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Rishav Kumar Jain 1 Article
Image-Guided Fine Needle Cytology with Aspiration Versus Non-Aspiration in Retroperitoneal Masses: Is Aspiration Necessary?
Rajiv Kumar Misra, Shaila Mitra, Rishav Kumar Jain, Shilpa Vahikar, Archana Bundela, Purak Misra
J Pathol Transl Med. 2015;49(2):129-135.   Published online March 12, 2015
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AbstractAbstract PDF
Although using fine needle cytology with aspiration (FNC-A) for establishing diagnoses in the retroperitoneal region has shown promise, there is scant literature supporting a role of non-aspiration cytology (FNC-NA) for this region. We assessed the accuracy and reliability of FNC-A and FNC-NA as tools for preoperative diagnosis of retroperitoneal masses and compared the results of both techniques with each other and with histopathology. Methods: Fifty-seven patients with retroperitoneal masses were subjected to FNC-A and FNC-NA. Smears were stained with May-Grunwald Giemsa and hematoxylin and eosin stain. An individual slide was objectively analysed using a point scoring system to enable comparison between FNC-A and FNC-NA. Results: By FNC-A, 91.7% accuracy was obtained in cases of retroperitoneal lymph node lesions followed by renal masses (83.3%). The diagnostic accuracy of other sites by FNC-A varied from 75.0%–81.9%. By FNC-NA, 93.4% diagnostically accurate results were obtained in the kidney, followed by 75.0% in adrenal masses. The diagnostic accuracy of other sites by FNC-NA varied from 66.7%–72.8%. Conclusions: Although both techniques have their own advantages and disadvantages, FNC-NA may be a more efficient adjuvant method of sampling in retroperitoneal lesions.


Citations to this article as recorded by  
  • A comparison of cytologic quality in fine‐needle specimens obtained with and without aspiration from superficial lymph nodes in the dog
    V. Karakitsou, M. M. Christopher, E. Meletis, P. Kostoulas, D. Pardali, C. K. Koutinas, M. E. Mylonakis
    Journal of Small Animal Practice.2022; 63(1): 16.     CrossRef
  • A comparison of cytological quality between fine‐needle aspiration and non‐aspiration techniques for obtaining ultrasound‐guided samples from canine and feline lymph nodes
    James Whitlock, Olivier Taeymans, Paola Monti
    Veterinary Record.2021;[Epub]     CrossRef
  • A randomised controlled comparison of aspiration and non-aspiration fine-needle techniques for obtaining ultrasound-guided cytological samples from canine livers
    K.L. Fleming, E.J. Howells, E.J. Villiers, T.W. Maddox
    The Veterinary Journal.2019; 252: 105372.     CrossRef
  • Minimally invasive biopsy in retroperitoneal tumors (Review)
    Radu Marcu, Camelia Diaconu, Traian Constantin, Bogdan Socea, Florentina Ionita‑Radu, Dan Mischianu, Ovidiu Bratu
    Experimental and Therapeutic Medicine.2019;[Epub]     CrossRef
  • For diagnosis of liver masses, fine-needle aspiration versus needle core biopsy: which is better?
    Liye Suo, Ruby Chang, Vijayalakshmi Padmanabhan, Shilpa Jain
    Journal of the American Society of Cytopathology.2018; 7(1): 46.     CrossRef
  • Fine needle aspiration in retroperitoneal lesions
    Parikshaa Gupta, Arvind Rajwanshi, Raje Nijhawan, Radhika Srinivasan, Nalini Gupta, Uma Nahar Saikia, Pranab Dey
    APMIS.2017; 125(1): 16.     CrossRef

JPTM : Journal of Pathology and Translational Medicine