Combined CT guided tru-cut biopsy and imprint cytology in the diagnosis of bone tumors and tumor like lesions

Authors

  • Moothiringode Chitrabhanu Savithri Associate Professor, Department of Pathology, Amala Institute of Medical Sciences Amalanagar, Thrissur Kerala ,India. Pin 680555 http://orcid.org/0000-0002-1580-5851
  • Kanjirakkad Kavitha Associate Professor, Department of Pathology, Amala Institute of Medical Sciences Amalanagar, Thrissur Kerala ,India. Pin 680555
  • Dominic Puthoor Department of Orthopedics, Amala Institute of Medical Sciences Amalanagar, Thrissur Kerala ,India. Pin 680555

DOI:

https://doi.org/10.3126/ajms.v7i6.13310

Keywords:

Bone lesions, Imprint cytology, Tru-cut biopsy

Abstract

Background: Bone lesions are often histologically  heterogenous. The advantage of tru-cut biopsies in this context is that they provide a safe and accurate biopsy technique that can be performed in less specialized centers.  In this series we found combination of biopsy and cytology helpful in diagnosing bone lesions. However clinical picture and radiologic features are vital in arriving at a final diagnosis.

Aims and Objective: 1) To assess the diagnostic accuracy of combined CT guided tru-cut biopsy and imprint cytology  in the diagnosis of bone tumors and tumor like lesions. 2)To analyze the spectrum of different bone lesions.

Materials and Methods: 108 consecutive cases of bone lesions for which CT guided  tru-cut biopsy and imprint cytology were done between June 2010 and april 2012 were retrospectively studied. Both smears and biopsies were categorized into five groups.Correlation between biopsy and cytology were also evaluated.

Results: Total number of cases were 108 of which 8 cases were inconclusive . In 100 cases a useful opinion could be given. There were 36 cases of primary bone tumors, 13 cases of plasma cell neoplasms, 42 metastatic tumors, 9 non neoplastic lesions and 8 inconclusive cases. 

Conclusion: Preliminary diagnosis of bone lesions before definitive therapy helps to avoid unnecessary surgical procedures. Tru cut biopsies supplemented by imprint cytology can provide definitive diagnosis in majority of cases.

Asian Journal of Medical Sciences Vol.7(6) 2016 40-42

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Author Biography

Moothiringode Chitrabhanu Savithri, Associate Professor, Department of Pathology, Amala Institute of Medical Sciences Amalanagar, Thrissur Kerala ,India. Pin 680555

DEPARTMENT OF PATHOLOGY

ASSOCIATE PROFESSOR

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Published

2016-10-31

How to Cite

Savithri, M. C., Kavitha, K., & Puthoor, D. (2016). Combined CT guided tru-cut biopsy and imprint cytology in the diagnosis of bone tumors and tumor like lesions. Asian Journal of Medical Sciences, 7(6), 40–42. https://doi.org/10.3126/ajms.v7i6.13310

Issue

Vol. 7 No. 6 (2016)

Section

Original Articles

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