Fine needle aspiration cytology of lesions of liver and gallbladder: An analysis of 400 consecutive aspirations
Background: Patients presenting with mass lesions of liver and gallbladder are a common occurrence in a cancer hospital in north central part of India. Fine-needle aspiration cytology (FNAC) serves as first line of pathological investigations, but there are pros and cons involved. Aim: The main obj...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Journal of Cytology |
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| Online Access: | http://www.jcytol.org/article.asp?issn=0970-9371;year=2014;volume=31;issue=1;spage=20;epage=24;aulast=Barbhuiya |
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| author | Mustafa Barbhuiya Shushruta Bhunia Manisha Kakkar Braj Shrivastava Pramod K Tiwari Sanjiv Gupta |
| author_facet | Mustafa Barbhuiya Shushruta Bhunia Manisha Kakkar Braj Shrivastava Pramod K Tiwari Sanjiv Gupta |
| author_sort | Mustafa Barbhuiya |
| collection | DOAJ |
| description | Background: Patients presenting with mass lesions of liver and gallbladder are a common occurrence in a cancer hospital in north central part of India. Fine-needle aspiration cytology (FNAC) serves as first line of pathological investigations, but there are pros and cons involved.
Aim: The main objective of the present study was to establish adequacy of the procedure and to find out diagnostic pitfalls. An attempt was made to analyze inconclusive and inadequate aspirations.
Materials and Methods: A total of 400 consecutive fine-needle aspirates of liver, belonging to 328 cases over a period of 2 years, were analyzed. Hematoxylin and eosin and May-Grόnwald-Giemsa stains were used. Chi-square test was carried out to compare significant degree of difference in different kind of diagnosis.
Results: Out of 400 aspirations, 289 (72.2%) were adequate, 75 (18.7%), inconclusive and 36 (9%), inadequate. Among positive aspirations the most common was metastatic adenocarcinoma, 128 (44.2%). The positive diagnosis and adequate aspirations were significantly high (P < 0.0001). Major differential diagnostic problems were: Distinguishing the poorly differentiated hepatocellular carcinoma from the metastatic adenocarcinoma; and leukemia/lymphoma from other malignant round cell tumors. Common diagnostic pitfalls were repeated aspirations from the necrotic area and aspiration of atypical, disorganized and reactive hepatocytes, adjacent to a metastasis. No complications were observed.
Conclusion: FNAC can be used successfully for the diagnosis of liver and gallbladder lesions, thus avoiding open biopsy. Study indicates the potential of using FNAC in clinical intervention where the incidence of gall-bladder and liver cancer is very high and open biopsy and surgery are not an option. |
| first_indexed | 2024-12-14T10:29:24Z |
| format | Article |
| id | doaj.art-f3e499e93fec4ab4bdc28cff9d095a6c |
| institution | Directory Open Access Journal |
| issn | 0970-9371 |
| language | English |
| last_indexed | 2024-12-14T10:29:24Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Cytology |
| spelling | doaj.art-f3e499e93fec4ab4bdc28cff9d095a6c2022-12-21T23:06:12ZengWolters Kluwer Medknow PublicationsJournal of Cytology0970-93712014-01-01311202410.4103/0970-9371.130634Fine needle aspiration cytology of lesions of liver and gallbladder: An analysis of 400 consecutive aspirationsMustafa BarbhuiyaShushruta BhuniaManisha KakkarBraj ShrivastavaPramod K TiwariSanjiv GuptaBackground: Patients presenting with mass lesions of liver and gallbladder are a common occurrence in a cancer hospital in north central part of India. Fine-needle aspiration cytology (FNAC) serves as first line of pathological investigations, but there are pros and cons involved. Aim: The main objective of the present study was to establish adequacy of the procedure and to find out diagnostic pitfalls. An attempt was made to analyze inconclusive and inadequate aspirations. Materials and Methods: A total of 400 consecutive fine-needle aspirates of liver, belonging to 328 cases over a period of 2 years, were analyzed. Hematoxylin and eosin and May-Grόnwald-Giemsa stains were used. Chi-square test was carried out to compare significant degree of difference in different kind of diagnosis. Results: Out of 400 aspirations, 289 (72.2%) were adequate, 75 (18.7%), inconclusive and 36 (9%), inadequate. Among positive aspirations the most common was metastatic adenocarcinoma, 128 (44.2%). The positive diagnosis and adequate aspirations were significantly high (P < 0.0001). Major differential diagnostic problems were: Distinguishing the poorly differentiated hepatocellular carcinoma from the metastatic adenocarcinoma; and leukemia/lymphoma from other malignant round cell tumors. Common diagnostic pitfalls were repeated aspirations from the necrotic area and aspiration of atypical, disorganized and reactive hepatocytes, adjacent to a metastasis. No complications were observed. Conclusion: FNAC can be used successfully for the diagnosis of liver and gallbladder lesions, thus avoiding open biopsy. Study indicates the potential of using FNAC in clinical intervention where the incidence of gall-bladder and liver cancer is very high and open biopsy and surgery are not an option.http://www.jcytol.org/article.asp?issn=0970-9371;year=2014;volume=31;issue=1;spage=20;epage=24;aulast=BarbhuiyaCytology liver; fine-needle aspiration cytology; gall-bladder carcinoma; hepatocellular carcinoma; liver metastasis |
| spellingShingle | Mustafa Barbhuiya Shushruta Bhunia Manisha Kakkar Braj Shrivastava Pramod K Tiwari Sanjiv Gupta Fine needle aspiration cytology of lesions of liver and gallbladder: An analysis of 400 consecutive aspirations Journal of Cytology Cytology liver; fine-needle aspiration cytology; gall-bladder carcinoma; hepatocellular carcinoma; liver metastasis |
| title | Fine needle aspiration cytology of lesions of liver and gallbladder: An analysis of 400 consecutive aspirations |
| title_full | Fine needle aspiration cytology of lesions of liver and gallbladder: An analysis of 400 consecutive aspirations |
| title_fullStr | Fine needle aspiration cytology of lesions of liver and gallbladder: An analysis of 400 consecutive aspirations |
| title_full_unstemmed | Fine needle aspiration cytology of lesions of liver and gallbladder: An analysis of 400 consecutive aspirations |
| title_short | Fine needle aspiration cytology of lesions of liver and gallbladder: An analysis of 400 consecutive aspirations |
| title_sort | fine needle aspiration cytology of lesions of liver and gallbladder an analysis of 400 consecutive aspirations |
| topic | Cytology liver; fine-needle aspiration cytology; gall-bladder carcinoma; hepatocellular carcinoma; liver metastasis |
| url | http://www.jcytol.org/article.asp?issn=0970-9371;year=2014;volume=31;issue=1;spage=20;epage=24;aulast=Barbhuiya |
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