Importance of image guided fine needle aspiration in diagnosis of benign and malignant lesions

Singh, Kuldeep; Kotwal, S. K.

doi:10.18203/2320-6012.ijrms20160306

Cited by 3 publications

(6 citation statements)

References 15 publications

(19 reference statements)

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“…The peritoneum and peritoneal cavity are commonly involved in many primary and secondary diseases such as primary malignancy (mesothelioma), infectious disease (tuberculosis), and disseminated malignancy. 8 In the present study, the number of patients involved were 53 including (23, 43.4% males) and (30, 56.6% females) with male predominance and age ranging from 25 to 70years. This is comparable with Mangal et al 10 study 10 who studied 85 cases [(57, 67%) males and (28, 33%) females] of retroperitoneal lesions using US-guided FNA, their age ranges from five to 82years.…”

Section: Discussionmentioning

confidence: 56%

“…Similarly Singh et al reported minor complications in their study and no major complications as pancreatitis, hemorrhage or pneumothorax were recorded. 8 Percutaneous fine needle aspiration is a safe, cost effective accurate and minimally invasive procedure essential in the diagnosis of intra-abdominal lesions as peritoneal masses with no need for laparotomy. 8 US-guided percutaneous FNA of abdominal masses was first reported by Kristensen et al 11 whostated that FNA guided by ultrasound is important for preoperative diagnosis if there is a cystic degeneration in a solid lesion or if there are any malignant features.…”

Section: Discussionmentioning

confidence: 99%

“…8 Percutaneous fine needle aspiration is a safe, cost effective accurate and minimally invasive procedure essential in the diagnosis of intra-abdominal lesions as peritoneal masses with no need for laparotomy. 8 US-guided percutaneous FNA of abdominal masses was first reported by Kristensen et al 11 whostated that FNA guided by ultrasound is important for preoperative diagnosis if there is a cystic degeneration in a solid lesion or if there are any malignant features. 10 Similar to other previous studies, 11,12 the present study showed that malignant lesions were much more common than benign lesions, the percent of benign and malignant diseases diagnosed by US equal 7.5% and 92.5% respectively, compared with those diagnosed by FNA which were equal 20.8%, 79.2% for benign and malignant lesions respectively.…”

Section: Discussionmentioning

confidence: 99%

“…However, it does not always differentiate between benign and malignant lesions. [7][8][9] The aim of our study is to assess the performance of US and U/S-guided FNA in the diagnosis of peritoneal diseases.…”

Section: Introductionmentioning

confidence: 99%

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Role of ultrasound and ultrasound guided fine needle aspirationin diagnosis of peritoneal diseases

Abdellatif¹,

Okasha²,

Abdelfattah³

et al. 2020

GHOA

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Introduction: Peritoneal diseases have different types of presentations which can be detected by endosonography. The aim of our study is to assess the performance of ultrasound (US) and US-guided FNA in diagnosis of different peritoneal diseases.Material & methods: we collected the data from 53 Egyptian patients with suspected peritoneal lesions and localized ascites. The detailed sonographic features were assessed for any peritoneal masses, deposits, omental heterogeneity and thickness, and for the detection of any fluid collections. The final diagnosis was reached by the positive cytopathological examination of aspirate taken by FNA. The patients who lost follow up, with severe coagulopathy or whose final diagnosis was not reached were ruled out from the study.Result: ultrasound showed high sensitivity (97.9%) with 95.9% PPV, 75% NPV and 94.34% accuracy while US-FNA shows high specificity (100%) with 100% PPV, 45.45% NPV and 88.68% accuracy rate in diagnosis of different peritoneal diseases. Conclusion:Ultrasound and FNA are very valuable in detection and diagnosis of different peritoneal benign and malignant diseases. In spite of statistically significant increase in sensitivity of US diagnosis of different peritoneal diseases more than that diagnosed by FNAC, yet, US FNA is crucial for confirming the diagnosis for determination of the plan of management of different peritoneal lesions.

