Radiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Gupta, S.
Right arrow Articles by Suri, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Gupta, S.
Right arrow Articles by Suri, S.
(Radiology. 1999;213:568-572.)
© RSNA, 1999

Vascular and Interventional Radiology

Orbital Mass Lesions: US-guided Fine-Needle Aspiration Biopsy-Experience in 37 Patients1

Sanjay Gupta, MD, Bimal Sood, MD, Madhu Gulati, MD, Deepak Takhtani, MD, Rajiv Bapuraj, MD, Niranjan Khandelwal, MD, Usha Singh, MD, Arvind Rajwanshi, MD, Subhash Gupta, MD and Sudha Suri, MD

1 From the Departments of Radiodiagnosis (Sanjay G., B.S., M.G., D.T., R.B., N.K., S.S.), Ophthalmology (U.S.), and Cytology (A.R., Subhash G.), Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India. Received November 25, 1998; revision requested December 28; revision received January 29, 1999; accepted April 9. Address reprint requests to Sanjay G. (e-mail: dsgupta@yahoo.com).

PURPOSE: To evaluate the safety and effectiveness of using ultrasonographic (US) guidance for performing fine-needle aspiration biopsies of orbital mass lesions.

MATERIALS AND METHODS: Thirty-seven patients with mass lesions in the orbit underwent US-guided fine-needle aspiration biopsy. Computed tomographic scans were available in all patients. In 19 patients, the lesions were located in the posterior orbit, whereas in 18 patients the lesions were located in (n = 3) or extended up to (n = 15) the anterior compartment. Fine-needle aspiration biopsy was performed with 22–25-gauge needles and use of the freehand technique.

RESULTS: Needle biopsies were performed safely and easily, and real-time US monitoring of the needle position was used to avoid injury to the eyeball. No major complications were encountered. Diagnostic specimens were obtained in 29 (78%) of the 37 patients, and 19 benign and 10 malignant disease processes were diagnosed. In eight patients (22%), an appropriate diagnosis could not be made, as aspiration samples yielded insufficient tissue.

CONCLUSION: US provides safe and effective guidance for performing fine-needle aspiration biopsy in orbital mass lesions and is especially useful in deep-seated nonpalpable retrobulbar lesions.

Index terms: Biopsies, 22.126, 22.12985 • Orbit, CT, 22.12112 • Orbit, neoplasms, 22.343, 22.362, 22.363, 22.365 • Orbit, US, 22.12981, 22.12985 • Ultrasound (US), guidance, 22.12985






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOLOGY RADIOGRAPHICS RSNA JOURNALS ONLINE
Copyright © 1999 by the Radiological Society of North America.