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SPINE
Year : 2006  |  Volume : 40  |  Issue : 2  |  Page : 82-85

Role of fluoroscopic guided fine needle aspiration biopsy in spinal pathologies


Department Of Orthopaedics, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Dehradun, India

Correspondence Address:
Vijendra Chauhan
Department of Orthopaedics, Himalayan Institute of Medical Sciences, Swami Ram Nagar-248140, Dehradun, Uttaranchal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.34445

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Background: The presence of vertebral lesion, whether symptomatic or not presents a diagnostic challenge. Open biopsy of spine is associated with considerable clinical morbidity. Hence it was decided to evaluate the efficacy of fluoroscopic guided fine needle aspiration biopsy (FGFNAB) in providing a definitive diagnosis in pathologies of the spine and to determine the degree of co-relation between the histopathological diagnosis and the presumptive clinicoradiological diagnosis. Methods: A prospective study of 103 patients in whom a presumptive diagnosis was made by available imaging techniques (including magnetic resonance imaging) was undertaken. All patients underwent histopathological /cytological examination for confirmation of the presumptive diagnosis, using material obtained through FGFNAB. Results: A definitive diagnosis was established, through FGFNAB, in 76 (73.8%) patients. Non concordant diagnosis was seen in 13(12%) of patients. In 27 (26.2%) patients the results of FGFNAB were inconclusive. Conclusion: FGFNAB is a minimally invasive, technically easy, quick and cost-effective procedure. It can be done on an outpatient basis, under local anaesthesia and often eliminates the need for an open biopsy. FGFNAB can clinch the diagnosis early and helps institute definitive therapy. Hence we strongly recommend FGFNAB as a basic investigation in all pathological lesions of the spine.


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