Abstract
CT-guided fine-needle puncture (FNP) was carried out in 74 patients with pelvic masses and resulted in a correct diagnosis in 36/45 patients (80%) with malignant disease. FNP was true-positive in 66.7% and false-negative in 20%. In benign and inflammatory pelvic space-occupying lesions, FNP confirmed the suspected CT diagnosis in all cases by cytology and bacteriology. CT-guided puncture should always be used complementary to CT when a mass of unclear etiology is present.
Similar content being viewed by others
References
Angström T, Kjellgren O, Bergman F (1972) The cytologic diagnosis of ovarian tumors by means of aspiration biopsy. Acta Cytologica 16:336–341
Ferrucci JT Jr, Wittenberg J (1978) CT biopsy of abdominal tumors: Aids for lesion localization. Radiology 129:739–744
Ferrucci JT, Wittenberg J, Margolies MN, Carey RW (1979) Malignant seeding of the tract after thin-needle aspiration biopsy. Radiology 130:345–346
Graham D, Sanders RC (1982) Ultrasound-directed transvaginal aspiration biopsy of pelvic masses. J Ultrasound Med 1:279–280
Pardes JG, Schneider M, Koizumi J, Engel IA, Auh YH, Rubenstein W (1986) Percutaneous needle biopsy of deep pelvic masses: A posterior approach. Cardiovasc Intervent Radiol 9:65–68
Triller J, Kraft R, Marincek B (1982) Computertomographisch gezielle Feinnadelaspirationspunktion pelviner Raumforderungen. Fortschr Roentgenstr 137:422–427
Adler OB, Engel A (1987) CT-guided transgluteal fine needle aspiration biopsy. Eur J Radiol 7:101–102
Haaga JR, Alfidi RJ (1976) Precise biopsy localization by computed tomography. Radiology 118:603–607
Steiner E, Mueller PR, Simeone JF, Saini S, Hahn PF, Ferrucci JT Jr (1987) Transcystic biopsy: A new approach to posterior pelvic lesions. AJR 149:93–95
Evans WK, Ho CS, McLoughlin MJ, Tao LC (1981) Fatal necrotizing pancreatitis following fine-needle aspiration biopsy of the pancreas. Radiology 141:61–62
Mueller PR, Wittenberg J, Ferrucci JT, Jr (1981) Fine needle aspiration biopsy of abdominal masses. Semin Roentgenol 16:52–61
Nash JD, Burke TW, Woodward JE, Hall KL, Weiser EB, Heller PB (1988) Diagnosis of recurrent gynecologic malignancy with fine-needle aspiration cytology. Obstet Gynecol 71:333–337
Jaques PF, Staab E, Richey W, Photopulos G, Swanton M (1978) CT-assisted pelvic and abdominal aspiration biopsies in gynecological malignancy. Radiology 128:651–655
Edeiken-Monroe BS, Zornoza J (1982) Carcinoma of the cervix: Percutaneous lymph node aspiration biopsy. AJR 138:655–657
Ferrucci JT, Wittenberg J, Mueller PR, Simeone JF, Harbin WP, Kirkpatrick RH, Taft PD (1980) Diagnosis of abdominal malignancy by radiologic fine-needle aspiration biopsy. AJR 134:323–330
Berger H, Permanetter W, Steiner W, Markl A (1988) Feinnadel- und Schneidebiopsietechnik in der perkutanen Punktion abdomineller Raumforderungen. Radiologe, 28:265–268
Ewing TL, Buchler DA, Hoogerland DL, Sonek MG, Writanen GW (1982) Percutaneous lymph node aspiration in patients with gynecologic tumors. Am J Obstet Gynecol 143:824–828
Zelas P, Haaga JR, Fazio VW (1980) The diagnosis by percutaneous biopsy with computed tomography of a recurrence of carcinoma of the rectum in the pelvis. Surg Gynecol Obstet 151:525–527
Wittich GR Sonographic versus computed tomographic guidance for percutaneous needle puncture. Semin Intervent Radiol 3∶254–263
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Triller, J., Maddern, G., Kraft, P. et al. CT-guided biopsy of pelvic masses. Cardiovasc Intervent Radiol 14, 63–68 (1991). https://doi.org/10.1007/BF02635533
Issue Date:
DOI: https://doi.org/10.1007/BF02635533