Clinicopathological Correlation of Abdominal Lesions for Assessment of Diagnostic Efficacy of Minimally Invasive Techniques
Introduction: Evaluation of abdominal masses may pose difficulty in surgical practice. Distinction between malignant, benign and inflammatory lesions is vital for patient’s management. Hence, use of minimally invasive techniques under radiological guidance with pathological correlation is gaini...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Pvt. Ltd.
2016-10-01
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| Series: | National Journal of Laboratory Medicine |
| Subjects: | |
| Online Access: | http://www.njlm.net/articles/PDF/2160/20690_F(P)_PF1(VsuGH)_PFA(GH)_PF2(VsuGH).pdf |
| _version_ | 1819289264856236032 |
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| author | Shiwangi Garg Rani Bansal Shweta Grover Sameer Verma Mamta Gupta Shefali Verma |
| author_facet | Shiwangi Garg Rani Bansal Shweta Grover Sameer Verma Mamta Gupta Shefali Verma |
| author_sort | Shiwangi Garg |
| collection | DOAJ |
| description | Introduction: Evaluation of abdominal masses may
pose difficulty in surgical practice. Distinction between
malignant, benign and inflammatory lesions is vital for
patient’s management. Hence, use of minimally invasive
techniques under radiological guidance with pathological
correlation is gaining popularity as a means of diagnosing
abdominal lesions.
Aim: To assess the pathological spectrum of abdominal
lesions and to determine the diagnostic efficacy of minimally
invasive techniques.
Materials and Methods: Total 102 consecutive patients
with clinically or radiologically diagnosed abdominal
lesions excluding pelvic masses were evaluated by minimal
invasive techniques like direct or guided Fine Needle
Aspiration Cytology (FNAC) by 22-24 gauge needle and
Tru-cut biopsy (TCB) by Geotex automated gun with
18 gauge needle. Statistical analysis was done by 2x2
contingency table by comparing the test diagnosis with the
gold standard diagnosis.
Results: Majority (n=32) of lesions were from liver (31.3%)
among which metastatic carcinomas were most common
followed by primary, next in frequency belonged to gall
bladder 17 (16.6%). Among all abdominal lesions, maximum
cases were malignant followed by benign and inflammatory.
sensitivity, specificity, positive predictive value, negative
predictive value and overall diagnostic accuracy of FNAC
and TCB were 100% each and 90%, 100%, 100%, 83.3%,
93.3% respectively. No serious complications were
observed after these procedures.
Conclusion: Minimally invasive techniques are simple, safe
and efficient procedures for making an accurate diagnosis
in abdominal lesions and helps in choosing the appropriate
management. |
| first_indexed | 2024-12-24T03:04:05Z |
| format | Article |
| id | doaj.art-6c22918a0c1942998add8b3f62df6e42 |
| institution | Directory Open Access Journal |
| issn | 2277-8551 2455-6882 |
| language | English |
| last_indexed | 2024-12-24T03:04:05Z |
| publishDate | 2016-10-01 |
| publisher | JCDR Research and Publications Pvt. Ltd. |
| record_format | Article |
| series | National Journal of Laboratory Medicine |
| spelling | doaj.art-6c22918a0c1942998add8b3f62df6e422022-12-21T17:18:06ZengJCDR Research and Publications Pvt. Ltd.National Journal of Laboratory Medicine2277-85512455-68822016-10-0154PO01PO0710.7860/NJLM/2016/20690.2160Clinicopathological Correlation of Abdominal Lesions for Assessment of Diagnostic Efficacy of Minimally Invasive TechniquesShiwangi Garg0Rani Bansal1Shweta Grover2Sameer Verma3Mamta Gupta4Shefali Verma5Post Graduate, Department of Pathology, Subharti Medical College, Meerut, UP, India.Professor and Head, Department of Pathology, Subharti Medical College, Meerut, UP, India.Associate Professor, Department of Pathology, Subharti Medical College, Meerut, UP, India.Professor, Department of Radiology, Subharti Medical College, Meerut, UP, India.Associate Professor, Department of Pathology, Subharti Medical College, Meerut, UP, India.Post Graduate, Department of Pathology, Subharti Medical College, Meerut, UP, India.Introduction: Evaluation of abdominal masses may pose difficulty in surgical practice. Distinction between malignant, benign and inflammatory lesions is vital for patient’s management. Hence, use of minimally invasive techniques under radiological guidance with pathological correlation is gaining popularity as a means of diagnosing abdominal lesions. Aim: To assess the pathological spectrum of abdominal lesions and to determine the diagnostic efficacy of minimally invasive techniques. Materials and Methods: Total 102 consecutive patients with clinically or radiologically diagnosed abdominal lesions excluding pelvic masses were evaluated by minimal invasive techniques like direct or guided Fine Needle Aspiration Cytology (FNAC) by 22-24 gauge needle and Tru-cut biopsy (TCB) by Geotex automated gun with 18 gauge needle. Statistical analysis was done by 2x2 contingency table by comparing the test diagnosis with the gold standard diagnosis. Results: Majority (n=32) of lesions were from liver (31.3%) among which metastatic carcinomas were most common followed by primary, next in frequency belonged to gall bladder 17 (16.6%). Among all abdominal lesions, maximum cases were malignant followed by benign and inflammatory. sensitivity, specificity, positive predictive value, negative predictive value and overall diagnostic accuracy of FNAC and TCB were 100% each and 90%, 100%, 100%, 83.3%, 93.3% respectively. No serious complications were observed after these procedures. Conclusion: Minimally invasive techniques are simple, safe and efficient procedures for making an accurate diagnosis in abdominal lesions and helps in choosing the appropriate management.http://www.njlm.net/articles/PDF/2160/20690_F(P)_PF1(VsuGH)_PFA(GH)_PF2(VsuGH).pdffine needle aspiration cytology (fnac)radiologically guidedspace occupying lesions (sol)tru-cut biopsy (tcb) |
| spellingShingle | Shiwangi Garg Rani Bansal Shweta Grover Sameer Verma Mamta Gupta Shefali Verma Clinicopathological Correlation of Abdominal Lesions for Assessment of Diagnostic Efficacy of Minimally Invasive Techniques National Journal of Laboratory Medicine fine needle aspiration cytology (fnac) radiologically guided space occupying lesions (sol) tru-cut biopsy (tcb) |
| title | Clinicopathological Correlation of Abdominal Lesions for Assessment of Diagnostic Efficacy of Minimally Invasive Techniques |
| title_full | Clinicopathological Correlation of Abdominal Lesions for Assessment of Diagnostic Efficacy of Minimally Invasive Techniques |
| title_fullStr | Clinicopathological Correlation of Abdominal Lesions for Assessment of Diagnostic Efficacy of Minimally Invasive Techniques |
| title_full_unstemmed | Clinicopathological Correlation of Abdominal Lesions for Assessment of Diagnostic Efficacy of Minimally Invasive Techniques |
| title_short | Clinicopathological Correlation of Abdominal Lesions for Assessment of Diagnostic Efficacy of Minimally Invasive Techniques |
| title_sort | clinicopathological correlation of abdominal lesions for assessment of diagnostic efficacy of minimally invasive techniques |
| topic | fine needle aspiration cytology (fnac) radiologically guided space occupying lesions (sol) tru-cut biopsy (tcb) |
| url | http://www.njlm.net/articles/PDF/2160/20690_F(P)_PF1(VsuGH)_PFA(GH)_PF2(VsuGH).pdf |
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