Yield and Complications in Ultrasound-Guided Biopsy of Abdominal Lesions

Nyman, Rickard; Cappelen-Smith, J; Brismar, J.; Sinner, W; Kagevi, I

doi:10.1080/02841859509173414

Cited by 26 publications

(1 citation statement)

References 38 publications

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“…The advantage of ultrasound (US) guidance over CT scan is that it is rapid, inexpensive, without radiation exposure, easily repeated when necessary and does not require injection of contrast medium 4 . Most studies have shown that FNAC is a highly sensitive, highly specific, accurate and cost effective diagnostic procedure with a negligible complication rate [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] . The only absolute contraindication for the procedure is uncorrectable severe coagulopathy 20 .…”

Section: Introductionmentioning

confidence: 99%

Fine Needle Aspiration Cytology of Abdominal Organs – Ten Year Single Center Experience

Vasilj

Katović

2016

ACC

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SUMMARY -The aim of the study was to assess the role of fine needle aspiration cytology (FNAC) in the diagnosis of focal changes in solid abdominal organs. A total of 1084 aspirates from intra-abdominal organs including liver, spleen, pancreas and kidneys obtained by ultrasound (US) guidance during a 10-year period were included in the study. The smears were classified as benign, malignant or suspected of malignancy, and unsatisfactory for interpretation. The liver accounted for more than half of the US-guided FNA procedures, followed by the pancreas with 38%. Out of 1084 aspirations, 192 (17.7%) were inadequate for cytologic analysis. Over half of aspirated lesions in the pancreas were primary cancers, while one-third of pancreatic lesions were benign. In the majority of kidney lesions (83%), cytology found benign changes, mostly cysts. Spleen FNA was least likely; in most cases (59%) it showed lymphoid tissue hyperplasia; in four cases cytologic diagnosis was lymphoma and three lesions were suspected lymphoma. During the study, no major complications were observed on any US-guided FNAC procedure. In conclusion, intra-abdominal FNA is a reliable, sensitive and specific method with a high diagnostic accuracy for the diagnosis of malignant lesions. It can be utilized as a preoperative procedure for the management of all intra-abdominal lesions.

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Section: Introductionmentioning

confidence: 99%

Fine Needle Aspiration Cytology of Abdominal Organs – Ten Year Single Center Experience

Vasilj

Katović

2016

ACC

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Increase of core biopsies in visceral organs–experience at one institution

Gupta¹,

Wang²

2010

Diagnostic Cytopathology

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All targeted core biopsies in the surgical pathology file and all cytology specimens from liver, lung, kidney, and pancreas accessioned in 1997, 2002, and 2007 in the Pathology Department at the Beth Israel Deaconess Medical Center, Boston, were culled. Cytology specimen type [touch imprint smear (TIS) from core-only, fine-needle aspiration (FNA)-only, or both] was determined. Seven hundred and fifty-eight targeted core biopsies were identified from the years 1997 (162), 2002 (249), and 2007 (347). Eight hundred and seventy-eight cytology specimens from the years 1997 (127), 2002 (264), and 2007 (487) were included. The overall percentage of TIS-only of all cytology specimens increased from 5.5 to 31% in 10 years and most prominently in the liver (14% in 1997 to 87% in 2007). In spite of the increasing use of core biopsies, the volume of cytology specimens from these organs increased from 127 in 1997 to 487 in 2007.

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