title: Diagnosis of deep pelvic masses on a gynaecology service: Trans-vaginal ultrasound-guided needle aspiration of pelvic solid and cystic lesions.
abstract: OBJECTIVE
  Women with undiagnosed pelvic lesions are often referred for evaluation and treatment. Transvaginal ultrasound-guided fine needle aspiration (TVUS-FNA) biopsy can assist in making management decisions. We describe our experience with this modality.
  
  
  METHODS
  We performed a retrospective chart review of all women who had a TVUS-FNA biopsy between January 2004 and December 2014. Charts were reviewed for clinicopathologic information. The pathologic results of the TVUS-FNA were compared with the final diagnosis.
  
  
  RESULTS
  Fifty-nine women underwent TVUS-FNA; the median age was 66 years (range 27-85). Thirty-three lesions were evaluated by fine-needle aspiration biopsy of the solid structure and 26 by aspiration of fluid for cytology. Pathologic feasibility rate was 88% (52/59). Of those with evaluable tissue, the sensitivity of the procedure was 100% and the specificity 92%. Considering the seven inconclusive results, the procedure had sensitivity of 88% (29/33) and specificity of 88% (23/26). Overall accuracy of TVUS-FNA for this patient cohort was 85%. No patient characteristics were found to distinguish between accurate and inaccurate or inconclusive TVUS-FNA result. No complications were noted.
  
  
  CONCLUSIONS
  TVUS-FNA offers an excellent modality for the diagnosis and management of deep pelvic lesions otherwise not amenable for histologic evaluation.
authors.affiliation: Gynaecologic Oncology Division, Beilinson Campus, Rabin Medical Center, Petah Tikva, Israel.|Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Ram
authors.initials: R
authors.lastname: Eitan
authors.affiliation: Gynaecologic Oncology Division, Beilinson Campus, Rabin Medical Center, Petah Tikva, Israel.|Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Yoav
authors.initials: Y
authors.lastname: Peled
authors.affiliation: Gynaecologic Oncology Division, Beilinson Campus, Rabin Medical Center, Petah Tikva, Israel.|Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Gad
authors.initials: G
authors.lastname: Sabah
authors.affiliation: Gynaecologic Oncology Division, Beilinson Campus, Rabin Medical Center, Petah Tikva, Israel.|Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Haim
authors.initials: H
authors.lastname: Krissi
authors.affiliation: Gynaecologic Oncology Division, Beilinson Campus, Rabin Medical Center, Petah Tikva, Israel.|Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Avi Ben
authors.initials: AB
authors.lastname: Haroush
authors.affiliation: Ultrasound Unit, Beilinson Campus, Rabin Medical Center, Petah Tikva, Israel.|Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Israel
authors.initials: I
authors.lastname: Meizner
authors.affiliation: Ultrasound Unit, Beilinson Campus, Rabin Medical Center, Petah Tikva, Israel.|Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: David
authors.initials: D
authors.lastname: Danon
authors.affiliation: Ultrasound Unit, Beilinson Campus, Rabin Medical Center, Petah Tikva, Israel.|Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Ron
authors.initials: R
authors.lastname: Bardin
authors.affiliation: Gynaecologic Oncology Division, Beilinson Campus, Rabin Medical Center, Petah Tikva, Israel.|Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Ariella
authors.initials: A
authors.lastname: Jakobson-Setton
authors.affiliation: Gynaecologic Oncology Division, Beilinson Campus, Rabin Medical Center, Petah Tikva, Israel.|Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Liat
authors.initials: L
authors.lastname: Salzer
authors.affiliation: Ultrasound Unit, Beilinson Campus, Rabin Medical Center, Petah Tikva, Israel.|Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Reuven
authors.initials: R
authors.lastname: Mashiach
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003560:Cysts / Q000175:diagnosis / Q000473:pathology; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000009:adverse effects; D005260:Female; D005833:Genital Neoplasms, Female / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis* / Q000473:pathology; D010386:Pelvic Neoplasms / Q000175:diagnosis* / Q000473:pathology; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D014621:Vagina
keywords: biopsy; cytology; pathology; pelvic lesion; ultrasound guided