Academic Journal
Role of Image-Guided FNAC and Biopsy in Intra-abdominal and Pelvic Masses
| العنوان: | Role of Image-Guided FNAC and Biopsy in Intra-abdominal and Pelvic Masses |
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| المؤلفون: | Vatsala Gupta, Suparna Dubey, Amit Kumar Gupta, Geeta Deshmukh, P L Kariholu, Rajendra Prasad Tripathi, Jyoti Mishra |
| المصدر: | National Journal of Laboratory Medicine, Vol 10, Iss 1, Pp PO34-PO39 (2021) |
| بيانات النشر: | JCDR Research and Publications Pvt. Ltd., 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Microbiology LCC:Chemistry |
| مصطلحات موضوعية: | abdominal mass, fine needle aspiration cytology, radiologically-guided, Microbiology, QR1-502, Chemistry, QD1-999 |
| الوصف: | 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. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2277-8551 2455-6882 |
| Relation: | http://www.njlm.net/articles/PDF/2449/45365_CE[Ra1]_F(SHU)_PF1(ShG_SHU)_PFA(SHU)_PB(ShG_SHU)_PN(SHU).pdf; https://doaj.org/toc/2277-8551; https://doaj.org/toc/2455-6882 |
| DOI: | 10.7860/NJLM/2021/45365:2449 |
| URL الوصول: | https://doaj.org/article/9a9b18ef8ab34f72a1df0bf6194a41fb |
| رقم الانضمام: | edsdoj.9a9b18ef8ab34f72a1df0bf6194a41fb |
| قاعدة البيانات: | Directory of Open Access Journals |
| تدمد: | 22778551 24556882 |
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| DOI: | 10.7860/NJLM/2021/45365:2449 |