Fine needle aspiration cytology of vaginal cuff lesions

OBJECTIVE: To assess the usefullness of fine needle aspiration (FNA) of the vaginal cliff in various lesions ill the female genital tract. STUDY DESIGN: Twenty six FNAs of vaginal cuff lesions were performed at our institution from 1994 to 1998. All cases were reviewed. Data on clinical h istories and follow-up, if available, were collected. Histologic material w as reviewed. Fourteen gynecologic (cervico-vaginal) smears performed on the se patients within six months prior to the FNA were also reviewed. RESULTS: Two of twenty-six (7.7%) FNAs were non-diagnostic due to poor cell ular yield. Four lesions were classified as benign (16.7%). The remaining 2 0 FNAs were classified as malignant (83%) and were consistent with the clin ical history in all cases. CONCLUSION: The results show that FNA of the vaginal cuff appears to be a s imple and accurate procedure for detecting benign and malignant lesions of the female genitourinary tract. Clinical indications, cytologic techniques and potential pitfalls are indentical to those of FNAs at other sites.