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)