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August 12, 1974

Fine-Needle Aspiration of Malignant Hepatic Nodules for Cytodiagnosis

Author Affiliations

From the Gastroenterology Section (Drs. Hurwitz and Gueller), Department of Medicine, and the Anatomic Pathology Section (Ms. Pugay), Ft. Miley Veterans Administration Hospital, San Francisco, and the University of California School of Medicine, San Francisco (Dr. Hurwitz). Dr. Gueller is a Visiting Fellow from the University of Basel, Basel, Switzerland. Dr. Hurwitz is now with Duke University and the Veterans Administration Hospital, Durham, NC.

JAMA. 1974;229(7):814-815. doi:10.1001/jama.1974.03230450048026

The cytologic diagnosis of metastatic carcinoma of the liver was established in two patients by fine-needle aspiration of hepatic nodules. The aspiration was successful despite lack of cooperation by one patient. The other patient had had a standard transthoracic liver biopsy that was not diagnostic for metastatic carcinoma. Peritoneoscopy would have been a difficult procedure with either patient. Fine-needle aspiration of the liver may be a useful adjunct to standard liver biopsy and may prevent peritoneoscopy or exploratory laparotomy with certain patients.

(JAMA 229:814-815, 1974)