COMPARISON OF FINE NEEDLE ASPIRATION CYTOLOGY AND NEEDLE CORE BIOPSY IN THE DIAGNOSIS OF RADIOLOGICALLY DETECTED LIVER MASSES
Abstract
Patients with radiologically detected liver masses can be managed by accurate diagnosis via percutaneous tissue sampling. For purpose of percutaneous tissue sampling two methods are commonly used: 1) fine needle aspiration cytology (FNAC) and 2) needle core biopsy (NCB).
Both methods have their advantages and limitations. For lesions which are deeply situated FNA is usually preferred. 1
Cytological samples can be readily examined after staining and provisional reporting can be done immediately.
Histological samples can preserve tissue architecture and may be helpful for further tissue subtyping and immunohistochemistry.
There is wide range of variation and discrepancies in diagnostic sensitivities of FNA and NCB, due to that reason some authors suggest that only NCB used be used. 2 -6
We have comparedsensitivity of FNA and NCB in 100 radiologically detected liver masses undergoing radiology guided tissue sampling in our hospital.
Keywords
Full Text:
PDFReferences
ORELL SR, STERRETT GF, WALTERS MNI, et al. Manual and atlas of fine needle aspiration cytology, 3rd ed. London: Churchill Livingstone, 1999:267–90.
PITMAN MB. Fine needle aspiration biopsy of the liver. Principal diagnostic challenges. Clin Lab Med 1998;18:483–506.
FORNARI F, CIVARDI G, CAVANNA L, et al. Ultrasonically guided fine-needle aspiration biopsy: a highly diagnostic procedure for hepatic tumors. Am J Gastroenterol 1990;85:1009–13.
JACOBSEN GK, GAMMELGAARD J, FUGLO M. Coarse needle biopsy versus fine needle aspiration biopsy in the diagnosis of focal lesions of the liver. Ultrasonically guided needle biopsy in suspected hepatic malignancy. Acta Cytol 1983;27:152–6.
BEDENNE L, MOTTOT C, COURTOIS B, et al. L’aiguille tru-cut est-elle plus efficace que l’aiguille fine dans le diagnostic des lesions hepatiques? Gastroenterol Clin Biol 1990;14:62–6.
LIVRAGHI T, SANGALLI G, GIORDANO, et al. Fine needle aspiration versus fine cutting needle, and comparison between smear cytology, inclusion cytology and microhistology in abdominal lesions. Tumori 1988;74:361–4.
ANDERSSON T., ERIKSSON B., WILANDER E. & OBERG K.: Percutaneous ultrasonography-guided cutting biopsy from liver metastases of endocrine gastrointestinal tumors. Ann. Surg. 206 (1987), 728.
BURBANK E, KAYE K., BELVILLE J., EKUAN J. & BLUMENFELD M.: Image-guided automated core biopsies of the breast, chest, abdomen, and pelvis. Radiology 191 (1994), 165.
ELVIN A., ANDERSSON T., SCHEIBENFLUG L. & LINDGREN P. G.: Biopsy of the pancreas with a biopsy gun. Radiology 176 (1990), 677.
JAEGER H. J., MAcFIE 1., MITCHELL C. J., COUSE N. & WAI D.: Diagnosis of abdominal masses with percutaneous biopsy guided by ultrasound. Br. Med. J. 301 (1990), 1188.
JENNINGS P. E., CORAL A., DONALD 1. J., RODE J. & LEES W R.: Ultrasound guided core biopsy. Lancet 1 (1989), 1369.
LINDGREN P. G.: Percutaneous needle biopsy. A new technique. Acta RadioL 23 (1982), 653.
MOULTON J. S. & MOORE P. T: Coaxial percutaneous biopsy technique with automated biopsy devices. Value in improving accuracy and negative predictive value. Radiology 186 (1993),515.
PARKER S. H., HOPPER K. D., YAKES W E, GIBSON M. D., OWNBEY J. L. & CARTER T E.: Image-directed percutaneous biopsies with a biopsy gun. Radiology 171 (1989),663.
JACOBSEN GK, GAMMELGAARD J, FUGLO M. Coarse needle biopsy versus fine needle aspiration biopsy in the diagnosis of focal lesions of the liver. Ultrasonically guided needle biopsy in suspected hepatic malignancy. Acta Cytol 1983;27:152–6.
