Nóbrega J, dos Santos G
Department of Diagnostic Imaging, Portuguese Institute of Oncology, Oporto Regional Centre, Portugal.
Eur J Surg Oncol. 1994 Feb;20(1):37-42.
A review was made of 236 fine-needle aspiration cytologies (FNAC), guided by ultrasound, computerized tomography or fluoroscopy, performed in the abdomen, retroperitoneum and pelvic cavity. Seventy-three FNAC were from the liver, 41 from the kidneys, 30 from the pelvic cavity, 26 from the retroperitoneum, 24 from the peritoneal cavity, 13 from the pancreas, 11 from the adrenal glands, nine from the abdominal wall, seven from the spleen and two from the digestive tract. The total accuracy rate was 90%, ranging from 77% in the abdominal wall lesions to 100% in the splenic lesions. Indications for FNAC and results are discussed as well as the accuracy rate obtained with different guiding modalities. We conclude considering FNAC a safe, unexpensive and reliable method to confirm the diagnosis of malignant lesions in the abdomen, retroperitoneum and pelvic cavity.
回顾了236例在超声、计算机断层扫描或荧光透视引导下对腹部、腹膜后和盆腔进行的细针穿刺细胞学检查（FNAC）。73例FNAC来自肝脏，41例来自肾脏，30例来自盆腔，26例来自腹膜后，24例来自腹腔，13例来自胰腺，11例来自肾上腺，9例来自腹壁，7例来自脾脏，2例来自消化道。总准确率为90%，范围从腹壁病变的77%到脾脏病变的100%。讨论了FNAC的适应证、结果以及不同引导方式的准确率。我们认为FNAC是一种安全、廉价且可靠的方法，可用于确诊腹部、腹膜后和盆腔的恶性病变。
