RESUMO
We report a patient in whom a solitary splenic lesion detected by computed tomography (CT) was successfully diagnosed by fine-needle aspiration biopsy under CT guidance. The ability to distinguish metastatic carcinoma from lymphoma in the spleen assisted the clinician in making therapeutic decisions. Fine-needle aspiration of spleen is a reasonable diagnostic approach that has been underutilized.
Assuntos
Adenocarcinoma/secundário , Endometriose/secundário , Neoplasias Ovarianas/patologia , Neoplasias Esplênicas/secundário , Adenocarcinoma/patologia , Adenocarcinoma/terapia , Biópsia por Agulha , Terapia Combinada , Endometriose/patologia , Endometriose/terapia , Feminino , Humanos , Pessoa de Meia-Idade , Neoplasias Ovarianas/terapia , Neoplasias Esplênicas/patologia , Neoplasias Esplênicas/terapia , Tomografia Computadorizada por Raios XRESUMO
The technique of fine-needle aspiration biopsy seems to be ideally suited for the diagnosis of lytic bone lesions at practically any location in the skeleton. The technique is simple, carries minimum risks, and can often be performed on an outpatient basis. Advances in cytological techniques have made it possible to reach an accurate diagnosis for most patients within twenty-four hours. The accuracy rate in the present study of seventy patients was 87.5 per cent, but the lesions studied included few primary bone tumors. One limitation of the technique is the difficulty in sampling a lesion that is covered by compact bone.