BEDENNE L, MOTTOT C, COURTOIS B, et al. L’aiguille tru-cut est-elle plus efficace que l’aiguille fine dans le diagnostic des lesions hepatiques? Gastroenterol Clin Biol 1990;14:62–6.
LIVRAGHI T, SANGALLI G, GIORDANO, et al. Fine needle aspiration versus fine cutting needle, and comparison between smear cytology, inclusion cytology and microhistology in abdominal lesions. Tumori 1988;74:361–4.
COCHOND-PRIOLLET B, CHAGNON S, FERRAND J, et al. Comparison of cytologic examination of smears and histologic examination of tissue cores obtained by fine needle aspiration biopsy of the liver. Acta Cytol 1987;31:476–80.
LIN BPC, CHU JMG, ROSE RA. Ultrasound guided fine needle biopsy of the liver for cytology and histology. Australas Radiol 1991;35:33-7.
SOLMI L, MURATORI R, BACCHINI P, et al. Comparison between echo-guided fine-needle aspiration cytology and microhistology in diagnosing pancreatic masses. Surg Endosc 1992;6:222–4.
MOULTON JS, MOORE PT. Coaxial percutaneous biopsy technique with automated biopsy devices: value in improving accuracy and negative predictive value. Radiology 1993;186:515–22.
TIKKAKOSKI T, PAIVANSALO M, SINILUOTO T, et al. Percutaneous ultrasound-guided biopsy. Fine needle biopsy, cutting needle biopsy, or both? Acta Radiol 1993;34:30–4.
DUSENBERY D, FERRIS JV, THAETE FL, et al. Percutaneous ultasound-guided needle biopsy of hepatic mass lesions using a cytohistologic approach. Comparison of two needle types. Am J Clin Pathol 1995;104:583–7.
NYMAN RS, CAPPELEN-SMITH J, BRISMAR J, et al. Yield and complications in ultrasound guided biopsy of abdominal lesions. Comparison of fine needle aspiration biopsy and 1.2-mm needle core biopsy using an automated gun. Acta Radiol 1995;36:485–90.
DAVID O, GREEN L, REDDY V, et al. Pancreatic masses: a multi-institutional study of 364 fine-needle aspiration biopsies with histopathologic correlation. Diagn Cytopathol 1998;19:423–7.
NOBREGA J, DOS SANTOS G. Aspirative cytology with fine-needle in the abdomen, retroperitoneum and pelvic cavity: a seven year experience of the Portugese Institute of Oncology, Center of Porto. Eur J Surg Oncol 1994;20:37–42.
CIVARDI G, FORNARI F, CAVANNA L, et al. Value of rapid staining and assessment of ultrasound-guided fine needle aspiration biopsies. Acta Cytol 1988;32:552–4.
TSOU MH, LIN YM, LIN KJ, et al. Fine needle aspiration cytodiagnosis of liver tumors. Results obtained with Riu’s stain. Acta Cytol 1998;42:1359–64.
KERN WH, HABER H. Fine needle aspiration minibiopsies. Acta Cytol 1986;30:403–8.
TSANG P, GREENEBAUM E, STARR G, et al. Image-directed percutaneous biopsy with large-core needles. Comparison of cytologic and histologic findings. Acta Cytol 1995;39:753–8.
JACOBSEN GK, GAMMELGAARD J, FUGLO M. Coarse needle biopsy versus fine needle aspiration biopsy in the diagnosis of focal lesions of the liver. Ultrasonically guided needle biopsy in suspected hepatic malignancy. Acta Cytol 1983;27:152–6.
LIVRAGHI T, SANGALLI G, GIORDANO, et al. Fine needle aspiration versus fine cutting needle, and comparison between smear cytology, inclusion cytology and microhistology in abdominal lesions. Tumori 1988;74:361–4.
SOLMI L, MURATORI R, BACCHINI P, et al. Comparison between echo-guided fine-needle aspiration cytology and microhistology in diagnosing pancreatic masses. Surg Endosc 1992;6:222–4.
MOULTON JS, MOORE PT. Coaxial percutaneous biopsy technique with automated biopsy devices: value in improving accuracy and negative predictive value. Radiology 1993;186:515–22.
DUSENBERY D, FERRIS JV, THAETE FL, et al. Percutaneous ultasound-guided needle biopsy of hepatic mass lesions using a cytohistologic approach. Comparison of two needle types. Am J Clin Pathol 1995;104:583–7.
Refbacks
- There are currently no refbacks.