Cited by 8Cancer Diagnosis and TreatmentLymphadenopathy Diagnosis and AnalysisIntraperitoneal and Appendiceal Malignancies

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Comparative Evaluation of Cell Block Method and Smear Cytology in Fine Needle Aspiration Cytology of Intra-abdominal Mass Lesions.

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Abstract

BACKGROUND & OBJECTIVE: Fine needle aspiration cytology (FNAC) is an easy, rapid, and less hazardous tool to diagnose the intra-abdominal lesions with various imaging modalities adding to its sensitivity and accuracy. However, sometimes it does not yield adequate information for precise diagnosis and the risk of false-negative and indeterminate diagnosis is always present. Cellblock preparations may be particularly helpful in such problematic cases. The current study aimed atevaluating and comparing the cytological as well as histopathological features of different intra-abdominal mass lesions. METHODS: Image-guided FNAC followed by cell block were performed on 167 patients from June 2012 to May 2013. Histologically correlated 111 cases were evaluated. Results of conventional smear, cell block, and combination of FNAC with cell block were compared with histopathological findings regarding diagnostic sensitivity, specificity, and accuracy of diagnosis. RESULTS: Cell block was more specific to diagnose these lesions than FNAC (95.49% versus 90.09%). Combined application of cell block with FNAC was more specific (96.39%) than cell block alone with 100% diagnostic accuracy. CONCLUSION: Application of a combination of cell block with FNAC was more useful to diagnose intra-abdominal mass lesions.

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Crossref · 10.30699/ijp.13.2.179

Cites

16 of 16 references verified0 citation errors · 0 not checkable

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Figures

Figure1 Microphotograph showing (A) Aspirate of epithelioid cell granuloma in tubercular lymphadenitis (L-Gstain,400X); inset showing numerous AFB (Z-N stain,1000X); (B) Epithelioid cell granuloma in cell block (H & E stain,400 X);inset showing giant cell; (C)Hydatid cyst (L-G stain,400X);inset showing hooklets; (D) Hydatid cyst (H & E stain,400 X)
Figure1 Microphotograph showing (A) Aspirate of epithelioid cell granuloma in tubercular lymphadenitis (L-Gstain,400X); inset showing numerous AFB (Z-N stain,1000X); (B) Epithelioid cell granuloma in cell block (H & E stain,400 X);inset showing giant cell; (C)Hydatid cyst (L-G stain,400X);inset showing hooklets; (D) Hydatid cyst (H & E stain,400 X)CC BY-NC · PubMed Central
Figure 2 Microphotograph showing (A) Aspirate of metastatic adenocarcinoma in liver (L-G stain, 400X); (B) Cell block showing well-defined malignant glands (H & E stain, 400 X); (C)Aspirate from hepatocellular carcinoma (L-G stain, 400X);inset showing a closer view of malignant hepatocytes; (D) Cell block of the same case as (C) showing well defined trabecular arrangement of malignant hepatocytes (H & E stain, 400 X);inset showing a closer view of the same (H & E stain, 400X).
Figure 2 Microphotograph showing (A) Aspirate of metastatic adenocarcinoma in liver (L-G stain, 400X); (B) Cell block showing well-defined malignant glands (H & E stain, 400 X); (C)Aspirate from hepatocellular carcinoma (L-G stain, 400X);inset showing a closer view of malignant hepatocytes; (D) Cell block of the same case as (C) showing well defined trabecular arrangement of malignant hepatocytes (H & E stain, 400 X);inset showing a closer view of the same (H & E stain, 400X).CC BY-NC · PubMed Central
Figure 3 (A) Cell block preparation of a case of the Wilms tumor highlighting spindle cell component(H & E stain, 100X); (B) Tubular structures of the same case as (A)(H & E stain, 100X); (C) Aspirate showing pleomorphic sarcoma (L-G stain, 400X); (D) Cell block of the same case as (C) showing features suggestive of leiomyosarcoma (H & E stain; 400X)
Figure 3 (A) Cell block preparation of a case of the Wilms tumor highlighting spindle cell component(H & E stain, 100X); (B) Tubular structures of the same case as (A)(H & E stain, 100X); (C) Aspirate showing pleomorphic sarcoma (L-G stain, 400X); (D) Cell block of the same case as (C) showing features suggestive of leiomyosarcoma (H & E stain; 400X)CC BY-NC · PubMed Central

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Citations

Cites

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Research works printed but not linked: 7

  1. [4]4. Bales Carol E. LaboratoryTechniques. In, Koss Leopold G. Koss' Diagnostic Cytol- ogy, 5nd ed. Philadelphia: Lippincott Williams &Wilkins; 2006. p.1590.
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Metadata

Authors
Bhowmik, S., Chakrabarti, I., Ghosh, P., Bera, P., & Banik, T.
Affiliations
  • West Bengal University of Health Sciences (IN)
  • Calcutta National Medical College and Hospital (IN)
Venue
Iranian Journal of Pathology
Publisher
Farname, Inc.
Published
2018-04-01
Volume
13
Issue
02
Pages
179-187
ISSN
1735-5303 (ISSN-L)
OpenAlex
W2897430331
Cited by
8
References
16
Citations by year
2026: 1 · 2024: 2 · 2022: 3 · 2021: 1 · 2019: 1
FWCI
0.19
Type
journal article
Language
en
Open access
Locations
  • Iranian journal of pathology (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Oncology › Cancer Diagnosis and Treatment
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Lymphadenopathy Diagnosis and Analysis
  • Health Sciences › Medicine › Surgery › Intraperitoneal and Appendiceal Malignancies
Keywords
cell block, fine needle aspiration cytology, smear cytology, diagnostic accuracy, histopathological correlation, sensitivity and specificity

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CoChat. (2026). Citation check: Comparative Evaluation of Cell Block Method and Smear Cytology in Fine Needle Aspiration Cytology of Intra-abdominal Mass Lesions. https://app.cochat.ai/papers/10.30699/ijp.13.2.179
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Bhowmik, S., Chakrabarti, I., Ghosh, P., Bera, P., & Banik, T. (2018). Comparative Evaluation of Cell Block Method and Smear Cytology in Fine Needle Aspiration Cytology of Intra-abdominal Mass Lesions. Iranian Journal of Pathology. https://doi.org/10.30699/ijp.13.2.179