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Fine-needle aspiration cytology of articular and periarticular lesions.

Publication ,  Journal Article
Dodd, LG; Major, NM
Published in: Cancer
June 25, 2002

BACKGROUND: The cytologic diagnosis of joint and articular surface-based lesions traditionally has been accomplished by examination of fluids or effusions. Although exfoliative cytology remains an accurate diagnostic test, not all joint-based lesions will produce effusions that are amenable to this type of examination. Fine-needle aspiration (FNA) represents an excellent alternative to traditional cytologic or histologic methods of diagnosis in joint pathology. METHODS: The authors reviewed FNA materials for the period 1992-2001 from lesions of joint spaces and periarticular soft tissues. All diagnoses based on cytologic materials that were included in this study were confirmed with histologic follow-up. Cytologic and histologic materials were prepared using standard methods. RESULTS: The authors found six relatively common lesions that were amenable to diagnosis by FNA. These included rheumatoid nodule, gouty tophi, ganglion cysts, pigmented villonodular synovitis, synovial chondromatosis, and synovial sarcoma. There are potential pitfalls in discriminating gout from pseudogout and synovial chondromatosis from chondrosarcoma. CONCLUSIONS: In most instances, mass-producing lesions of the joint space or the periarticular soft tissues can be diagnosed successfully by FNA. The common lesions are easily recognizable and are cytologically distinctive.

Duke Scholars

Published In

Cancer

DOI

ISSN

0008-543X

Publication Date

June 25, 2002

Volume

96

Issue

3

Start / End Page

157 / 165

Location

United States

Related Subject Headings

  • Synovitis, Pigmented Villonodular
  • Sarcoma
  • Oncology & Carcinogenesis
  • Joints
  • Humans
  • Gout
  • Ganglia
  • Chondrosarcoma
  • Chondromatosis, Synovial
  • Biopsy, Needle
 

Citation

APA
Chicago
ICMJE
MLA
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Dodd, L. G., & Major, N. M. (2002). Fine-needle aspiration cytology of articular and periarticular lesions. Cancer, 96(3), 157–165. https://doi.org/10.1002/cncr.10615
Dodd, Leslie G., and Nancy M. Major. “Fine-needle aspiration cytology of articular and periarticular lesions.Cancer 96, no. 3 (June 25, 2002): 157–65. https://doi.org/10.1002/cncr.10615.
Dodd LG, Major NM. Fine-needle aspiration cytology of articular and periarticular lesions. Cancer. 2002 Jun 25;96(3):157–65.
Dodd, Leslie G., and Nancy M. Major. “Fine-needle aspiration cytology of articular and periarticular lesions.Cancer, vol. 96, no. 3, June 2002, pp. 157–65. Pubmed, doi:10.1002/cncr.10615.
Dodd LG, Major NM. Fine-needle aspiration cytology of articular and periarticular lesions. Cancer. 2002 Jun 25;96(3):157–165.
Journal cover image

Published In

Cancer

DOI

ISSN

0008-543X

Publication Date

June 25, 2002

Volume

96

Issue

3

Start / End Page

157 / 165

Location

United States

Related Subject Headings

  • Synovitis, Pigmented Villonodular
  • Sarcoma
  • Oncology & Carcinogenesis
  • Joints
  • Humans
  • Gout
  • Ganglia
  • Chondrosarcoma
  • Chondromatosis, Synovial
  • Biopsy, Needle