Image guided percutaneous splenic interventions.
OBJECTIVE
The objective of this study is to evaluate the efficacy and safety of image-guided percutaneous splenic interventions as diagnostic or therapeutic procedures.


METHODS
We performed a retrospective review of our interventional records from July 2001 to June 2006. Ninety-five image-guided percutaneous splenic interventions were performed after informed consent in 89 patients: 64 men and 25 women who ranged in age from 5 months to 71 years (mean, 38.4 years) under ultrasound (n=93) or CT (n=2) guidance. The procedures performed were fine needle aspiration biopsy of focal splenic lesions (n=78) and aspiration (n=10) or percutaneous catheter drainage of a splenic abscess (n=7).


RESULTS
Splenic fine needle aspiration biopsy was successful in 62 (83.78%) of 74 patients with benign lesions diagnosed in 43 (58.1%) and malignancy in 19 (25.67%) patients. The most common pathologies included tuberculosis (26 patients, 35.13%) and lymphoma (14 patients, 18.91%). Therapeutic aspiration or pigtail catheter drainage was successful in all (100%) patients. There were no major complications.


CONCLUSIONS
Image-guided splenic fine needle aspiration biopsy is a safe and accurate technique that can provide a definitive diagnosis in most patients with focal lesions in the spleen. This study also suggests that image-guided percutaneous aspiration or catheter drainage of splenic abscesses is a safe and effective alternative to surgery.
Kang
Mandeep
M
Department of Radiodiagnosis, Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India. mandykang2005@yahoo.com
Kalra
Naveen
N
Gulati
Madhu
M
Lal
Anupam
A
Kochhar
Rohit
R
Rajwanshi
Arvind
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D001707:Biopsy, Needle / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D062109:Dermatologic Surgical Procedures; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional / Q000379:methods*; D013154:Spleen / Q000000981:diagnostic imaging* / Q000473:pathology*; D013158:Splenic Diseases / Q000000981:diagnostic imaging* / Q000473:pathology*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods