Role of Image-Guided FNAC and Biopsy in Intra-abdominal and Pelvic Masses
Introduction: Intra-abdominal masses present as a conundrum to clinicians. It is essential to determine their pathology before therapy can be instituted. The use of minimally invasive procedures like image-guided Fine Needle Aspiration Cytology (FNAC) and biopsy can help to avoid diagnostic lapa...
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| Format: | Article |
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JCDR Research and Publications Pvt. Ltd.
2021-01-01
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| Series: | National Journal of Laboratory Medicine |
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| Online Access: | http://www.njlm.net/articles/PDF/2449/45365_CE[Ra1]_F(SHU)_PF1(ShG_SHU)_PFA(SHU)_PB(ShG_SHU)_PN(SHU).pdf |
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| author | Vatsala Gupta Suparna Dubey Amit Kumar Gupta Geeta Deshmukh P L Kariholu Rajendra Prasad Tripathi Jyoti Mishra |
| author_facet | Vatsala Gupta Suparna Dubey Amit Kumar Gupta Geeta Deshmukh P L Kariholu Rajendra Prasad Tripathi Jyoti Mishra |
| author_sort | Vatsala Gupta |
| collection | DOAJ |
| description | Introduction: Intra-abdominal masses present as a conundrum
to clinicians. It is essential to determine their pathology before
therapy can be instituted. The use of minimally invasive
procedures like image-guided Fine Needle Aspiration Cytology
(FNAC) and biopsy can help to avoid diagnostic laparotomy
and is especially important for the diagnosis of impalpable and
deep-seated lesions.
Aim: To find out the pathological spectrum of abdomino-pelvic
masses with use of guided FNAC or biopsy.
Materials and Methods: This was a prospective study
conducted over a period of January 2018 to June 2019 in a
Tertiary Care Hospital in Greater Noida. In patients presenting
with intra-abdominal or pelvic masses, detected clinically or
radiologically, image-guided FNAC and/or biopsy was performed
along with standard radiologic examination, and the slides were
examined. Ultrasonography (USG) was used in 56 cases (96.6%)
and Computed Tomography (CT) for the remaining 2 cases. The
results were analysed using descriptive statistics.
Results: The 58 patients presenting with intra-abdomino-pelvic
masses had a mean age of 49 years and consisted of 30 (51.7%)
males. The most common site involved was liver (19 cases, 32.7%)
followed by gastrointestinal tract (7 cases, 12.1%), urinary bladder
(6 cases, 10.3%), gall bladder and ovary (5 cases, 8.6% each),
kidney, prostate, uterus and lymph node (3 cases, 5.2% each)
and miscellaneous abdomino-pelvic masses (4 cases, 6.9%).
Malignant and premalignant lesions were detected in 50 (86.2%)
patients, of which 29 cases (50%) were primary, 20 (34.5%) were
metastatic and 1 (1.72%) was premalignant. Six benign (10.35%)
and 2 non-neoplastic (3.45%) lesions were detected. Malignancies
were found most commonly in the liver, comprising 31.0% of the
study group. Adenocarcinoma was the most commonly detected
primary (15 cases, 25.8%) as well as secondary metastatic
malignancy (12 cases, 20.7%). Radio-pathological correlation was
found to be 79.3% for the study and varied according to the site,
from zero in prostatic lesions to 100% in renal and uterine lesions.
Radiologic concordance was observed in 100% non-neoplastic,
66.7% benign and 72.4% malignant lesions.
