Ultrasound-Guided Fine Needle Aspiration Cytology of Malignant Gallbladder Masses

Shukla, Vijay Kumar; Pandey, Manoj; Kumar, Mohan; Sood, Bimal; Gupta, Anurag; Aryya, N C; Shukla, Ram Chandra; Verma, Dhirendra N.

doi:10.1159/000333156

Cited by 22 publications

(18 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…False negative results are one of the main drawbacks of FNA that could be due to incorrect areas being sampled, limited material aspirated due to necrosis or fibrosis. False negative results due to similar reasons are reported in the literature, the incidence varying between 11% and 41% [1,11]. However, in the present study the incidence of false negative was low (1.3%) which is because of repeat aspirations performed.…”

Section: Discussionsupporting

confidence: 80%

“…The diagnostic accuracy and safety of percutaneous FNA has been well established by many authors and no major complications have been reported [1,11,12]. A rare complication of FNA is needle tract seeding.…”

Section: Discussionmentioning

confidence: 99%

“…This has been documented in the present series also as the male to female ratio was 1:3.4 and median age was 52 years. A few of the Indian studies have reported that carcinoma of the GB is more common in north Indian population [1,11].…”

Section: Discussionmentioning

confidence: 99%

“…Owing to higher accuracy, beinginexpensive and ready availability, FNA of abdominal organs like liver, gastrointestinal tract and retroperitoneal lymph nodes is widely used as a diagnostic tool [7][8][9][10]. However, reports on FNA of the GB are limited [1,[11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Cytologic diagnosis of gallbladder lesions — A study of 150 cases

et al. 2010

View full text Add to dashboard Cite

Aims and objectives Gallbladder (GB) carcinoma is among the five most common forms of gastrointestinal cancers and the diagnosis is usually made when the carcinoma is already in an advanced stage. The aim of this study was to assess the application of ultrasound (US) guided fine needle aspiration (FNA) in diagnosing GB carcinoma. Material and methodsThe present study was carried out on 150 patients suspected to have GB carcinoma on ultrasonography. US-guided FNA from GB was done in these patients and FNA of the other organs was simultaneously done in 20 patients. Histopathology of the GB was available in 14 cases.Results Ultrasonography in these patients revealed mass/ thickening of the wall of GB in 140 (93.3%) cases and nonspecific US findings in 10 (6.7%). Out of the 140 cases malignancy was cytologically diagnosed in 105 (75%) cases while 12 (8.5%) cases were inflammatory and 23 (16.5%) were inconclusive. Adenocarcinoma was the most common morphologic type. Metastatic tumor deposits were noted in FNA from space occupying lesions of the liver in 12 cases, abdominal lymph nodes in 5 cases, and 1 case each of supraclavicular lymph node, stomach and bilateral ovaries. Of the 10 cases with non-specific US findings, 3 had carcinoma and 7 were inconclusive on cytologic examination.Conclusion US guided FNA provides a rapid and reliable diagnosis in cases of GB carcinoma.

show abstract

Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cytologic diagnosis of gallbladder lesions — A study of 150 cases

et al. 2010

View full text Add to dashboard Cite

show abstract

“…4 Application of ultrasound (US)-guided fine needle aspiration cytology (FNAC) for evaluation of gallbladder mass lesions has been limited to malignancy. [5][6][7][8] Interventional radiologists have been reluctant to perform percutaneous FNAC of the gallbladder for fear of causing biliary peritonitis. However, reports have demonstrated the safety of US-guided percutaneous FNAC of the gallbladder for a variety of diagnostic and therapeutic procedures.…”

mentioning

confidence: 99%

Cytopathologic Diagnosis of Xanthogranulomatous Cholecystitis and Coexistent Lesions

et al. 2007

View full text Add to dashboard Cite

Carcinoma of the gallbladder: Role of sonography in diagnosis and staging

Pandey

Sood

Shukla

et al. 2000

J. Clin. Ultrasound

Self Cite

View full text Add to dashboard Cite

Purpose In an attempt to define the sonographic characteristics of gallbladder cancer, we retrospectively analyzed the sonographic findings in 203 cases of gallbladder cancer confirmed by cytology or histopathology. Patients and Methods Patients with proven gallbladder cancer presenting to a single surgical unit between 1991 and 1995 were identified through a records search. All patients underwent sonographic examination followed by fine‐needle aspiration (FNA), biopsy, or laparotomy for establishing the diagnosis. Results A mass in the gallbladder and gallbladder wall thickening (> 12 mm) were cardinal sonographic findings of carcinoma. Liver infiltration was correctly identified in all patients who had it. Sonography was highly accurate for detecting mass lesions, gallstones, liver infiltration, metastasis, and ascites. However, visualization of lymph nodes, common bile duct infiltration, and peritoneal dissemination was poor. Conclusions Sonography was found to be a good diagnostic tool for carcinoma of the gallbladder; however, its sensitivity was poor for staging nodal spread of the disease. © 2000 John Wiley & Sons, Inc. J Clin Ultrasound 28:227–232, 2000.

show abstract

Ultrasound-Guided Fine Needle Aspiration Cytology of Malignant Gallbladder Masses

Cited by 22 publications

References 10 publications

Cytologic diagnosis of gallbladder lesions — A study of 150 cases

Cytologic diagnosis of gallbladder lesions — A study of 150 cases

Cytopathologic Diagnosis of Xanthogranulomatous Cholecystitis and Coexistent Lesions

Carcinoma of the gallbladder: Role of sonography in diagnosis and staging

Contact Info

Product

Resources

About