CT- und Ultraschall-gesteuerte Biopsien: Prospektiver Vergleich von Feinnadelpunktion und Stanzbiopsie bei 103 Patienten

Autor:	B. Stamm, Th. Roeren, C. Egger, C. Huslage, S. Bölter
Rok vydání:	2000
Předmět:	medicine.medical_specialty medicine.diagnostic_test business.industry Combined use Diagnostic strategy Ultrasound guided Surgery Fine-needle aspiration Biopsy medicine Radiology Nuclear Medicine and imaging Complication rate Radiology Prospective cohort study Complication business
Zdroj:	RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren. 172:458-461
ISSN:	1438-9010 1438-9029
DOI:	10.1055/s-2000-676
Popis:	tients. Purpose: A prospective comparison of FNAB and TCB was performed in an identical set of patients and lesions. Methods: In 103 patients focal lesions were biopsied by US- or CT-guidance with at least one FNAB and TCB each. Complications were registered and documented. Cytological and histological specimens were evaluated independently. A final diagnosis was then attempted by consensus. Results: A total of 253 punctures was performed with sufficient tissue in 72.8% (FNAB) and 85.4% (TCB) of the cases. Diagnosis was possible in 68% (FNAB) and 80.6% (TCB). After combined evaluation of both specimens the diagnostic yield increased to 91.3%. Minor complications without clinical sequelae were observed in 21 patients. Conclusion: A diagnostic strategy with the combined use of FNAB and TCB increases the diagnostic yield in image-guided punctures. Even though this approach needs at least two separate punctures, the complication rate does not increase.
Databáze:	OpenAIRE
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