Abstract

BackgroundTo investigate the clinical value of CT-guided percutaneous fine-needle aspiration biopsy for peritoneal lesions of unknown nature.MethodsA retrospective analysis was conducted of 84 patients with peritoneal thickening for unknown reasons. There were 26 males and 58 females who underwent CT-guided percutaneous fine-needle aspiration biopsy for peritoneal lesions.ResultAmong these 84 patients, no definite pathologic diagnosis was made in 3 patients, who were lost to the follow-up. The accuracy rate of CT-guided percutaneous fine-needle aspiration biopsy was 95.1% (77/81). Sixty lesions were pathologically-diagnosed with malignancies (74.1%), including 55 with peritoneal metastases, 4 with malignant mesotheliomas, and 1 with a lymphoma. Twenty-four patients (33.8%) were diagnosed as benign lesions, including 11 with tuberculosis and 13 with inflammatory lesions. The complications of CT-guided percutaneous fine-needle aspiration biopsy included bleeding in 1 patient and ascites leakage in 2 patients.ConclusionCT-guided percutaneous fine-needle aspiration biopsy is a safe and effective method for diagnosing peritoneal lesions.

Highlights

  • To investigate the clinical value of CT-guided percutaneous fine-needle aspiration biopsy for peritoneal lesions of unknown nature

  • Routine clinical examination and radiologic examinations are of limited value for identifying the etiology and for differential diagnosis of malignant and benign lesions

  • The purpose of the study was to discuss the diagnostic value of this method for peritoneal lesions

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Summary

Introduction

To investigate the clinical value of CT-guided percutaneous fine-needle aspiration biopsy for peritoneal lesions of unknown nature. Peritoneal lesions have a variety of causes and the radiologic manifestations are complex and diverse. Routine clinical examination and radiologic examinations are of limited value for identifying the etiology and for differential diagnosis of malignant and benign lesions. Ultrasound-guided percutaneous fine-needle aspiration biopsy and laparoscopy is the conventional method to acquire peritoneal specimens for histopathologic evaluation; Yu et al BMC Medical Imaging (2020) 20:122

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