration cytology—A study of 500 cases

Ghosh

Ghartimagar

Shrestha

et al. 2012

Diagnostic Cytopathology

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Guided Fine-Needle Aspiration Cytology (FNAC) as the first line investigation is not only useful in diagnosis of space occupying lesions but can also help in choosing appropriate management. This technique is most useful in diagnosing metastasis but is also helpful in excluding malignancy in some cases. Aim of this study is to analyze the spectrum of cytological diagnosis, adequacy, and clinicoradiological correlation of guided FNAC. The study was carried out in the departments of pathology and radiology for a period from January 2000 to November 2011. All the data were retrieved from hospital medical record section and departmental data bank and were analyzed. We have performed a total of 500 FNACs, including 234 under CT guidance and 266 under USG guidance. Among the CT-guided FNACs, 87.6% (205 cases) had adequate material which included 152 malignant cases, 38 inflammatory cases and 15 benign cases. Among the cases under USG, 91.7% (244 cases) had adequate material comprising of 112 malignant cases, 44 inflammatory cases, and 88 benign lesions. It was noted that increased number of inadequate aspirate was from lesions with smaller size and increased depth. Out of total 264 malignant cases diagnosed on FNAC, 160 cases were identified as malignant on clinical and radiological findings. Guided FNAC is useful in deep seated lesions as well as in suspicious superficial lesions and is a safe diagnostic tool. If performed properly and correlated well with clinical and radiological findings, FNAC provides correct diagnosis in most cases.

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“…31 CT has also been used to guide needle biopsies of the liver, 32 spleen, 33 and pelvis and retroperitoneum. 34 Image-guided needle biopsy has also been successfully applied in pediatric patients. 35 In our experience, CB worked best in the LBCL group.…”

Section: Discussionmentioning

confidence: 99%