Journal of Cytology
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ORIGINAL ARTICLE
Year : 2001  |  Volume : 18  |  Issue : 3  |  Page : 137-141

Guided (US & CT) fine needle aspiration cytology of abdominal masses and spinal lesions


1 Professor, Dept. of Pathology, Govt. Medical College, Nagpur, India
2 Lecturer, Dept. of Pathology, Govt. Medical College, Nagpur, India
3 Associate Profesor, Dept. of Pathology, Govt. Medical College, Nagpur, India
4 Ex-Resident, Dept. of Pathology, Govt. Medical College, Nagpur, India

Correspondence Address:
Suprita P Nayak
58, Nehru Nagar, Khamla Road, Nagpur-15
India
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Source of Support: None, Conflict of Interest: None


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114 guided fine-needle aspirations were performed in 80 cases of abdominal masses and 34 spinal lesions. Of these, while 73 were US-guided, 41 were CT-guided. Adequate material for cytologic interpretation was obtained in 90.35% aspirates, of which 82.7% were malignant, 4.8% benign, 3.8% were suspicious of malignancy and 8.7% were inflammatory in nature. Liver was the commonest intra-abdominal organ to be aspirated (48.75%). Metastatic deposits were the most commonly detected conditions in both intra-abdominal masses and spinal lesions. Tuberculosis was an important non-neoplastic cause for both intra-abdominal masses (40%) as well as spinal lesions (55.56%). An overall accuracy of 93.2% was achieved by radiologically guided FNAB, with a sensitivity of 94.38% anda specificity of 85.71%. No major complications occured during the study. Guided precutaneous FNAC is a very valuable tool in terms of a higher degree of both accuracy and adequacy, with a low incidence of complications.


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