Image-guided fine-needle aspiration of retroperitoneal masses: The role of the cytopathologist
Autor: | Sheerin Afzal, Hena A Ansari, Veena Maheshwari, Ibne Ahmad, Ghazala Mehdi |
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Rok vydání: | 2013 |
Předmět: |
Fine-needle aspiration
medicine.medical_specialty image guidance retroperitoneal masses Histology medicine.diagnostic_test lcsh:Cytology business.industry Pathology and Forensic Medicine Aspiration cytology Cellular material Retroperitoneal tumor Case selection medicine Original Article Major complication Radiology lcsh:QH573-671 Medical diagnosis business Image guidance |
Zdroj: | Journal of Cytology, Vol 30, Iss 1, Pp 36-41 (2013) Journal of Cytology / Indian Academy of Cytologists |
ISSN: | 0970-9371 |
Popis: | Background : Retroperitoneal tumors constitute a difficult diagnostic category as they are not easily accessible. The advent of image-guided fine-needle aspiration (FNA) has resolved this problem significantly. Aims : We present a short study based on guided aspiration of retroperitoneal tumors, in which we have tried to assess the role of image-guided fine-needle aspiration cytology as a tool for pre-operative diagnosis. Materials and Methods : The study was conducted on patients diagnosed with retroperitoneal masses. FNA was performed under image guidance with the help of ultrasonography and/or computed tomography; smears were prepared and meticulously screened according to a fixed protocol. The results were analyzed to determine sensitivity, specificity, and diagnostic efficacy of cytopathological diagnosis using image-guided FNA techniques. Results: We assessed 38 patients with retroperitoneal masses. In all cases, adequate cellular material was obtained. No major complications were encountered. Statistical analysis was carried out in 35 cases; sensitivity, specificity, and diagnostic accuracy were 100% in these cases. Conclusion: FNA under image guidance should be considered a first-line diagnostic approach for retroperitoneal and other abdominal tumors, although caution should be exercised in case selection. In areas where advanced tests are not available, the cytotechnologist and cytopathologist have a very important role to play in ensuring accurate diagnoses. |
Databáze: | OpenAIRE |
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