Diagnosis of deep pelvic masses on a gynaecology service: Trans-vaginal ultrasound-guided needle aspiration of pelvic solid and cystic lesions

Ram Eitan*, Yoav Peled, Gad Sabah, Haim Krissi, Avi Ben Haroush, Israel Meizner, David Danon, Ron Bardin, Ariella Jakobson-Setton, Liat Salzer, Reuven Mashiach

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: Women with undiagnosed pelvic lesions are often referred for evaluation and treatment. Transvaginal ultrasound-guided fine needle aspiration (TVUS-FNA) biopsy can assist in making management decisions. We describe our experience with this modality. Methods: We performed a retrospective chart review of all women who had a TVUS-FNA biopsy between January 2004 and December 2014. Charts were reviewed for clinicopathologic information. The pathologic results of the TVUS-FNA were compared with the final diagnosis. Results: Fifty-nine women underwent TVUS-FNA; the median age was 66 years (range 27–85). Thirty-three lesions were evaluated by fine-needle aspiration biopsy of the solid structure and 26 by aspiration of fluid for cytology. Pathologic feasibility rate was 88% (52/59). Of those with evaluable tissue, the sensitivity of the procedure was 100% and the specificity 92%. Considering the seven inconclusive results, the procedure had sensitivity of 88% (29/33) and specificity of 88% (23/26). Overall accuracy of TVUS-FNA for this patient cohort was 85%. No patient characteristics were found to distinguish between accurate and inaccurate or inconclusive TVUS-FNA result. No complications were noted. Conclusions: TVUS-FNA offers an excellent modality for the diagnosis and management of deep pelvic lesions otherwise not amenable for histologic evaluation.

Original languageEnglish
Pages (from-to)197-200
Number of pages4
JournalAustralian and New Zealand Journal of Obstetrics and Gynaecology
Volume57
Issue number2
DOIs
StatePublished - 1 Apr 2017

Keywords

  • biopsy
  • cytology
  • pathology
  • pelvic lesion
  • ultrasound guided

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