Clinicopathological Correlation of Abdominal Lesions for Assessment of Diagnostic Efficacy of Minimally Invasive Techniques
Journal Title: National Journal of Laboratory Medicine - Year 2016, Vol 5, Issue 4
Abstract
Introduction: Evaluation of abdominal masses may pose difficulty in surgical practice. Distinction between malignant, benign and inflammatory lesions is vital for patient’s management. Hence, use of minimally invasive techniques under radiological guidance with pathological correlation is gaining popularity as a means of diagnosing abdominal lesions. Aim: To assess the pathological spectrum of abdominal lesions and to determine the diagnostic efficacy of minimally invasive techniques. Materials and Methods: Total 102 consecutive patients with clinically or radiologically diagnosed abdominal lesions excluding pelvic masses were evaluated by minimal invasive techniques like direct or guided Fine Needle Aspiration Cytology (FNAC) by 22-24 gauge needle and Tru-cut biopsy (TCB) by Geotex automated gun with 18 gauge needle. Statistical analysis was done by 2x2 contingency table by comparing the test diagnosis with the gold standard diagnosis. Results: Majority (n=32) of lesions were from liver (31.3%) among which metastatic carcinomas were most common followed by primary, next in frequency belonged to gall bladder 17 (16.6%). Among all abdominal lesions, maximum cases were malignant followed by benign and inflammatory. sensitivity, specificity, positive predictive value, negative predictive value and overall diagnostic accuracy of FNAC and TCB were 100% each and 90%, 100%, 100%, 83.3%, 93.3% respectively. No serious complications were observed after these procedures. Conclusion: Minimally invasive techniques are simple, safe and efficient procedures for making an accurate diagnosis in abdominal lesions and helps in choosing the appropriate management.
Authors and Affiliations
Dr. Shiwangi Garg, Dr. Rani Bansal, Dr. Shweta Grover, Dr. Sameer Verma, Dr. Mamta Gupta, Dr. Shefali Verma
Keywords
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- EP ID EP381968
- DOI 10.7860/NJLM/2016/20690.2160
- Views 104
- Downloads 0
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