Diagnosis and subclassification of thymoma by minimally invasive fine needle aspiration directed by endobronchial ultrasound: a review and discussion of four cases

Cytopathology ◽  
2012 ◽  
Vol 23 (4) ◽  
pp. 220-228 ◽  
Author(s):  
M. T. Moonim ◽  
R. Breen ◽  
B. Gill-Barman ◽  
G. Santis
Keyword(s):  
Minimally Invasive ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Endobronchial Ultrasound ◽  
Fine Needle

scholarly journals Utility of endobronchial ultrasound-guided-fine-needle aspiration and additional value of cell block in the diagnosis of mediastinal granulomatous lymphadenopathy

CytoJournal ◽  
2015 ◽  
Vol 12 ◽  
pp. 20 ◽  
Author(s):  
Shaesta Naseem Zaidi ◽  
Emad Raddaoui
Keyword(s):  
Minimally Invasive ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Histological Diagnosis ◽  
Endobronchial Ultrasound ◽  
Mediastinal Lymphadenopathy ◽  
Invasive Technique ◽  
Cell Block ◽  
Ultrasound Guided ◽  
Fine Needle

Background: Endobronchial ultrasound-guided transbronchial fine-needle aspiration is a minimally invasive technique for diagnosis of mediastinal lesions. Although most studies have reported the utility of EBUS-FNA in malignancy, its use has been extended to the benign conditions as well. Objective: To evaluate the diagnostic yield and cytologic accuracy of endobronchial ultrasound-guided transbronchial fine-needle aspiration (EBUS-FNA) in cases of clinically and radiologically suspected granulomatous diseases. Patients and Method: From May 2010 to April 2015, 43 of 115 patients who underwent EBUS-FNA at one center for radiologically and clinically suspicious granulomatous lesions, and with no definite histological diagnosis, were included in this retrospective study. Results: When the histological diagnosis was taken as the gold standard, the sensitivity of EBUS-FNA was 85% and specificity was 100% with the positive predictive value of 100. The combined diagnostic sensitivity of EBUS-FNA and transbronchial lung biopsy was 100%. In 4 cases, cell block provided an exclusive morphological diagnosis of sarcoidosis which was noncontributory by EBUS-FNA. Conclusion: Our study supports the use of EBUS-FNA, by virtue of being a safe, minimally invasive, and an outpatient procedure, in the diagnosis of granulomatous mediastinal lymphadenopathy, thereby obviating more invasive testing in a significant number of patients. Also, cell block provides additional data in the diagnosis in these benign mediastinal diseases.

Minimally Invasive Mediastinal Staging of Non–Small-Cell Lung Cancer: Emphasis on Ultrasonography-Guided Fine-Needle Aspiration

2014 ◽  
Vol 21 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Cynthia L. Harris ◽  
Eric M. Toloza ◽  
Jason B. Klapman ◽  
Shivakumar Vignesh ◽  
Kathryn Rodriguez ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Minimally Invasive ◽  
Small Cell Lung Cancer ◽  
Cell Lung Cancer ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Small Cell ◽  
Small Cell Lung ◽  
Fine Needle ◽  
Mediastinal Staging

scholarly journals Utility and diagnostic accuracy of endobronchial ultrasound-guided transbronchial fine-needle aspiration cytology of mediastinal lesions: Saudi Arabian experience

CytoJournal ◽  
2014 ◽  
Vol 11 ◽  
pp. 19 ◽  
Author(s):  
Emad Raddaoui ◽  
Esam H Alhamad ◽  
Shaesta Naseem Zaidi ◽  
Fatmah F Al-Habeeb ◽  
Maha Arafah
Keyword(s):  
Fine Needle Aspiration ◽  
Mediastinal Mass ◽  
Needle Aspiration ◽  
Histological Diagnosis ◽  
Endobronchial Ultrasound ◽  
Ultrasound Guided ◽  
Predictive Values ◽  
Fine Needle ◽  
Nodular Lesions

Objective: The objective of this study is to evaluate the cytological accuracy of endobronchial ultrasound-guided transbronchial fine-needle aspiration (EBUS-TFNA) of the mediastinal mass/nodular lesions. Study Design: Over 3½ years from inception at King Khalid University Hospital, a retrospective analysis of the cytological diagnoses of all the EBUS-TFNA procedures performed in 80 patients who had mediastinal mass/nodular enlargement. Cytology results were reviewed and correlated with the histologic follow-up. Results: Of the 80 patients who underwent EBUS-TFNA, 15 cases (18.75%) were positive for malignancy, 48 cases (60%) negative for malignancy and 17 cases (21.25%) unsatisfactory. Of the 48 cases, which were negative for malignancy, 24 (50%) cases were of granulomatous inflammation. The overall diagnostic yield of our EBUS-TFNA specimen was 78.75%. Forty-seven cases (58.75%) of 80 cases had histological follow-up biopsies. Among them, 32 cases (68%) had the same cytological and histological diagnosis and 15 cases (31.09%) had discordance between the cytology and the follow-up histological diagnosis. The sensitivity, specificity, and positive and negative predictive values for diagnosing granulomas by EBUS-TFNA are 77%, 82%, 83%, and 75% and for diagnosing malignancy are 71%, 100%, 100%, and 82%, respectively. Conclusion: Preliminary results show that cytological samples obtained through EBUS-TFNA are accurate and specific in making a diagnosis of the mediastinal mass/nodular lesions. Its optimum use depends on the effective collaboration between the cytotechnologist, pathologist, and the bronchoscopist.

Surgical Improvement of Breast Abscess in Lactating Mothers

2021 ◽  
Vol 15 (10) ◽  
pp. 3450-3451
Author(s):  
Khenpal Das ◽  
Jabeen Atta ◽  
Zubair Yousfani ◽  
Sajida Asghar ◽  
Ghullamullah Rind ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Minimally Invasive Procedures ◽  
Invasive Procedures ◽  
Ultrasound Guided ◽  
Fine Needle ◽  
Lactating Mothers ◽  
Operative Recovery ◽  
Puerperal Mastitis

Objective: To examine the overall diagnostic and the surgical outcomes among lactating females of breast abscesses who were treated using minimally invasive procedures. Methods: This descriptive case series study was conducted during the seven months from May 2019 to November 2019. At the general surgery department of Liaquat University of Medical & Health Sciences, Jamshoro, treated 60 lactating female patients with probable breast abscesses, with an age of more than 18 years. Percutaneous drainage insertion and ultrasound guided fine needle aspiration (FNA) were used in the treatment of breast abscesses in a minimally invasive manner. Ultrasound-guided fine needle aspiration was performed during drainage installation, followed by the insertion percutaneously of the ordinary drainage catheter through a prick incision. Data was collected by study proforma and SPSS version 20 was used for the analysis of data. Results: Average age of the females was 40 years. Clinical inflammation like puerperal mastitis was in 24(40%) patients, non-puerperal mastitis was in 27(45%) of the cases and other inflammation like as folliculinids and infected seroma were in 9(15%) patients. Fibrocystic variation was seen in 58 percent of the participants. 67 percent of non-puerperal mastitis patients had fibrocystic variations, 17 percent of puerperal mastitis patients had fibrocystic variations, and 56 percent of the other patients with other inflammatory forms had fibrocystic variations. Early problems occurred in 12 of every 60 patients (20%) whose are treated using minimally invasive procedures. Conclusion: As per study conclusion, fine needle aspiration (FNA) as per ultrasound guidance minimally invasive therapy combined with antibiotic treatment was observed to be the effective treatment approach for breast abscesses, and it is also a feasible and safe in terms of less post-operative recovery duration, complications, and hospital stay. Keywords: lactating mothers, Abscess, breast, surgery

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