3.Significance of Diagnosis of Soft Tissue and Bone Tumor Utilizing the Fine Needle Aspiration, Cell Blocks, and Franklin-Silverman Biopsy Needle: A Comparative Study of Three Different Methods
Kee Yong HA ; In Young OK ; Myung Sang MOON ; Sang In SHIM
The Journal of the Korean Orthopaedic Association 1982;17(1):29-35
In general, soft tissue and bone tumors are diagnosed clinically by physical findings, laboratory data, and X-ray findings with only limited reliability, and a definite diagnosis must be supported by histopathological evidence. For this purpose, open biopsy routinely has been carried out, but there have been many disadvantages and sometimes followed by surgical complications. The present study was undertaken to compare the cytologic findings of soft tissue and bone lesions with the histological findings. The specimen were obtained by fine needle aspiration and Franklin-Silverman needle. For cytodiagnosis Stormby's cell block of aspirates were utilized. For histological diagnosis small tissue fragments obtained by the Franklin-Silvermans cutting needle were used. Then, the diagnostic accuracy of 3 different methods were compared, and the clinical applicability of those methods as adjunctive diagnostic procedures in the diagnosis of the soft tissue and bone tumors were assessed. The results obtained were as follows: l. In 15 out of the 20 cases (75%) in which clinically and roentgenologically the soft tissue and bone tumors were suspected, sufficient material was aspirated to enable detailed cytological diagnosis possible by fine needle aspiration. ln 13 out of the 15 cases, diagnosis could be made by cytologic findings, which was similar to histologic findings of tissue obtained by Franklin-Silverman needle. 2. In 6 out of the 20 cases, sufficient tissue fluid for cell block preparation were obtained from the tumor tissues. In 5 cases, cytologic findings of cell blocks were consistent with that ot the tissue obtained by Silverman needle. But in one case malignancy was susupected by cytodiagnostic method, and definite diagnosis could not be made. Finally the lesion was found to be malignant schwannoma through the histological study of tissue specimen obtained by Franklin-Silverman needle biopsy. 3. In 19 out of the 20 cases, diagnosis could be made by Franklin-Silverman needle biopsy. 4. Diagnostic accuracy of the lesions by clinical and roentgenological method was 75%, which overall diagnostic accuracy of 3 methods were 86.7% in aspiration cytology, 83.3% in cytodiagosis of cell block and 95% of histodiagnosis of tissue specimen obtained by Franklin-Silverman needle. Through this study it is found that cytodiagnostic method of aspirates and histodiagnosis of the small tissue specimen by Franklin-Silverman needle are very useful adjunctive methods in enhancing the diagnostic accuracy of the soft tissue and bone lesion prior to open biopsy trial.
Biopsy
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Biopsy, Fine-Needle
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Biopsy, Needle
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Cytodiagnosis
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Diagnosis
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Methods
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Needles
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Neurilemmoma
4.Thyroid Fine-Needle Aspiration Practice in the Philippines.
Journal of Pathology and Translational Medicine 2017;51(6):555-559
Fine-needle aspiration (FNA) is a well accepted initial approach in the management of thyroid lesions. It has come a long way since its introduction for nearly a century ago. In the Philippines, FNA of the thyroid was first introduced 30 years ago and has been utilized until now as a mainstay in the diagnosis of thyroid malignancy. The procedure is performed by pathologists, endocrinologists, surgeons, and radiologists. Most pathologists report the cytodiagnosis using a combination of the aspiration biopsy cytology method that closely resembles the histopathologic diagnosis of thyroid disorders and the six-tier nomenclature of The Bethesda System for Reporting Thyroid Cytopathology. Local endocrinologists and surgeons follow the guidelines of the 2015 American Thyroid Association in the management of thyroid disorders. There is still a paucity of local research studies but available data deal with cytohistologic correlations, sensitivity, specificity, and accuracy rates as well as usefulness of ultrasound-guided FNA. Cytohistologic correlations have a wide range of sensitivity from 30.7% to 73% and specificity from 83% to 100%. The low sensitivity can be attributed to poor tissue sampling since a majority of the thyroid FNA is done by palpation only. The reliability can be improved if FNA is guided by ultrasound as attested in both international and local studies. Overall, FNA of the thyroid has enabled the diagnosis of thyroid disorders with an accuracy of 72.8% to 87.2% and it correlates well with histopathology.