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Role of ultrasound and ultrasound guided fine needle aspirationin diagnosis of peritoneal diseases

Abdellatif¹,

Okasha²,

Abdelfattah³

et al. 2020

GHOA

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“…The medical records of patients who were diagnosed with high-risk NB and periorbital metastasis Staging System and assigned a risk group according to the International Neuroblastoma Risk Group and the Children's Oncology Group [5,6] .…”

Section: Methods Patientsmentioning

confidence: 99%

Clinical characteristics and prognosis of 40 patients with periorbital metastasis of neuroblastoma

Qin

Zhao

Jin

et al. 2020

Preprint

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BackgroundThis study was performed to summarize the clinical characteristics of patients with periorbital metastasis of neuroblastoma (NB) and analyze the short-term prognosis. MethodsThis study included 40 patients with periorbital metastasis of NB from March 2007 to March 2018. The patients' clinical characteristics and short-term prognosis were retrospectively analyzed. ResultsThe 40 patients comprised 25 boys and 15 girls with a median age at onset of 31 months (range, 8-132 months). The patients' symptoms included a periorbital mass and eye bruising (n = 37, 92.5%), limb pain (n = 14, 35.0%), a head and neck mass (n = 8, 20.0%), fever (n = 8, 20.0%), an abdominal mass (n = 4, 10.0%), weakness (n = 3, 7.5%), abdominal pain (n = 2, 5.0%), anemia (n = 2, 5.0%), and others (n = 3, 7.5%). All 40 patients had stage IV, high-risk NB. Various auxiliary structures of the eye were involved: ocular muscles (n = 11, 27.5%), lacrimal glands (n = 4, 10.0%), optic nerve (n = 2, 5.0%), and eyelid (n = 1 2.5%). Fifteen patients (37.5%) had tumor invasion in a periorbital sinus cavity. All patients had bone marrow and bone metastasis. Of 38 patients with a known MYCN gene status, 17 patients (44.7%) had MYCN amplification. The median follow-up duration was 19 months

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Diagnostic Role of Image-Guided Fine Needle Aspiration Cytology

Sherpa

Koirala²

2022

Nep. Med. J.

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Introduction: With the aid of modern imaging procedures like ultrasonography and computed tomography, fine needle aspiration cytology of deeper structures, small and vaguely palpable swellings, and lesions that are in close proximity to major vasculature are feasible. This study aims to establish the prevalence of image-guided FNAC, evaluate its diagnostic utility, and assess the spectrum of disorders diagnosed with its usage. Materials and Methods: A retrospective descriptive study was performed in the Pathology department, Om Hospital, and Research Centre from May 2015 to November 2019. The study included all samples of image-guided FNACs which were received for cytological examination. Results: Image-guided FNAC accounted for 13.03% of all FNACs done during the study period. Female predominance with a male to female ratio of 1:1.4 was noted. The age of the patients ranged from 13 to 85 years with a mean age of 53.6 years. The majority of the FNACs were performed under USG guidance. The lung was the most commonest site followed by lymph nodes and liver. Cytological diagnosis was made in 225 (88.93%) of the total cases. 7 (2.77%) cases were suspicious for malignancy and 21 (8.3%) were inconclusive. The majority of the lesions were categorized as malignant. Conclusions: Image-guided FNAC has a good diagnostic yield for deeper structures and small and vaguely palpable swellings. A spectrum of lesions, both neoplastic and non-neoplastic can be diagnosed with its usage. The commonest site of aspiration was the lung followed by lymph nodes and liver.

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Importance of image guided fine needle aspiration in diagnosis of benign and malignant lesions

Cited by 3 publications

References 15 publications

Role of ultrasound and ultrasound guided fine needle aspirationin diagnosis of peritoneal diseases

Role of ultrasound and ultrasound guided fine needle aspirationin diagnosis of peritoneal diseases

Clinical characteristics and prognosis of 40 patients with periorbital metastasis of neuroblastoma

Diagnostic Role of Image-Guided Fine Needle Aspiration Cytology

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