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14 - Fine-Needle Aspiration of Liver

Published online by Cambridge University Press:  05 March 2021

By
Christine Rupcich ,
Amy Lo ,
Julianne M. Ubago ,
Ritu Nayar  and
Xiaoqi Lin
Edited by
Ji-Weon Park ,
Paolo Gattuso ,
Vijaya B. Reddy  and
Shahla Masood
Ji-Weon Park
Affiliation:
Rush University, Chicago
Paolo Gattuso
Affiliation:
Rush University, Chicago
Vijaya B. Reddy
Affiliation:
Rush University, Chicago
Shahla Masood
Affiliation:
University of Florida
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Summary

Liver biopsy is indicated in two general clinical scenarios. The first scenario occurs when a diffuse liver disease is suspected, typically after a patient has abnormal liver function tests. In this instance, a nontargeted or random biopsy is performed to obtain a sample of tissue for determination of severity of diffuse liver disease. Random biopsy may also be used to monitor effectiveness of treatment, or for post-transplant monitoring. As these cases require histologic assessment, cytologic assessment is generally not indicated. Conversely, when a targeted liver biopsy is ordered to diagnose a focal liver mass or abnormality that cannot otherwise be characterized, cytology is frequently utilized as a first line diagnostic test.

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Information
Differential Diagnosis in Cytopathology , pp. 463 - 484
Publisher: Cambridge University Press
Print publication year: 2021

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