Fine‐Needle Biopsy of Hepatic Hydatids and Haemangiomas: An Overstated Hazard

Langlois, Suzanne Le P.

doi:10.1111/j.1440-1673.1989.tb03257.x

Cited by 8 publications

(4 citation statements)

References 20 publications

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“…It was previously believed that aspiration of presumptive hydatid cysts was exceedingly dangerous due to dissemination of the disease and the potential for anaphylaxis when fluid was released into the surrounding tissue (125,134). However, more recent studies have determined that this danger is substantially decreased by the use of fine needles (93,104). Aspirates of the cyst fluid are dark brown, resembling "anchovy paste."…”

Section: Parasitesmentioning

confidence: 99%

Diagnosis of Infectious Diseases: a Cytopathologist’s Perspective

Powers

1998

Clin Microbiol Rev

100

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SUMMARY This review explores the role of the cytopathology laboratory in the detection and presumptive identification of microorganisms. Sample procurement by exfoliation, abrasion, and aspiration techniques, as well as a variety of cytopreparatory and staining methods, is reviewed. Emphasis is placed on the utility of fine-needle aspiration as a rapid, safe, and cost-effective diagnositic procedure. The role of rapid interpretation and specimen triage is also discussed. Cytomorphologic features and staining characteristics are presented for a spectrum of microorganisms potentially encountered in the cytopathology laboratory. Pitfalls in diagnosis and the usefulness of special stains and ancillary techniques are also evaluated. The importance of communication, collaboration, and clinical correlation is stressed.

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Section: Parasitesmentioning

confidence: 99%

Diagnosis of Infectious Diseases: a Cytopathologist’s Perspective

Powers

1998

Clin Microbiol Rev

100

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“…11,15,27,56 However, recent studies have shown that fine needle aspiration, as well as 18-gauge core needle biopsy of hepatic vascular tumors, is a safe procedure when care is taken to interpose normal liver tissue between the capsule and the lesion. 3,10,25,36,54,55 The exfoliative and aspiration cytologic features of malignant vascular tumors have been described, mostly as case reports, under various terminologies, including angiosarcoma, angioendothelioma, hemangiosarcoma and hemangioendothelioma. 1,4,8,9,12,19,[21][22][23][30][31][32]34,35,37,[39][40][41][42][46][47][48]50,52,60 The previously reported cytologic features of angiosarcomas are highly variable and have included: low to high cellularity, rare to abundant single cells, binucleated cells, cohesive cell groups, amorphous acellular cores, prominent nucleoli, hyperchromasia, perinuclear halos, absence or presence of hemosiderin, vacuolated cytoplasm with microvesicles and macrovesicles, signet-ring-like cells, erythrophagocytosis, myxoid matrix, necrosis, hemorrhagic background and background neutrophils.…”

Section: Small Nucleoli Were Identified In Five Casesmentioning

confidence: 99%

Cytomorphologic Features of Angiosarcoma on Fine Needle Aspiration Biopsy

Liu

Layfield²

1999

Acta Cytologica

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“…IHL, being a vasoformative lesion, is usually not subjected to FNAC because of the risk of bleeding 7,8 . Haemangiomas of the liver in adults are common and reports of haemorrhagic complications and fatality make aspiration cytology of hepatic vascular lesions unpopular 7–10 . Radiological features of haemangioma as well as IHL on CECT are characteristic and allow diagnosis in most patients, without the need for tissue diagnosis, making FNAC unnecessary 4,11 .…”

Section: Discussionmentioning

confidence: 99%

“…7,8 Haemangiomas of the liver in adults are common and reports of haemorrhagic complications and fatality make aspiration cytology of hepatic vascular lesions unpopular. [7][8][9][10] Radiological features of haemangioma as well as IHL on CECT are characteristic and allow diagnosis in most patients, without the need for tissue diagnosis, making FNAC unnecessary. 4,11 However, atypical clinical and radiological features can cause diagnostic problems and in such instances, FNAC may be resorted to for evaluation.…”

Section: Discussionmentioning

confidence: 99%

Fine needle aspiration cytology of infantile haemangioendothelioma of the liver: a report of two cases

Sigamani¹,

Iyer²,

Agarwala

2010

Cytopathology

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E. Sigamani, V. K. Iyer and S. Agarwala Fine needle aspiration cytology of infantile haemangioendothelioma of the liver: a report of two cases Background: Fine needle aspiration cytology (FNAC) of infantile haemangioendothelioma of the liver (IHL) has not previously been described because routine use of FNAC is contraindicated due to the risk of bleeding. Methods and materials: Two patients presented with progressively increasing right upper quadrant abdominal mass. The index case was a girl aged two and a half years with a large single mass in the right lobe of the liver. The second was a 3‐month‐old girl in whom ultrasonography revealed multiple hypoechoic lesions in the liver. Ultrasound‐guided fine needle aspiration had been performed on both patients. May‐Grünwald‐Giemsa stained smears from these two patients were reviewed and correlated with histopathology. Results: Both aspirates showed predominantly normal hepatocytes and bile ductules amongst which tumour cells were admixed. The latter were oval to spindle‐shaped with scant cytoplasm and wavy, kinked and indented nuclear outlines. The non‐epithelial character of the tumour cells was apparent and helped to rule out hepatoblastoma. One case showed extramedullary haemopoiesis. The diagnosis of IHL was established on subsequent excision in the first case and a wedge biopsy in the second case. CD34 and factor VIII R antigen were positive in the tumour cells. Conclusion: Radiological diagnosis of IHL is possible in a majority of cases, but sometimes features may overlap with hepatoblastoma and fine needle aspiration may be performed inadvertently. Characteristic kinked nuclei and intermixed normal liver tissue might suggest IHL in the differential diagnosis of a spindle cell vasoformative tumour.

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Fine‐Needle Biopsy of Hepatic Hydatids and Haemangiomas: An Overstated Hazard

Cited by 8 publications

References 20 publications

Diagnosis of Infectious Diseases: a Cytopathologist’s Perspective

Diagnosis of Infectious Diseases: a Cytopathologist’s Perspective

Cytomorphologic Features of Angiosarcoma on Fine Needle Aspiration Biopsy

Fine needle aspiration cytology of infantile haemangioendothelioma of the liver: a report of two cases

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