Fine needle aspiration cytology of ovarian tumors with histological correlation

Bandyopadhyay, Anjali; Chakraborty, Jayati; Chowdhury, Ananda S.; Bhattacharya, Aditi; Bhattachrya, Palas; Chowdhury, Malay Kumar Sur

doi:10.4103/0970-9371.93218

Cited by 19 publications

(16 citation statements)

References 17 publications

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“…Malignant tumours were found in all age groups, with a predominance in the elderly, supporting the findings of Mehdi et al [1] and Khan et al [2]. We found a higher number of malignant cases (40 cases, 57.14%), in agreement with the results of Bandyopadhyay et al [11]. However, Khan et al [2 ]and Goel et al [10] found a larger percentage of benign and non-neoplastic cases in their series.…”

Section: Discussionsupporting

confidence: 83%

“…It is always difficult to differentiate borderline surface epithelial tumours from well-differentiated carcinomas, because hypercellularity and anaplasia are the features of both entities. Similar-type discrepancies have also been reported by many other authors [3,10,11,21]. …”

Section: Discussionsupporting

confidence: 72%

“…Possibly, the difference may be explained with the selective referral of patients with suspect neoplastic, probably malignant, ovarian lesions by gynaecologists in our hospital. Surface epithelial tumours comprise a large number of cases in our series (47 cases, 71.12%), corresponding to results of Mehdi et al [1] (83.33%), Khan et al [2] (66%) and Bandyopadhyay et al [11] (75.6%).…”

Section: Discussionsupporting

confidence: 63%

“…Scanty cellular yield, cellular morphology obscured by blood and morphological overlap between different surface epithelial carcinomas were the limiting factors, which obstructed further categorisation. Similar-type diagnostic problems were also interpreted by previous researchers [11]. …”

Section: Discussionmentioning

confidence: 97%

“…On histopathology, 2 cases were non-neoplastic ovarian masses and 2 were benign cystic epithelial ovarian tumours. Aspiration of cystic ovarian masses also resulted in inadequate material in studies by Bandyopadhyay et al [11] and Martinez-Onsurbe et al [25]. Selective positioning of the needle tip near the wall may yield better cellular material and can avoid inadequacy.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Ultrasound-Guided Fine-Needle Aspiration Cytology of Ovarian Masses with Histopathological Correlation

Pal

Chakrabarti²,

Deuoghuria³

et al. 2015

Acta Cytologica

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Background: Preoperative cytodiagnosis of ovarian masses is a difficult process, and sampling of pelvic masses is quite easier after the improvement of imaging techniques. Though histopathology is the gold standard, fine-needle aspiration cytology (FNAC) under ultrasound (US) guidance can be a valuable tool for pre-operative diagnosis of ovarian lesions, especially in the hands of an experienced pathologist. Objective: The present study was performed to evaluate the role of US-guided FNAC in pre-operative cytological diagnosis of ovarian masses in comparison with histopathology, and to assess the pitfalls and limitations of cytological interpretation. Materials and Methods: This study was conducted over a 2-year period on 70 cases of ovarian masses, which were evaluated by US-guided FNAC. Sensitivity, specificity and diagnostic efficacy were calculated using histopathology as gold standard. Results: On cytological evaluation, non-neoplastic cysts, and benign and malignant ovarian tumours were diagnosed in 8, 18 and 40 cases, respectively. On histopathology, 62 cases were concordant with cytology. Sensitivity and specificity were 95.23 and 95.83%, respectively, in the present study. Diagnostic accuracy was 93.94% in respect to the correct diagnosis. Cytohistological discrepancies and limitations of the study are discussed. Conclusion: US-guided FNAC has proved as a quick, economic and safe procedure in diagnosing ovarian masses with brilliant accuracy.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 72%

Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Evaluation of Ultrasound-Guided Fine-Needle Aspiration Cytology of Ovarian Masses with Histopathological Correlation

Pal

Chakrabarti²,

Deuoghuria³

et al. 2015

Acta Cytologica

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Abdominopelvic washings in gynecologic pathology: A comprehensive review

Schulte

Lastra

2016

Diagnostic Cytopathology

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Abdominopelvic washings (APW) performed during gynecologic surgeries have become a common specimen evaluated by cytopathologists. Their role in staging of female genital tract tumors has changed significantly since they were first described, and continue to evolve. The ability of these washings to detect microscopic disease, even in the absence of gross disease, warrants the critical role that these washings play in the staging of certain female gynecologic tract tumors, allowing for optimal staging and subsequent treatment of the patient. Irrespective of the underlying pathology, the gamut of cytomorphologic findings that may be observed in APW is extensive, and ranges from benign lesions that may act as mimickers of malignancy, to both common and rare malignancies. This review discusses the changing role of APW in the staging of gynecologic tumors, and highlights the salient cytomorphologic features of these lesions, with emphasis in their correct identification, including cautionary notes to avoid over or misinterpretation. Diagn. Cytopathol. 2016;44:1039-1057. © 2016 Wiley Periodicals, Inc.

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Transvaginal Ultrasound‐Guided Fine‐Needle Aspiration Biopsy of Pelvic Lesions

Penna

Pōder

Jha

et al. 2021

J of Ultrasound Medicine

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Objectives To assess adequacy of transvaginal ultrasound‐guided fine‐needle aspiration biopsy (TVUS‐FNAB) for pathologic diagnosis of pelvic masses performed using onsite cytopathology consultation. Methods In this Institutional Review Board approved, Health Insurance Portability and Accountability Act (HIPAA) compliant study, radiology records were retrospectively queried to identify patients who underwent TVUS‐FNAB of a pelvic mass over a 11‐year duration. TVUS‐FNAB adequacy was determined by correlating cytopathology results with transvaginal ultrasound‐guided core‐needle biopsy (TVUS‐CNB) or surgical pathology results when available, and with clinical diagnostic confidence when additional pathology confirmation was not available. Secondary analysis included patient age, history of hysterectomy, or pelvic malignancy. Target‐specific features analyzed included mass size, depth, location, and final pathologic diagnosis. Results Sixty patients underwent TVUS‐FNAB of pelvic masses, 43 of which underwent FNAB only and 17 underwent both TVUS‐FNAB and TVUS‐CNB during the same procedure. TVUS‐FNAB alone was adequate for diagnosis in 51 (85%) cases and addition of core‐needle biopsy (CNB) achieved a diagnosis in additional 4 patients, increasing overall diagnostic accuracy to 92% (55/60). FNAB inadequacy had statistically significant association with increasing mass depth, occurrence of a minor intraprocedural complication, and decision to perform a CNB (P <.05). Number of FNAB passes, mass size, history of hysterectomy, and final diagnosis were not statistically significant predictors of FNAB adequacy. Conclusion TVUS‐FNAB has a high specimen adequacy rate when performed with an onsite cytopathologist and can be considered first‐line approach for image‐guided sampling of pelvic lesions with option to add CNB if preliminary cytopathologic review does not confirm sample adequacy.

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Fine needle aspiration cytology of ovarian tumors with histological correlation

Cited by 19 publications

References 17 publications

Evaluation of Ultrasound-Guided Fine-Needle Aspiration Cytology of Ovarian Masses with Histopathological Correlation

Evaluation of Ultrasound-Guided Fine-Needle Aspiration Cytology of Ovarian Masses with Histopathological Correlation

Abdominopelvic washings in gynecologic pathology: A comprehensive review

Transvaginal Ultrasound‐Guided Fine‐Needle Aspiration Biopsy of Pelvic Lesions

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