Biopsy, Fine-Needle*
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Biopsy, Needle
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Cytodiagnosis
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Diagnosis
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Methods
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Palpation
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Philippines*
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Sensitivity and Specificity
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Surgeons
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Thyroid Gland*
;
Ultrasonography
5.Fine Needle Aspiration Cytology of Anaplastic Carcinoma with Osteoclastlike Giant Cells of the Thyroid.
Ji Shin LEE ; Hyang Mi KO ; Min Cheol LEE ; Chang Soo PARK ; Sang Woo JUHNG
Korean Journal of Cytopathology 1994;5(2):172-175
Anaplastic carcinoma of the thyroid is one of the most malignant tumors and survival for longer than three years after diagnosis is exceptional. Multinucleated giant cells of osteoclastlike appearances are seen in some of the anaplastic carcinoma, but only three cases in which the diagnosis was made by fine needle aspiration(FNA) cytology are reported in the international literature. We experienced a case of anaplastic carcinoma with osteoclastlike giant cells in a 66-yr-old female, diagnosed by FNA cytology. The smears revealed two cell populations; multinucleated giant cells and large polygonal or spindle shaped malignant cells. The FNA cytodiagnosis of anaplastic thyroid carcinoma containing osteoclastilke giant cells was substantiated by subsequent biopsy.
Biopsy
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Biopsy, Fine-Needle*
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Carcinoma*
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Cytodiagnosis
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Diagnosis
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Female
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Giant Cells*
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Humans
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Needles
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Thyroid Gland*
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Thyroid Neoplasms
6.Importance of cytopathology.
Chinese Journal of Pathology 2009;38(12):799-805
8.Two Cases of Retinoblastoma Diagnosed by Fine needle Aspiration Biopsy.
Jeong Seok KOH ; Dong Gyu CHOI ; Won Ki LEE ; Ha Kyoung KIM
Journal of the Korean Ophthalmological Society 1996;37(12):2153-2159
Retinoblastoma is a highly malignant intraocular tumor of childhood that requires accurate diagnosis and prompt treatment. The diagnosis of retinoblastoma is based on the fundus finding and noninvasive radiologic evaluation, but sometimes retinoblastoma is clinically misdiagnosed as nonneoplastic lesion such as Coats' disease, persistent hyperplastic primary vitreous, toxocariasis and old retinal detachment and sometimes vice versa. We performed fine needle aspiration biopsies in two cases, in whom retinoblastoma or Coats' disease was suspected but there was diagnostic uncertainty on fundus finding, orbit CT or MRI. The cytologic diagnosis of two cases was retinoblastoma. And after enucleation final histopathologic diagnosis correlated with the cytodiagnosis. We think that fine needle aspiration biopsy may be helpful in establishing the diagnosis in difficult cases of childhood leukocoria including retionblastoma.
Biopsy*
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Biopsy, Fine-Needle*
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Cytodiagnosis
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Diagnosis
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Magnetic Resonance Imaging
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Orbit
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Persistent Hyperplastic Primary Vitreous
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Retinal Detachment
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Retinoblastoma*
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Toxocariasis
;
Uncertainty
9.Cytopathology in China.
Chinese Journal of Pathology 2005;34(10):625-627
10.Diagnostic accuracy of Conventional Cervical Cytology (papanicolau smear), Liquid Based Cytology (LBC) and Visual Inspection with Acetic Acid (VIA) in detecting premalignant and malignant cervical lesions among Filipino women in a tertiary hospital
Roxanne Uy Rivera ; Jennifer O. Madera
Philippine Journal of Obstetrics and Gynecology 2019;43(2):22-33
Objective:
Cervical cancer screening can reduce both the incidence and mortality rates of the disease. This study aimed to assess the diagnostic accuracy of conventional cytology, liquid based cytology and visual inspection with acetic acid in detecting pre-malignant and malignant cervical lesions.
Methods:
There were 249 patients who participated in the study. Of these, 6/249 (2.4%) turned out positive in papsmear, 7/249 (2.8%) turned out positive in liquid based cytology while 23/249 (9.2%) turned out positive in visual inspection with acetic acid. Colposcopic guided cervical biopsy was done on all 249 patients to confirm the results.
Results:
Fourteen turned out positive for cervical intraepthelial neoplasia, 1 patient had carcinoma in situ and 1 was positive for squamous cell carcinoma.
Conclusion
Among the three screening tests, VIA appears to be the most accurate, followed by liquid based cytology as compared to the conventional papsmear.
Vaginal Smears
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Cytology
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Cytodiagnosis