title: Minimally invasive anterior orbitotomy biopsy: finger's aspiration cutter technique (FACT).
abstract: OBJECTIVE
  To evaluate aspiration cutter-assisted small-incision anterior orbitotomy.
  
  
  METHODS
  Three patients with orbital adnexal tumors underwent orbital biopsy through a 3-mm incision in the eyelid skin (n = 2) or conjunctival fornix (n = 1). Standard aspiration cutters were introduced into anterior and posterior orbital tumors utilizing a bimanual technique. Multiple passes were made into the tumor. Fresh specimens were analyzed for adequacy prior to the end of surgery. Cytopathology, histopathology, and immunohistochemical analysis were performed.
  
  
  RESULTS
  Aspiration cutter technique biopsies were diagnostic in 2 of 3 cases. Diagnoses were orbital lymphoma, metastatic endometrial adenocarcinoma, and metastatic prostate cancer. The 20-G aspiration cutter yielded the most tissue. No sutures were required for the small incisions.
  
  
  CONCLUSIONS
  Sutureless, aspiration cutter biopsy offered benefits commonly associated with fine needle aspiration biopsy, controlled aspiration, and enclosed mechanical cutting.
authors.affiliation: The New York Eye Cancer Center, New York, New York, USA.
authors.forename: Paul T
authors.initials: PT
authors.lastname: Finger
mesh_terms: D000230:Adenocarcinoma / Q000378:metabolism / Q000556:secondary / Q000601:surgery*; D000369:Aged, 80 and over; D014408:Biomarkers, Tumor / Q000378:metabolism; D001707:Biopsy, Needle / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008223:Lymphoma / Q000378:metabolism / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D009363:Neoplasm Proteins / Q000378:metabolism; D013508:Ophthalmologic Surgical Procedures; D009915:Orbit / Q000601:surgery*; D009918:Orbital Neoplasms / Q000378:metabolism / Q000473:pathology / Q000556:secondary / Q000601:surgery*; D049268:Positron-Emission Tomography; D011446:Prospective Studies; D011471:Prostatic Neoplasms / Q000378:metabolism / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014594:Uterine Neoplasms / Q000378:metabolism / Q000473:pathology
chemical_list: D014408:Biomarkers, Tumor; D009363:Neoplasm Proteins