Conclusion: Image-guided FNAC and biopsy are simple, rapid
and inexpensive methods of arriving at a definite diagnosis, as
radiology alone proves to be inadequate or erroneous in most
of the cases. |
| first_indexed | 2024-12-16T17:43:22Z |
| format | Article |
| id | doaj.art-9a9b18ef8ab34f72a1df0bf6194a41fb |
| institution | Directory Open Access Journal |
| issn | 2277-8551 2455-6882 |
| language | English |
| last_indexed | 2024-12-16T17:43:22Z |
| publishDate | 2021-01-01 |
| publisher | JCDR Research and Publications Pvt. Ltd. |
| record_format | Article |
| series | National Journal of Laboratory Medicine |
| spelling | doaj.art-9a9b18ef8ab34f72a1df0bf6194a41fb2022-12-21T22:22:32ZengJCDR Research and Publications Pvt. Ltd.National Journal of Laboratory Medicine2277-85512455-68822021-01-01101PO34PO3910.7860/NJLM/2021/45365:2449Role of Image-Guided FNAC and Biopsy in Intra-abdominal and Pelvic MassesVatsala Gupta0Suparna Dubey1Amit Kumar Gupta2Geeta Deshmukh3P L Kariholu4Rajendra Prasad Tripathi5Jyoti Mishra6Postgraduate Student, Department of Pathology, School of Medical Sciences & Research (SMS&R) and Sharda Hospital, Greater Noida, Uttar Pradesh, India.Professor, Department of Pathology, School of Medical Sciences & Research (SMS&R) and Sharda Hospital, Greater Noida, Uttar Pradesh, India.Assistant Professor, Department of Radiology, School of Medical Sciences & Research (SMS&R) and Sharda Hospital, Greater Noida, Uttar Pradesh, India.Professor and Head, Department of Pathology, School of Medical Sciences & Research (SMS&R) and Sharda Hospital, Greater Noida, Uttar Pradesh, India.Professor, Department of Surgery, School of Medical Sciences & Research (SMS&R) and Sharda Hospital, Greater Noida, Uttar Pradesh, India.Professor, Department of Radiology, School of Medical Sciences & Research (SMS&R) and Sharda Hospital, Greater Noida, Uttar Pradesh, India.Associate Professor, Department of Pathology, School of Medical Sciences & Research (SMS&R) and Sharda Hospital, Greater Noida, Uttar Pradesh, India.Introduction: Intra-abdominal masses present as a conundrum to clinicians. It is essential to determine their pathology before therapy can be instituted. The use of minimally invasive procedures like image-guided Fine Needle Aspiration Cytology (FNAC) and biopsy can help to avoid diagnostic laparotomy and is especially important for the diagnosis of impalpable and deep-seated lesions. Aim: To find out the pathological spectrum of abdomino-pelvic masses with use of guided FNAC or biopsy. Materials and Methods: This was a prospective study conducted over a period of January 2018 to June 2019 in a Tertiary Care Hospital in Greater Noida. In patients presenting with intra-abdominal or pelvic masses, detected clinically or radiologically, image-guided FNAC and/or biopsy was performed along with standard radiologic examination, and the slides were examined. Ultrasonography (USG) was used in 56 cases (96.6%) and Computed Tomography (CT) for the remaining 2 cases. The results were analysed using descriptive statistics. Results: The 58 patients presenting with intra-abdomino-pelvic masses had a mean age of 49 years and consisted of 30 (51.7%) males. The most common site involved was liver (19 cases, 32.7%) followed by gastrointestinal tract (7 cases, 12.1%), urinary bladder (6 cases, 10.3%), gall bladder and ovary (5 cases, 8.6% each), kidney, prostate, uterus and lymph node (3 cases, 5.2% each) and miscellaneous abdomino-pelvic masses (4 cases, 6.9%). Malignant and premalignant lesions were detected in 50 (86.2%) patients, of which 29 cases (50%) were primary, 20 (34.5%) were metastatic and 1 (1.72%) was premalignant. Six benign (10.35%) and 2 non-neoplastic (3.45%) lesions were detected. Malignancies were found most commonly in the liver, comprising 31.0% of the study group. Adenocarcinoma was the most commonly detected primary (15 cases, 25.8%) as well as secondary metastatic malignancy (12 cases, 20.7%). Radio-pathological correlation was found to be 79.3% for the study and varied according to the site, from zero in prostatic lesions to 100% in renal and uterine lesions. Radiologic concordance was observed in 100% non-neoplastic, 66.7% benign and 72.4% malignant lesions. Conclusion: Image-guided FNAC and biopsy are simple, rapid and inexpensive methods of arriving at a definite diagnosis, as radiology alone proves to be inadequate or erroneous in most of the cases.http://www.njlm.net/articles/PDF/2449/45365_CE[Ra1]_F(SHU)_PF1(ShG_SHU)_PFA(SHU)_PB(ShG_SHU)_PN(SHU).pdfabdominal massfine needle aspiration cytologyradiologically-guided |
| spellingShingle | Vatsala Gupta Suparna Dubey Amit Kumar Gupta Geeta Deshmukh P L Kariholu Rajendra Prasad Tripathi Jyoti Mishra Role of Image-Guided FNAC and Biopsy in Intra-abdominal and Pelvic Masses National Journal of Laboratory Medicine abdominal mass fine needle aspiration cytology radiologically-guided |
| title | Role of Image-Guided FNAC and Biopsy in Intra-abdominal and Pelvic Masses |
| title_full | Role of Image-Guided FNAC and Biopsy in Intra-abdominal and Pelvic Masses |
| title_fullStr | Role of Image-Guided FNAC and Biopsy in Intra-abdominal and Pelvic Masses |
| title_full_unstemmed | Role of Image-Guided FNAC and Biopsy in Intra-abdominal and Pelvic Masses |
| title_short | Role of Image-Guided FNAC and Biopsy in Intra-abdominal and Pelvic Masses |
| title_sort | role of image guided fnac and biopsy in intra abdominal and pelvic masses |
| topic | abdominal mass fine needle aspiration cytology radiologically-guided |
| url | http://www.njlm.net/articles/PDF/2449/45365_CE[Ra1]_F(SHU)_PF1(ShG_SHU)_PFA(SHU)_PB(ShG_SHU)_PN(SHU).pdf |
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