The cytologic examination of cystic fluid obtained by ultrasound-guided biopsy in the evaluation of pelvic masses, has been suggested by many authors in order to improve the diagnostic accuracy of ultrasound; nevertheless the indications of aspiration biopsy as well as the diagnostic accuracy achieved are still not well defined and give rise to much controversy. Aim of this study was to compare cytological findings obtained in a group of patients submitted to fine needle aspiration prior to laparotomy. One hundred and twenty-seven patients were selected for ultrasound-guided aspiration based on one or more of the following criteria: mean diameter of cyst 30 mm or more, presence of clinical symptoms, disturbance of ovarian function, cyst persisting more than two months. Among them, 30 patients with simple cyst and 40 patients with complex cyst had surgery after fine needle biopsy. Cytological findings were confirmed in 92.5% of cases, the comparison of outcomes demonstrated two false negative in patients with simple cyst (6.6%), and two false negatives in patients with complex cyst (5%); moreover in the complex cyst group, two false positives (5%) were also identified. In our opinion the indications of this technique should be confined to a few selected cases: simple or biloculated cysts in premenopausal women, temporary delay of surgery, pre-surgical evaluation in young women, any case in which surgical contraindication exist.
|Translated title of the contribution||Diagnostic value of fine needle aspiration in the evaluation of ovarian masses|
|Number of pages||4|
|Journal||Giornale Italiano di Ultrasonologia|
|Publication status||Published - 1995|
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging