FINE-NEEDLE ASPIRATION BIOPSY OF VERTEBRAL BODY LESIONS - CYTOLOGIC, PATHOLOGICAL, AND CLINICAL CORRELATIONS OF 57 CASES

被引:22
作者
CARSON, HJ [1 ]
CASTELLI, MJ [1 ]
REYES, CV [1 ]
GATTUSO, P [1 ]
机构
[1] LOYOLA UNIV,MED CTR,DEPT PATHOL,CYTOL SECT,MAYWOOD,IL 60153
关键词
FINE-NEEDLE ASPIRATION BIOPSY; VERTEBRAL BODY; MALIGNANCY; OSTEOMYELITIS;
D O I
10.1002/dc.2840110407
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
We reviewed 57 cases of fine-needle aspiration biopsy (FNAB) specimens of vertebral body lesions at our institutions and sought correlations between clinical histories, aspirates, and tissue specimens. Patients' ages ranged from 10-86 yr (mean 62 yr). Previous clinical histories included malignancy (n = 33), osteomyelitis or systemic infection (n = 18), and nonspecific (n = 6). FNAB diagnoses were rendered in 81% of cases (n = 46) and were correlated with previous clinical history (P < 0.004). Tissue diagnoses were also correlated with previous clinical history (P < 0.02). In 19% of cases (n = 11), FNAB was unsatisfactory; of these, tissue specimens were diagnostic for five cases. In 19% of cases (n = II), both aspirates and tissue specimens were available, and the diagnoses coincided in all cases; tissue specimens did not enhance the results of aspirates which produced positive results. Aspirates which showed normal bone marrow elements appeared to effectively rule-out metastatic malignancy based on clinical follow-up (mean 3.7 yr). (C) 1994 Wiley-Liss, Inc.
引用
收藏
页码:348 / 351
页数:4
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