Image-Guided Fine Needle Cytology with Aspiration Versus Non-Aspiration in Retroperitoneal Masses: Is Aspiration Necessary?

다국어 초록 (Multilingual 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 (Reference)

1 Jayaram N, "Thyroiditis : thyroid function and cytologic correlation : a study of 66 cases" 13 : 21-24, 1996

2 Pothier DD, "Should we apply suction during fine needle cytology of thyroid lesions? A systematic review and meta-analysis" 88 : 643-645, 2006

3 Kristensen JK, "Percutaneous renal biopsy under the guidance of ultrasound" 8 : 223-226, 1974

4 Jayaram G, "Nonaspiration fine needle cytology in diffuse and nodular thyroid lesions : a study of 220 cases" 35 : 789-790, 1991

5 Santos JE, "Nonaspiration fine needle cytology : application of a new technique to nodular thyroid disease" 32 : 353-356, 1988

6 Renshaw AA, "Fine-needle aspiration of the adult kidney" 81 : 71-88, 1997

7 Mair S, "Fine needle cytology : is aspiration suction necessary? A study of 100 masses in various sites" 33 : 809-813, 1989

8 Hamburger JI, "Fine needle biopsy of thyroid nodules: avoiding the pitfalls" 86 : 241-249, 1986

9 Raghuveer CV, "Fine needle aspiration cytology versus fine needle sampling without aspiration: a prospective study of 200 cases" 56 : 431-439, 2002

10 Pinki P, "Fine needle aspiration cytology versus fine needle capillary sampling in cytological diagnosis of thyroid lesion" 10 : 47-53, 2015

11 Orell SR, "Fine needle aspiration cytology" Elsevier Churchill Livingstone 125-164, 2005

12 Suen KC, "Fine needle aspiration biopsy of the thyroid gland: a study of 304 cases" 36 : 1036-1045, 1983

13 Kate MS, "Evaluation of fine needle capillary sampling in superficial and deep-seated lesions. An analysis of 670 cases" 42 : 679-684, 1998

14 Gadkari RU, "Efficacy of fine needle capillary sampling in the diagnosis of stage III and IV cervical carcinoma" 43 : 114-116, 1999

15 Rajasekhar A, "Diagnostic utility of fine-needle sampling without aspiration : a prospective study" 7 : 473-476, 1991

16 Briffod M, "Cytopuncture in the follow-up of breast carcinoma" 26 : 195-200, 1982

17 Franzen S, "Cytological diagnosis of prostatic tumours by transrectal aspiration biopsy : a preliminary report" 32 : 193-196, 1960

18 Zajdela A, "Cytological diagnosis by fine needle sampling without aspiration" 59 : 1201-1205, 1987

19 Lowhagen T, "Cytologic presentation of thyroid tumors in aspiration biopsy smear. A review of 60 cases" 18 : 192-197, 1974

20 Zajdela A, "Cytologic diagnosis of orbital and periorbital palpable tumors using fine-needle sampling without aspiration" 2 : 17-20, 1986

21 Haddadi-Nezhad S, "Comparison of fine-needle-nonaspiration with fine-needle-aspiration technique in the cytologic studies of thyroid nodules" 14 : 369-373, 2003

22 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" 122 : 266-273, 2014

23 Stewart CJ, "Comparison of fine needle aspiration cytology and needle core biopsy in the diagnosis of radiologically detected abdominal lesions" 55 : 93-97, 2002

24 Kamal MM, "Comparative study of fine needle aspiration and fine needle capillary sampling of thyroid lesions" 46 : 30-34, 2002

25 Martin HE, "Biopsy by needle puncture and aspiration" 92 : 169-181, 1930

26 Ghosh A, "Aspiration vs nonaspiration technique of cytodiagnosis : a critical evaluation in 160 cases" 43 : 107-112, 2000

27 Zajicek J, "Aspiration biopsy of mammary tumors in diagnosis and research: a critical review of 2,200 cases" 11 : 169-175, 1967

28 Rizvi SA, "A comparative study of fine needle aspiration cytology versus non-aspiration technique in thyroid lesions" 3 : 273-276, 2005