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Transvaginal fine needle aspiration biopsy.
L R Ylagan1, D G Mutch, R M Dávila
1Department of Pathology, Washington University Medical Center, St. Louis, Missouri 63110, USA.
Acta Cytologica
|December 1, 2001
Summary
Transvaginal fine needle aspiration biopsy (FNAB) effectively evaluates palpable gynecologic masses, showing 100% specificity and 88% sensitivity. This minimally invasive procedure aids in diagnosing pelvic and vaginal tumors.
Area of Science:
- Gynecologic Oncology
- Surgical Pathology
- Cytopathology
Background:
- Palpable gynecologic masses require accurate diagnostic evaluation.
- Transvaginal fine needle aspiration biopsy (FNAB) is a minimally invasive technique.
- Assessing the utility of FNAB in this context is crucial for patient management.
Purpose of the Study:
- To evaluate the diagnostic role of transvaginal fine needle aspiration biopsy (FNAB).
- To determine the effectiveness of FNAB in assessing palpable gynecologic masses.
Main Methods:
- Retrospective review of 22 transvaginal FNAB cases from 1994-1999.
- Histologic correlation and clinical follow-up were utilized for diagnosis verification.
- Pathologic samples were reviewed by two pathologists.
Main Results:
- Cytologic diagnoses included negative for malignancy (10), positive for malignancy (9), and unsatisfactory (3).
- Histologic correlation or follow-up was available for 77% of cases.
- One false negative and no false positive results were reported, yielding 100% specificity and 88% sensitivity.
Conclusions:
- Transvaginal FNAB is a valuable tool for evaluating palpable pelvic and vaginal masses.
- The procedure demonstrates high accuracy in diagnosing gynecologic abnormalities.