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Diagnosis of hepatic cavernous hemangioma by fine needle aspiration biopsy under ultrasonic guidance
Authors:Akihiko Nakaizumi M.D.  Hiroyasu Iishi  Reiko Yamamoto  Hiroshi Kasugai  Masaharu Tatsuta  Shigeru Okuda  Yoshihiko Kishigami  Tsugio Kitamura
Affiliation:(1) Department of Gastrointestinal Oncology, The Center for Adult Diseases, Osaka, 3-3, Nakamichi 1-chome, Higashinari-ku, 537 Osaka, Japan;(2) Department of Gastroenterology, The Center for Adult Diseases, Osaka, 3-3, Nakamichi 1-chome, Higashinari-ku, 537 Osaka, Japan;(3) Department of Cytology, The Center for Adult Diseases, Osaka, 3-3, Nakamichi 1-chome, Higashinari-ku, 537 Osaka, Japan;(4) Department of Ultrasound, The Center for Adult Diseases, Osaka, 3-3, Nakamichi 1-chome, Higashinari-ku, 537 Osaka, Japan
Abstract:Percutaneous aspiration biopsy of the liver using a heparinized 22-gauge needle was performed under ultrasonic guidance in 11 patients with hepatic cavernous hemangioma. Ten (91%) of 11 biopsy specimens obtained were cytologically diagnostic for hemangioma. No indications of malignancy were found. There was no relation between the cytological diagnosis and the location, size, or ultrasonographic findings. No complications were encountered.These findings indicate that cytological examination of the liver by fine needle aspiration biopsy is useful in diagnosing hepatic cavernous hemangioma of any size and in any location, provided optimal route to the lesions is chosen.
Keywords:Hepatic hemangioma  Fine needle aspiration biopsy  Ultrasonic guidance
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