Fine needle aspiration cytology of ovarian lesions.
OBJECTIVE
To assess the diagnostic value of fine needle aspiration cytology (FNAC) in ovarian lesions.


METHODS
Sixty-two fine needle aspirations of varied ovarian masses were performed between January 2000 and February 2003. Aspiration material was obtained from fresh tissues at the time of frozen section before dissection of the specimens. The slides were evaluated by a pathologist who was blinded to the gross findings and histopathologic diagnosis.


RESULTS
A total of 62.9% of cases were assessed as malignant and 30.6% as benign. Two false positive and 2 false negative cases occurred. In our series the overall sensitivity and specificity were 95.1% and 90.4%, respectively. Seven benign and 15 malignant lesions could be subclassified specifically.


CONCLUSIONS
We studied excised specimens, but since ovarian masses are reachable by laparoscopically and ultrasonographically guided aspiration, FNAC can be used for diagnoses of these lesions. If a multidisciplinary approach can be carried out in patients with ovarian lesions, cytopathologic interpretation can provide optimum benefits.
Uguz
Aysun
A
Department of Pathology, Cukurova University School of Medicine, Adana, Turkey. aysunuz@yahoo.com
Ersoz
Canan
C
Bolat
Filiz
F
Gokdemir
Ayse
A
Vardar
M Ali
MA
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D044963:Biopsy, Fine-Needle / Q000592:standards / Q000706:statistics & numerical data; D002277:Carcinoma / Q000473:pathology; D003951:Diagnostic Errors / Q000517:prevention & control / Q000706:statistics & numerical data*; D018450:Disease Progression; D004847:Epithelial Cells / Q000473:pathology; D005188:False Negative Reactions; D005189:False Positive Reactions; D005260:Female; D006801:Humans; D008875:Middle Aged; D009369:Neoplasms / Q000473:pathology; D010051:Ovarian Neoplasms / Q000473:pathology*; D010053:Ovary / Q000473:pathology*; D011237:Predictive Value of Tests; D011446:Prospective Studies