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
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