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Computed tomography-guided fine-needle aspiration of retroperitoneal lymph nodes in gynecologic oncology.

Publication ,  Journal Article
Kohler, MF; Berchuck, A; Baker, ME; Szpak, CA; Soper, JT; Clarke-Pearson, DL
Published in: Obstet Gynecol
October 1990

Computed tomography-guided fine-needle aspiration was performed on 30 retroperitoneal lymph nodes in 29 patients with gynecologic cancer. There were no serious complications. Review of the cytologic material demonstrated malignant cells in 83% of the aspirates. Because the predictive value of a positive aspirate approaches 100%, therapy for metastatic disease can be initiated in these patients with the need for an open biopsy. Among five aspirates in which malignant cells were not seen, the cellularity of the specimen appeared to be the critical factor determining the predictive value of the aspirate. Whereas neither of two patients with negative aspirates of adequate cellularity has developed recurrent disease, two of three patients with hypocellular negative aspirates have. Because a hypocellular negative aspirate from a retroperitoneal lymph node may not be a true reflection of disease status, either repeat aspiration or open biopsy is advisable.

Duke Scholars

Published In

Obstet Gynecol

ISSN

0029-7844

Publication Date

October 1990

Volume

76

Issue

4

Start / End Page

612 / 616

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Predictive Value of Tests
  • Obstetrics & Reproductive Medicine
  • Lymphatic Metastasis
  • Lymph Nodes
  • Humans
  • Genital Neoplasms, Female
  • Female
  • Carcinoma, Squamous Cell
  • Biopsy, Needle
 

Citation

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Chicago
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MLA
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Kohler, M. F., Berchuck, A., Baker, M. E., Szpak, C. A., Soper, J. T., & Clarke-Pearson, D. L. (1990). Computed tomography-guided fine-needle aspiration of retroperitoneal lymph nodes in gynecologic oncology. Obstet Gynecol, 76(4), 612–616.
Kohler, M. F., A. Berchuck, M. E. Baker, C. A. Szpak, J. T. Soper, and D. L. Clarke-Pearson. “Computed tomography-guided fine-needle aspiration of retroperitoneal lymph nodes in gynecologic oncology.Obstet Gynecol 76, no. 4 (October 1990): 612–16.
Kohler MF, Berchuck A, Baker ME, Szpak CA, Soper JT, Clarke-Pearson DL. Computed tomography-guided fine-needle aspiration of retroperitoneal lymph nodes in gynecologic oncology. Obstet Gynecol. 1990 Oct;76(4):612–6.
Kohler, M. F., et al. “Computed tomography-guided fine-needle aspiration of retroperitoneal lymph nodes in gynecologic oncology.Obstet Gynecol, vol. 76, no. 4, Oct. 1990, pp. 612–16.
Kohler MF, Berchuck A, Baker ME, Szpak CA, Soper JT, Clarke-Pearson DL. Computed tomography-guided fine-needle aspiration of retroperitoneal lymph nodes in gynecologic oncology. Obstet Gynecol. 1990 Oct;76(4):612–616.
Journal cover image

Published In

Obstet Gynecol

ISSN

0029-7844

Publication Date

October 1990

Volume

76

Issue

4

Start / End Page

612 / 616

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Predictive Value of Tests
  • Obstetrics & Reproductive Medicine
  • Lymphatic Metastasis
  • Lymph Nodes
  • Humans
  • Genital Neoplasms, Female
  • Female
  • Carcinoma, Squamous Cell
  • Biopsy, Needle