Diagnostic value of image guided fine needle aspiration cytology in assessment of vertebral and paravertebral lesions

Fine needle aspiration cytology (FNAC) of radiologically detected vertebral and paravertebral lesions is now used extensively for diagnosis and further management of patients. In this study, we report our experience with image guided FNAC diagnosis of vertebral and para-vertebral lesions in a total of 150 cases. Out of a total of 150 patients, 34 (22.7%) cases were positive for malignancy, 61 (40.7%) cases were benign non neoplastic lesions, 23 (15.3%) had inadequate/ unsatisfactory material for diagnosis, 31 (20.7%) had normal cellular elements of bone marrow and 1 (0.6%) case was diagnosed as a benign nerve sheath tumour. Radiologically guided FNAC is a simple, cost effective procedure in vertebral and paravertebral lesions.

[1]  S. Raab,et al.  Fine Needle Aspiration Biopsy of Vertebral Lesions , 2004, Acta Cytologica.

[2]  D. Melanson,et al.  Percutaneous aspiration biopsy in cervical spine lytic lesions , 2004, Neuroradiology.

[3]  Y. K. Cheung,et al.  Diagnostic value of image‐guided needle aspiration cytology in the assessment of vertebral and intervertebral lesions , 2002, Diagnostic cytopathology.

[4]  D. Lucas,et al.  Fine-needle aspiration biopsy of vertebral and intervertebral disc lesions: specimen adequacy, diagnostic utility, and pitfalls. , 2001, Archives of pathology & laboratory medicine.

[5]  N. Khandelwal,et al.  CT-Guided Fine-Needle Aspiration Biopsy of Spinal Lesions , 1999, Acta radiologica.

[6]  I. Ramzy,et al.  Fine‐needle aspiration biopsy in the diagnosis and management of bone lesions , 1997, Cancer.

[7]  M. Goel,et al.  Predictive value of fine needle aspiration cytology of bone lesions. , 1997, Acta cytologica.

[8]  P. Gattuso,et al.  Fine‐needle aspiration biopsy of vertebral body lesions: Cytologic, pathologic, and clinical correlations of 57 cases , 1994, Diagnostic cytopathology.

[9]  D. K. Misra,et al.  CT-guided needle aspiration cytology (FNAC) of 112 vertebral lesions. , 1994, Indian journal of pathology & microbiology.

[10]  T. Livraghi,et al.  Lytic bone lesions suspected for metastasis: Ultrasonically guided fine‐needle aspiration biopsy , 1994, Journal of clinical ultrasound : JCU.

[11]  D. Rosenthal,et al.  Percutaneous Needle Biopsy of the Spine , 1992, Spine.

[12]  L. Kindblom,et al.  Fine-needle aspiration biopsy in the preoperative diagnosis of chordoma: a study of 17 cases with application of electron microscopic, histochemical, and immunocytochemical examination. , 1991, Human pathology.

[13]  L. Kindblom,et al.  Light and electron microscopic examination of fine‐needle aspirates in the preoperative diagnosis of osteogenic tumors: A study of 21 osteosarcomas and two osteoblastomas , 1990, Diagnostic cytopathology.

[14]  L. Kindblom,et al.  Light and electron microscopic examination of fine‐needle aspirates in the preoperative diagnosis of cartilaginous tumors , 1990, Diagnostic cytopathology.

[15]  A. Rosenberger,et al.  Fine needle aspiration biopsy of osteolytic metastatic lesions. , 1979, AJR. American journal of roentgenology.

[16]  C. Miller,et al.  Quadriparesis after needle aspiration of the cervical spine. Report of a case. , 1976, The Journal of bone and joint surgery. American volume.