Image guided percutaneous splenic interventions.

Abstract

AIM:

The objective of this study is to evaluate the efficacy and safety of image-guided percutaneous splenic interventions as diagnostic or therapeutic procedures.

MATERIALS AND METHODS:

We performed a retrospective review of our interventional records from July 2001 to June 2006. Ninety-five image-guided percutaneous splenic interventions were performed after informed consent in 89 patients: 64 men and 25 women who ranged in age from 5 months to 71 years (mean, 38.4 years) under ultrasound (n=93) or CT (n=2) guidance. The procedures performed were fine needle aspiration biopsy of focal splenic lesions (n=78) and aspiration (n=10) or percutaneous catheter drainage of a splenic abscess (n=7).

RESULTS:

Splenic fine needle aspiration biopsy was successful in 62 (83.78%) of 74 patients with benign lesions diagnosed in 43 (58.1%) and malignancy in 19 (25.67%) patients. The most common pathologies included tuberculosis (26 patients, 35.13%) and lymphoma (14 patients, 18.91%). Therapeutic aspiration or pigtail catheter drainage was successful in all (100%) patients. There were no major complications.

CONCLUSIONS:

Image-guided splenic fine needle aspiration biopsy is a safe and accurate technique that can provide a definitive diagnosis in most patients with focal lesions in the spleen. This study also suggests that image-guided percutaneous aspiration or catheter drainage of splenic abscesses is a safe and effective alternative to surgery.

• Authors: Mandeep Kang, Naveen Kalra, Madhu Gulati, Anupam Lal, Rohit Kochhar, Arvind Rajwanshi
• Journal: European journal of radiology (Eur J Radiol) Vol. 64 Issue 1 Pg. 140-6 (Oct 2007) ISSN: 0720-048X [Print] Ireland
• PMID: 17374470 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Biopsy, Needle (methods)
• Child
• Child, Preschool
• Dermatologic Surgical Procedures
• Female
• Humans
• Infant
• Male
• Middle Aged
• Radiography, Interventional (methods)
• Spleen (diagnostic imaging, pathology)
• Splenic Diseases (diagnostic imaging, pathology)
• Surgery, Computer-Assisted (methods)
• Tomography, X-Ray Computed (methods)