US-GUIDED PERCUTANEOUS CORE LIVER BIOPSY: ANALYSIS OF 171 CASES FROM A SINGLE ONCOLOGY SERVICE
Autor: | José Alexandre de Macêdo Dos Santos, Francisco Victor Costa Parente, Marcos Venício Alves Lima, Eder Alencar Moura |
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Rok vydání: | 2017 |
Předmět: |
Adult
Image-Guided Biopsy Male medicine.medical_specialty Percutaneous Cross-sectional study Neoplasm metastasis 030218 nuclear medicine & medical imaging Metastasis 03 medical and health sciences Image-guided biopsy adverse effects 0302 clinical medicine Postoperative Complications Fígado Biopsy medicine Humans Ultrasonography methods Medical prescription lcsh:RC799-869 Neoplasm Metastasis Ultrasonography Interventional Aged Biópsia guiada por imagem efeitos adversos Aged 80 and over Metástase neoplásica medicine.diagnostic_test business.industry Liver Neoplasms Gastroenterology Cancer Reproducibility of Results Liver Scan Middle Aged medicine.disease Ultrassonografia métodos Cross-Sectional Studies Liver Liver biopsy 030211 gastroenterology & hepatology lcsh:Diseases of the digestive system. Gastroenterology Female Radiology Biopsy Large-Core Needle business |
Zdroj: | Arquivos de Gastroenterologia, Vol 55, Iss 3, Pp 208-211 Arquivos de Gastroenterologia v.55 n.3 2018 Arquivos de gastroenterologia Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia instacron:IBEPEGE |
ISSN: | 1678-4219 |
Popis: | BACKGROUND: Though strongly suggestive of metastasis, focal lesions on liver scans of oncological patients require histological confirmation for the prescription of adequate treatment. OBJECTIVE: To evaluate the safety and efficacy of US-guided percutaneous core liver biopsy. METHODS: Descriptive, cross-sectional study based on secondary data from 171 patients submitted to US-guided percutaneous core liver biopsy at the diagnostic radiology service of the Ceará Cancer Institute (ICC, Brazil) between February 2010 and March 2015. Quantitative data were expressed in absolute numbers or percentages, with emphasis on the rate of complications observed within six hours after the procedure. RESULTS: The overall accuracy was 96.4%. The overall rate of complications was 2.3%, three quarters of which was due to hemorrhage. Age over 50 years was positively associated with accuracy. No deaths occurred within the period of observation. CONCLUSION: Our findings support the claim that the use of thick biopsy needles improves diagnostic accuracy. The few complications observed were non-lethal and predominantly hemorrhagic. |
Databáze: | OpenAIRE |
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