REVIEW ARTICLE |
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Year : 2007 | Volume
: 12
| Issue : 3 | Page : 116-119 |
Role of fine needle aspiration cytology in the management of pediatric renal tumors
Venkateswaran K Iyer
Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
Correspondence Address:
Venkateswaran K Iyer Department of Pathology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029 India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0971-9261.34947
Fine needle aspiration cytology (FNAC) is a useful pre-operative procedure in pediatric renal tumors. It is a safe technique that does not upstage the tumor and permits positive diagnosis of Wilm's tumor in almost all aspirates with use of immunocytochemistry for cytokeratin and WT-1. Advanced information on diagnosis of Wilm's tumor, especially, the presence of stroma predominance or anaplastic change is a guide to selection and monitoring of chemotherapy. Early diagnosis of clear cell sarcoma of the kidney (CCSK) by FNAC helps in the evaluation of bone metastasis and selection of Doxorubicin-based chemotherapy protocols to which the tumor is responsive. Thus, the routine use of FNAC is helpful for further investigation and management of pediatric renal masses.
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