title: Utility of ultrasound-guided fine-needle aspiration in splenic lesions.
abstract: Indications of fine-needle aspiration (FNA) of spleen have increased as more splenic lesions are detected because of advanced imaging techniques. A retrospective analysis of cytological material of 36 patients on whom ultrasound-guided splenic FNA was performed was done. No complications were noted. There were 16 inflammatory lesions, 12 neoplastic and 8 cases were reported as descriptive either because of scant cellularity, blood only, or normal splenic cytology. Inflammatory lesions included nine cases of acute abscess, five cases of tuberculosis, and one case each of leishmaniasis and infarct. Neoplastic lesions included two benign (benign cyst and inflammatory pseudotumor) and 10 malignant lesions. Among malignant lesions, eight were non-Hodgkin lymphoma (NHL), one suspicious of NHL, and one desmoplastic small round cell tumor. FNA proved to be an effective procedure for reaching a microscopic tissue diagnosis and thus a splenectomy could be avoided in cases where it was not required.
authors.affiliation: Department of Pathology, Government Medical College & Hospital, Chandigarh, India.
authors.forename: Uma
authors.initials: U
authors.lastname: Handa
authors.forename: Avani
authors.initials: A
authors.lastname: Tiwari
authors.forename: Niti
authors.initials: N
authors.lastname: Singhal
authors.forename: Harsh
authors.initials: H
authors.lastname: Mohan
authors.forename: Ravinder
authors.initials: R
authors.lastname: Kaur
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000379:methods*; D005260:Female; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013158:Splenic Diseases / Q000000981:diagnostic imaging* / Q000473:pathology*; D013160:Splenic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology; D055815:Young Adult