Trucut Biopsy vs FNAC of Pelvic Tumors-Who Wins the Match?
Preoperative pathologic diagnosis of pelvic tumors is mandatory for proper management of patients like neoadjuvant chemotherapy and interval debulking. Currently there are many minimally invasive methods available which include fine-needle aspiration cytology (FNAC) and trucut biopsy, mostly complim...
| Publicado en: | Journal of Cytology Vol. 35; no. 3; pp. 179 - 183 |
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| Autores principales: | , , , |
| Formato: | Journal Article |
| Publicado: |
Wolters Kluwer India Pvt Ltd
Jul-Sep2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130685694&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 130685694 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09709371 58DU jtl: Journal of Cytology issn: 09709371 maglogo: N pubinfo: dt: Jul-Sep2018 vid: 35 iid: 3 pid: 16919 pub: Wolters Kluwer India Pvt Ltd artinfo: ui: 130685694 10.4103/JOC.JOC_63_18 130685694 ppf: 179 ppct: 4 formats: tig: atl: Trucut Biopsy vs FNAC of Pelvic Tumors-Who Wins the Match? aug: au: Kar, Asaranti Satapathy, Bharat Pattnaik, Kaumudee Dash, Prafulla K. affil: Department of Pathology, S.C.B. Medical College, Cuttack, Odisha, India sug: subj: Biopsy, Needle Methods Cytodiagnosis Methods Pelvic Neoplasms Diagnosis Cost Benefit Analysis Sensitivity and Specificity Tomography, X-Ray Computed Anesthesia, Local Patient Safety Necrosis Hemorrhage Ovarian Neoplasms Diagnosis Ultrasonography Methods Pelvic Neoplasms Pathology Neoadjuvant Therapy Methods Pelvic Neoplasms Therapy ab: Preoperative pathologic diagnosis of pelvic tumors is mandatory for proper management of patients like neoadjuvant chemotherapy and interval debulking. Currently there are many minimally invasive methods available which include fine-needle aspiration cytology (FNAC) and trucut biopsy, mostly complimentary to each other. FNAC is a cheap, rapid and sensitive method for diagnosis of pelvic tumors. It can be done as an outpatient procedure without complications. But with it, the tissue architecture cannot be seen. Trucut biopsy on the other hand reveals tissue architecture and can help in grading and subtyping of malignant tumors. Trucut biopsy has to be done under image guidance like ultrasound and computed tomography. Patient is administered local anaesthetic and can be discharged safely after 2 hours. Pathologists familiar with histomorphology can give a correct diagnosis easily. But many times sampling errors may occur; especially in large tumors, resulting only in necrosis, hemorrhage and degenerated tissue bits. Also differentiation of borderline from malignant ovarian tumors is very difficult. In case of mixed tumors one component may be missed. Hard tumors like fibromas and leiomyomas yield scanty material and result in inadequate reporting. With FNAC, the overall accuracy rate is estimated to be around 96.3%. With trucut biopsy, adequacy is from 91 to 95% and accuracy is approximately 98% in different studies. When both methods are combined, the adequacy is 100%, diagnostic accuracy 95.5%, sensitivity 94.9% and specificity 100%. Therefore depending on the clinical diagnosis and the location of tumors, either FNAC and/or trucut biopsy can be chosen. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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