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Aust N Z J Obstet Gynaecol. 2017 Apr;57(2):197-200. doi: 10.1111/ajo.12585. Epub 2017 Mar 2.

Diagnosis of deep pelvic masses on a gynaecology service: Trans-vaginal ultrasound-guided needle aspiration of pelvic solid and cystic lesions.

Author information

1
Gynaecologic Oncology Division, Beilinson Campus, Rabin Medical Center, Petah Tikva, Israel.
2
Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
3
Ultrasound Unit, Beilinson Campus, Rabin Medical Center, Petah Tikva, Israel.

Abstract

OBJECTIVES:

Women with undiagnosed pelvic lesions are often referred for evaluation and treatment. Transvaginal ultrasound-guided fine needle aspiration (TVUS-FNA) biopsy can assist in making management decisions. We describe our experience with this modality.

METHODS:

We performed a retrospective chart review of all women who had a TVUS-FNA biopsy between January 2004 and December 2014. Charts were reviewed for clinicopathologic information. The pathologic results of the TVUS-FNA were compared with the final diagnosis.

RESULTS:

Fifty-nine women underwent TVUS-FNA; the median age was 66 years (range 27-85). Thirty-three lesions were evaluated by fine-needle aspiration biopsy of the solid structure and 26 by aspiration of fluid for cytology. Pathologic feasibility rate was 88% (52/59). Of those with evaluable tissue, the sensitivity of the procedure was 100% and the specificity 92%. Considering the seven inconclusive results, the procedure had sensitivity of 88% (29/33) and specificity of 88% (23/26). Overall accuracy of TVUS-FNA for this patient cohort was 85%. No patient characteristics were found to distinguish between accurate and inaccurate or inconclusive TVUS-FNA result. No complications were noted.

CONCLUSIONS:

TVUS-FNA offers an excellent modality for the diagnosis and management of deep pelvic lesions otherwise not amenable for histologic evaluation.

KEYWORDS:

biopsy; cytology; pathology; pelvic lesion; ultrasound guided

PMID:
28251612
DOI:
10.1111/ajo.12585
[Indexed for MEDLINE]

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