title: Ultrasound-guided fine needle aspiration cytology of carcinoma involving the intra-abdominal oesophagus.
abstract: Ultrasound-guided fine needle aspiration cytology (FNAC) of carcinoma of the intra-abdominal oesophagus was attempted on 21 patients with a 21 G spinal needle using a percutaneous anterior epigastric approach. The results were compared with those of endoscopic biopsy and brush cytology. The ultrasound-guided FNAC had a positive yield in 20/21 (95.2%) compared with 18/21 (85.7%) for endoscopic biopsy and 18/21 (85.7%) for brush cytology (P greater than 0.59). The combination of US-guided FNAC with endoscopic biopsy and the brush cytology achieved a positive yield in 21/21 (100%) whereas combining endoscopic biopsy and brush cytology produced a positive yield of 19/21 (90.5%). Two patients developed temporary epigastric pain. We recommend US-guided FNAC as a safe and effective technique that can be used alone or as an adjunct to endoscopic procedures for the diagnosis of carcinoma of the intra-abdominal oesophagus.
authors.affiliation: Department of Radiodiagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: K M
authors.initials: KM
authors.lastname: Das
authors.forename: R
authors.initials: R
authors.lastname: Kochhar
authors.forename: N M
authors.initials: NM
authors.lastname: Gupta
authors.forename: A
authors.initials: A
authors.lastname: Rajwanshi
authors.forename: S
authors.initials: S
authors.lastname: Suri
mesh_terms: D000005:Abdomen; D000328:Adult; D000368:Aged; D001707:Biopsy, Needle; D004938:Esophageal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D004945:Esophagoscopy; D004947:Esophagus / Q000000981:diagnostic imaging / Q000473:pathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014463:Ultrasonography