1. The Role of Fine Needle Aspiration of Orbital Lesions: A Case Series
- Author
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Andrew Smith, Davide Leni, Francesco Vacirca, Fabio Pagni, Maria Gabriella Valente, Davide Sozzi, S. Leoni, Marta Jaconi, Ambrogio Brenna, Pagni, F, Jaconi, M, Smith, A, Brenna, A, Valente, M, Leoni, S, Leni, D, Vacirca, F, and Sozzi, D
- Subjects
Adult ,Male ,MED/29 - CHIRURGIA MAXILLOFACCIALE ,Histology ,Adolescent ,Fine needle aspiration ,Pathology and Forensic Medicine ,Diagnosis, Differential ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Orbital Diseases ,medicine ,Humans ,Sampling (medicine) ,Aged ,Retrospective Studies ,Ultrasonography ,Aged, 80 and over ,medicine.diagnostic_test ,business.industry ,Clinicoradiological evaluation, Cytology, Fine needle aspiration, Orbital mass ,Biopsy, Needle ,Ultrasound ,Retrospective cohort study ,Magnetic resonance imaging ,Clinicoradiological evaluation ,General Medicine ,Middle Aged ,Magnetic Resonance Imaging ,MED/08 - ANATOMIA PATOLOGICA ,Fine-needle aspiration ,medicine.anatomical_structure ,Orbital ma ,030220 oncology & carcinogenesis ,030221 ophthalmology & optometry ,Orbital Neoplasms ,Female ,Differential diagnosis ,Cytology ,Tomography, X-Ray Computed ,business ,Nuclear medicine ,Orbit ,Orbit (anatomy) - Abstract
Objective: This paper analyzes a series of ultrasound (US)-guided orbital fine needle aspirations (FNAs) which provide diagnostic information that cytopathologists approaching orbital lesions for the first time can find useful and underlines the importance of teamwork. Study Design: The investigators retrospectively obtained data from 24 consecutive orbital FNAs. For all patients, a complete clinicoradiological database was created. FNAs were performed under US guidance with 25-gauge needles and an aspiration biopsy syringe gun, and sent to the Department of Pathology for examination and data management. Results: The mean age of the patients was 54 years. Imaging studies included US, magnetic resonance imaging and computed tomography scans; 9 lesions involved the right orbit and 15 the left orbit. The mean lesion size was 23.6 ± 7.2 mm. After microscopic examination, 7 smears were labeled as ‘nondiagnostic', while in 17 cases a definitive diagnosis was proposed, which always proved to be correct (70.8%, specificity = 100%). Conclusions: The investigators believe that FNA biopsy of orbital masses is a necessary step; its weaknesses lie in the particularly delicate site of sampling and the extreme heterogeneity of lesions. Nevertheless, when orbital FNA is performed within a well-coordinated multidisciplinary team, it is a powerful tool that can be used to define the most appropriate management of these patients.
- Published
- 2016