GERAMIZADEH B, AZIZI A, KUMAR P, FOROOTAN H, RASEKHI A. VALUE OF FINE NEEDLE ASPIRATION IN DIAGNOSING ABDOMINAL AND RETROPERITONEAL MASSES OF CHILDREN. Med J Islam Repub Iran 2004; 18 (1) :29-33
URL:
http://mjiri.iums.ac.ir/article-1-648-en.html
From the Transplant Research Center, Nemazee Hospital. Shiraz University a/Medical Sciences. Shiraz. Iran. , geramib@sums.ac.ir
Abstract: (5377 Views)
The aim of this study was to evaluate the role of fine needle aspiration cytology in
the diagnosis of abdominal and retroperitoneal masses in children on this study. In 53
cases of childhood abdominal and retroperitoneal masses within a 4 year period (1998-
2001) preoperative fine needle aspiration was done under the guide of CT scan. 2
pathologists reviewed fine needle aspiration smears. In all of the cases the gold standard
for diagnosis was the tissue specimen, which showed 37 malignant, 2 benign
neoplastic and 12 nonneoplastic diseases. This study showed that the sensitivity and
specificity of fme needle aspiration cytology for the diagnosis of malignancy and benignity
(positive or negative for malignancy) is 97.2% and 81.2% respectively. It was
100% accurate for the diagnosis of cell type in neuroblastoma-ganglioneuroblastoma,
hepatoblastoma and Wilm's tumor, 77% accurate for lymphoma and 57% for germ cell
tumors. There was no complication in any of the cases after fine needle aspiration. So
fine needle aspiration is a reliable and sensitive method for the preoperative diagnosis
of malignant pediatric abdominal and retroperitoneal masses and we recommend doing
FNA cytology as a routine method for the diagnosis of such cases.