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Fine needle aspiration biopsy in malignant obstructive jaundice
Gastrointestinal Radiology
|January 1, 1986
Summary
Percutaneous cytodiagnosis aids in planning therapy for biliary tract obstruction. This minimally invasive technique accurately diagnoses malignancy, including bile duct and pancreatic cancers, with a low complication rate.
Area of Science:
- Interventional Radiology
- Oncology
- Gastroenterology
Background:
- Biliary tract obstruction presents diagnostic challenges.
- Accurate diagnosis is crucial for effective therapeutic planning.
- Percutaneous cytodiagnosis offers a minimally invasive approach.
Purpose of the Study:
- To evaluate the utility of percutaneous cytodiagnosis in patients with biliary tract obstruction.
- To determine the sensitivity of radiologic biopsy in diagnosing malignancy.
- To present a scheme for biliary cytodiagnosis.
Main Methods:
- 121 patients underwent percutaneous transhepatic cholangiography and biliary drainage.
- 45 patients had fine needle aspiration biopsies.
- Diagnostic accuracy was compared to surgical biopsy.
Main Results:
- Malignant obstruction was diagnosed in 41 of 45 patients.
- Neoplasia was detected in 12/13 bile duct carcinoma, 16/22 pancreatic cancer, and 3/6 other malignancies.
- Radiologic biopsy sensitivity was comparable to surgical biopsy.
Conclusions:
- Percutaneous cytodiagnosis is a useful tool for diagnosing malignancy in biliary tract obstruction.
- The presented scheme optimizes diagnostic approaches for pancreatic and bile duct cancers.
- The procedure demonstrates high utility and a low complication rate.