Image-Guided Fine Needle Cytology with Aspiration Versus Non-Aspiration in Retroperitoneal Masses: Is Aspiration Necessary?
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Background: Although using fine needle cytology with aspiration (FNC-A) for establishing diagnoses in the retroperitoneal region has shown promise, there is scant literature supporting a role of non-aspiration cytology (FNC-NA) for this region. We assessed the accuracy and reliability of FNC-A and FNC-NA as tools for preoperative diagnosis of retroperitoneal masses and compared the results of both techniques with each other and with histopathology. Methods: Fifty-seven patients with retroperitoneal masses were subjected to FNC-A and FNC-NA. Smears were stained with May-Grunwald Giemsa and hematoxylin and eosin stain. An individual slide was objectively analysed using a point scoring system to enable comparison between FNC-A and FNC-NA. Results: By FNC-A, 91.7% accuracy was obtained in cases of retroperitoneal lymph node lesions followed by renal masses (83.3%). The diagnostic accuracy of other sites by FNC-A varied from 75.0%–81.9%. By FNC-NA, 93.4% diagnostically accurate results were obtained in the kidney, followed by 75.0% in adrenal masses. The diagnostic accuracy of other sites by FNC-NA varied from 66.7%–72.8%. Conclusions: Although both techniques have their own advantages and disadvantages, FNC-NA may be a more efficient adjuvant method of sampling in retroperitoneal lesions.
Abstract
Background: Although using fine needle cytology with aspiration (FNC-A) for establishing diagnoses in the retroperitoneal region has shown promise, there is scant literature supporting a role of non-aspiration cytology (FNC-NA) for this region. We assessed the accuracy and reliability of FNC-A and FNC-NA as tools for preoperative diagnosis of retroperitoneal masses and compared the results of both techniques with each other and with histopathology. Methods: Fifty-seven patients with retroperitoneal masses were subjected to FNC-A and FNC-NA. Smears were stained with May-Grunwald Giemsa and hematoxylin and eosin stain. An individual slide was objectively analysed using a point scoring system to enable comparison between FNC-A and FNC-NA. Results: By FNC-A, 91.7% accuracy was obtained in cases of retroperitoneal lymph node lesions followed by renal masses (83.3%). The diagnostic accuracy of other sites by FNC-A varied from 75.0%–81.9%. By FNC-NA, 93.4% diagnostically accurate results were obtained in the kidney, followed by 75.0% in adrenal masses. The diagnostic accuracy of other sites by FNC-NA varied from 66.7%–72.8%. Conclusions: Although both techniques have their own advantages and disadvantages, FNC-NA may be a more efficient adjuvant method of sampling in retroperitoneal lesions.
참고문헌 (28)
- Briffod M, "Cytopuncture in the follow-up of breast carcinoma", Acta Cytol, 26, pp.195~200 (1982)
- Zajdela A, "Cytologic diagnosis of orbital and periorbital palpable tumors using fine-needle sampling without aspiration", Diagn Cytopathol, 2, pp.17~20 (1986)
- Martin HE, "Biopsy by needle puncture and aspiration", Ann Surg, 92, pp.169~181 (1930)
- Mair S, "Fine needle cytology : is aspiration suction necessary? A study of 100 masses in various sites", Acta Cytol, 33, pp.809~813 (1989)
- Orell SR, "Fine needle aspiration cytology", pp.125~164 (2005), Elsevier Churchill Livingstone
- Franzen S, "Cytological diagnosis of prostatic tumours by transrectal aspiration biopsy : a preliminary report", Br J Urol, 32, pp.193~196 (1960)
- Zajicek J, "Aspiration biopsy of mammary tumors in diagnosis and research: a critical review of 2,200 cases", Acta Cytol, 11, pp.169~175 (1967)
- Kate MS, "Evaluation of fine needle capillary sampling in superficial and deep-seated lesions. An analysis of 670 cases", Acta Cytol, 42, pp.679~684 (1998)
- Kamal MM, "Comparative study of fine needle aspiration and fine needle capillary sampling of thyroid lesions", Acta Cytol, 46, pp.30~34 (2002)
- Gadkari RU, "Efficacy of fine needle capillary sampling in the diagnosis of stage III and IV cervical carcinoma", Acta Cytol, 43, pp.114~116 (1999)
- Pothier DD, "Should we apply suction during fine needle cytology of thyroid lesions? A systematic review and meta-analysis", Ann R Coll Surg Engl, 88, pp.643~645 (2006)
- Suen KC, "Fine needle aspiration biopsy of the thyroid gland: a study of 304 cases", J Clin Pathol, 36, pp.1036~1045 (1983)
- Jayaram N, "Thyroiditis : thyroid function and cytologic correlation : a study of 66 cases", J Cytol, 13, pp.21~24 (1996)
- Raghuveer CV, "Fine needle aspiration cytology versus fine needle sampling without aspiration: a prospective study of 200 cases", Indian J Med Sci, 56, pp.431~439 (2002)
- Pinki P, "Fine needle aspiration cytology versus fine needle capillary sampling in cytological diagnosis of thyroid lesion", Iran J Pathol, 10, pp.47~53 (2015)
- Santos JE, "Nonaspiration fine needle cytology : application of a new technique to nodular thyroid disease", Acta Cytol, 32, pp.353~356 (1988)
- Zajdela A, "Cytological diagnosis by fine needle sampling without aspiration", Cancer, 59, pp.1201~1205 (1987)
- Rajasekhar A, "Diagnostic utility of fine-needle sampling without aspiration : a prospective study", Diagn Cytopathol, 7, pp.473~476 (1991)
- Rizvi SA, "A comparative study of fine needle aspiration cytology versus non-aspiration technique in thyroid lesions", Surgeon, 3, pp.273~276 (2005)
- Haddadi-Nezhad S, "Comparison of fine-needle-nonaspiration with fine-needle-aspiration technique in the cytologic studies of thyroid nodules", Endocr Pathol, 14, pp.369~373 (2003)
- Kristensen JK, "Percutaneous renal biopsy under the guidance of ultrasound", Scand J Urol Nephrol, 8, pp.223~226 (1974)
- Renshaw AA, "Fine-needle aspiration of the adult kidney", Cancer, 81, pp.71~88 (1997)
- Jayaram G, "Nonaspiration fine needle cytology in diffuse and nodular thyroid lesions : a study of 220 cases", Acta Cytol, 35, pp.789~790 (1991)
- Zhou JQ, "Comparison of fine-needle aspiration and fine-needle capillary sampling of thyroid nodules : a prospective study with emphasis on the influence of nodule size", Cancer Cytopathol, 122, pp.266~273 (2014)
- Stewart CJ, "Comparison of fine needle aspiration cytology and needle core biopsy in the diagnosis of radiologically detected abdominal lesions", J Clin Pathol, 55, pp.93~97 (2002)
- Hamburger JI, "Fine needle biopsy of thyroid nodules: avoiding the pitfalls", N Y State J Med, 86, pp.241~249 (1986)
- Lowhagen T, "Cytologic presentation of thyroid tumors in aspiration biopsy smear. A review of 60 cases", Acta Cytol, 18, pp.192~197 (1974)
- Ghosh A, "Aspiration vs nonaspiration technique of cytodiagnosis : a critical evaluation in 160 cases", Indian J Pathol Microbiol, 43, pp.107~112 (2000)