Comparison of Tru-Cut Biopsy and Incisional Biopsy in Achieving Prompt Diagnosis of Maxillofacial Pathology
| Autor: | Kirthi Kumar Rai, Parimal Ranchhod Kansagara, Hetal Ashokkumar Bera, Shrinivas, K. R. Chatura, H. R. Shiva Kumar |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Pathology Incisional biopsy Open biopsy medicine.diagnostic_test business.industry 030206 dentistry 03 medical and health sciences Plastic surgery 0302 clinical medicine Otorhinolaryngology Biopsy medicine Oral and maxillofacial surgery Outpatient clinic Comparative Study Surgery Oral Surgery 030223 otorhinolaryngology business Prospective cohort study |
| Zdroj: | J Maxillofac Oral Surg |
| ISSN: | 0974-942X 0972-8279 |
| Popis: | Tru-cut (core needle) biopsy has many advantages over open biopsy. It is quick and easy to perform, may be carried out in the outpatient department, avoids incision through previously irradiated skin and has few complications. The purpose of this study is to compare the two available biopsy techniques that are Tru-cut biopsy and incisional biopsy in achieving prompt diagnosis of maxillofacial pathology. A prospective study was conducted in 25 patients reported to our department. The Tru-cut biopsy was performed by using 14 gauge disposable Tru-cut biopsy needles (Baxter, made in the USA) by means of two successive insertions with different angulations of the needle into the core of the lesion followed by incisional biopsy. The diagnostic criteria which were evaluated include: sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy. Tru-cut biopsy had sensitivity of 68.42%; specificity of 83.33%; PPV of 92.86%; NPV of 45.45% with accuracy rate of 72%. The Tru-cut biopsy method was evaluated as a very helpful method for prompt diagnosis of maxillofacial pathology since it is practical to perform, causes minimum trauma to the tissue, decreases the metastatic risk of malignant lesions during the procedure and relatively free from complications. |
| Databáze: | OpenAIRE |
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