{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T10:34:47Z","timestamp":1753180487979},"reference-count":13,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,3,2]],"date-time":"2017-03-02T00:00:00Z","timestamp":1488412800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Women with undiagnosed pelvic lesions are often referred for evaluation and treatment. Transvaginal ultrasound\u2010guided fine needle aspiration (<jats:styled-content style=\"fixed-case\">TVUS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">FNA<\/jats:styled-content>) biopsy can assist in making management decisions. We describe our experience with this modality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective chart review of all women who had a TVUS\u2010FNA biopsy between January 2004 and December 2014. Charts were reviewed for clinicopathologic information. The pathologic results of the <jats:styled-content style=\"fixed-case\">TVUS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">FNA<\/jats:styled-content> were compared with the final diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010nine women underwent <jats:styled-content style=\"fixed-case\">TVUS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">FNA<\/jats:styled-content>; the median age was 66\u00a0years (range 27\u201385). Thirty\u2010three lesions were evaluated by fine\u2010needle aspiration biopsy of the solid structure and 26 by aspiration of fluid for cytology. Pathologic feasibility rate was 88% (52\/59). Of those with evaluable tissue, the sensitivity of the procedure was 100% and the specificity 92%. Considering the seven inconclusive results, the procedure had sensitivity of 88% (29\/33) and specificity of 88% (23\/26). Overall accuracy of <jats:styled-content style=\"fixed-case\">TVUS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">FNA<\/jats:styled-content> for this patient cohort was 85%. No patient characteristics were found to distinguish between accurate and inaccurate or inconclusive <jats:styled-content style=\"fixed-case\">TVUS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">FNA<\/jats:styled-content> result. No complications were noted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">TVUS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">FNA<\/jats:styled-content> offers an excellent modality for the diagnosis and management of deep pelvic lesions otherwise not amenable for histologic evaluation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12585","type":"journal-article","created":{"date-parts":[[2017,3,2]],"date-time":"2017-03-02T08:26:43Z","timestamp":1488443203000},"page":"197-200","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Diagnosis of deep pelvic masses on a gynaecology service: Trans\u2010vaginal ultrasound\u2010guided needle aspiration of pelvic solid and cystic lesions"],"prefix":"10.1111","volume":"57","author":[{"given":"Ram","family":"Eitan","sequence":"first","affiliation":[{"name":"Gynaecologic Oncology Division 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