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

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...

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Main Authors: Ankica Vasilj, Sandra Kojić Katović
Format: Article
Language:English
Published: Sestre Milosrdnice University hospital, Institute of Clinical Medical Research 2016-01-01
Series:Acta Clinica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/237747
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author Ankica Vasilj
Sandra Kojić Katović
author_facet Ankica Vasilj
Sandra Kojić Katović
author_sort Ankica Vasilj
collection DOAJ
description 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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spelling doaj.art-0306283100e8484780945aba9b7e23002024-04-15T13:53:39ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512016-01-0155.1.353910.20471/acc.2016.55.01.6Fine Needle Aspiration Cytology of Abdominal Organs – Ten-Year Single Center ExperienceAnkica Vasilj0Sandra Kojić Katović1Department of Cytology, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaDepartment of Cytology, Sestre milosrdnice University Hospital Center, Zagreb, CroatiaThe 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.https://hrcak.srce.hr/file/237747Endoscopic ultrasound-guided fine needle aspirationAbdomen – ultrasonography
spellingShingle Ankica Vasilj
Sandra Kojić Katović
Fine Needle Aspiration Cytology of Abdominal Organs – Ten-Year Single Center Experience
Acta Clinica Croatica
Endoscopic ultrasound-guided fine needle aspiration
Abdomen – ultrasonography
title Fine Needle Aspiration Cytology of Abdominal Organs – Ten-Year Single Center Experience
title_full Fine Needle Aspiration Cytology of Abdominal Organs – Ten-Year Single Center Experience
title_fullStr Fine Needle Aspiration Cytology of Abdominal Organs – Ten-Year Single Center Experience
title_full_unstemmed Fine Needle Aspiration Cytology of Abdominal Organs – Ten-Year Single Center Experience
title_short Fine Needle Aspiration Cytology of Abdominal Organs – Ten-Year Single Center Experience
title_sort fine needle aspiration cytology of abdominal organs ten year single center experience
topic Endoscopic ultrasound-guided fine needle aspiration
Abdomen – ultrasonography
url https://hrcak.srce.hr/file/237747
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