Journal of Cytology
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Year : 1996  |  Volume : 13  |  Issue : 1  |  Page : 31-34

Cytologic diagnosis of malignant tumours of pelvic bones by fine needle aspiration biopsy

1 Department of Cytopathoiogy, S. V.S. Marwari Hospital & Cancer Centret, 118, Raja Ram Mohan Sarani, Calcutta - 700 009, India
2 Department of Orthopaedics, R.G. Kar Medical College and Hospital, 1, Belgachia Road, Calcutta - 700 004, India

Correspondence Address:
Asitava Mondal
D-1, Cluster-1, Purabchal, Salt lake city, Calcutta - 700 091
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Source of Support: None, Conflict of Interest: None

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To avoid the multiple hazards of incisional biopsies in malignant lesions of pelvic bones, needle aspiration cytology (NAC) was utilised as a diagnostic method in 63 malignant lesions of pelvic bones. The various malignant tumours encountered were Ewing's sarcoma, histiocytic lymphoma (Reticulum cell sarcoma), chondrosarcoma, malignant giant cell tumour with bone and soft tissue involvement, fibrosarcoma and metastatic deposits. Such a large series is hardly reported in literature. The diagnostic accuracy was 96.8% with no false positive report or complication. In view of recent advances in treatment of malignant bone tumors with preoperative chemotherapy, radiotherapy and hormone therapy and avoiding pelvic girdle salvage therapy, NAC provides an accurate and quick diagnosis of malignant tumours of pelvic bones with minimal disruption of tumour and surrounding normal tissues and with minimal discomfort to the patient. In presence of trained cytopathologists with adequate background knowledge of orthopaedic oncology, NAC should be routinely practised in all orthopaedic centres.

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