Fine needle aspiration cytologic diagnosis of gastrointestinal tract lesions. A study of 78 cases.
Seventy-eight cases of gastrointestinal tract lesions were subjected to fine needle aspiration (FNA) cytology over a period of seven years. The age of the patients ranged from 1 to 85 years, and the male:female ratio was 47:31. Specific clinical diagnoses, such as carcinoma, lymphoma and tuberculosis, were offered in 27 cases only. The FNA was ultrasound guided in 52 cases; in 26 cases no imaging aid was available. Ultrasonography revealed that the mass lesions were located in the stomach (4 cases), in various parts of the intestine (46), in bowel/retroperitoneum (1) and in the paraaortic lymph nodes (1). The cytodiagnoses were adenocarcinoma (18 cases), non-Hodgkin's lymphoma (9), leiomyosarcoma (2), suspicious for malignancy (1), tuberculosis (23), nontuberculous infections (7) and inadequate (18). There was a significant difference (P < .05) in the inadequacy rate between ultrasound-guided FNA (15.4%) and nonguided FNA (38.5%).
Das
D K
DK
Institute of Cytology and Preventive Oncology, Maulana Azad Medical College Campus, New Delhi, India.
Pant
C S
CS
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001707:Biopsy, Needle; D002648:Child; D002675:Child, Preschool; D004064:Digestive System / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D005767:Gastrointestinal Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology*; D005770:Gastrointestinal Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D007223:Infant; D007890:Leiomyosarcoma / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D014376:Tuberculosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000473:pathology; D014463:Ultrasonography