Ultrasound-guided fine needle aspiration biopsy of gall bladder malignancies
| Autor: | Niranjan Khandelwal, N. K. Venkataramu, Sunil Gupta, Sunjay Suri, Madhu Gulati, Bimal P. Sood |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty Malignancy Diagnostic aid Diagnosis Differential Predictive Value of Tests Biopsy medicine Cholecystitis Gall Humans Radiology Nuclear Medicine and imaging Aged Retrospective Studies Ultrasonography Aged 80 and over Radiological and Ultrasound Technology medicine.diagnostic_test business.industry Gallbladder Biopsy Needle Carcinoma Sarcoma General Medicine Middle Aged medicine.disease Ultrasound guided Surgery medicine.anatomical_structure Fine-needle aspiration Female Gallbladder Neoplasms Thickening Radiology business Follow-Up Studies |
| Zdroj: | Acta radiologica (Stockholm, Sweden : 1987). 40(4) |
| ISSN: | 0284-1851 |
| Popis: | Purpose: To establish the safety and efficacy of US-guided fine needle aspiration biopsy (FNAB) in gall bladder malignancies. Material and Methods: 142 patients suspected to have gall bladder malignancies underwent FNAB under real-time US guidance. The most common sonographic appearances were a mass filling or replacing the gall bladder (n= 98), focal or diffuse wall thickening (n=25) and intraluminal polypoidal mass (n=19). FNAB was performed with a 0.7-mm spinal needle using a free-hand technique. Results: On initial FNAB, 115 patients were diagnosed to have malignancy. In the remaining 27 patients, aspirates on first FNAB showed either inflammatory pathology (n=14) or the sample was suspicious of malignancy (n=7), or the aspirates were non-representative (n=6). Of these 27 patients, 13 underwent repeat FNAB because of the high suspicion of malignancy and 12 of them showed malignancy. The FNAB diagnosis of inflammatory disease of 7 patients was confirmed on subsequent surgery and 8 patients were lost to follow-up. Thus, a total of 127/142 were diagnosed to have gall bladder malignancy. Adenocarcinoma was the most common malignancy (89.76%). No procedure-related complications were encountered. Conclusion: US-guided FNAB is a safe and accurate technique to diagnose gall bladder malignancy. Either a repeat FNAB or surgical biopsy is recommended when the suspicion of malignancy is high and the initial FNAB is negative. |
| Databáze: | OpenAIRE |
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