Biopsia percutánea core con aguja gruesa guiada por tomografía computada en lesiones retroperitoneales: Experiencia de 10 años
Autor: | Claudio Lagos C., Eduardo Gallardo, Alvaro Huete |
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Jazyk: | Spanish; Castilian |
Rok vydání: | 2019 |
Předmět: |
Image-Guided Biopsy
medicine.diagnostic_test business.industry Radiography Medical record Retrospective cohort study General Medicine Malignancy medicine.disease 03 medical and health sciences 0302 clinical medicine Biopsy Multidetector Computed Tomography Medicine 030212 general & internal medicine Major complication Biopsy Large-Core Needle Retroperitoneal Space business Core biopsy Nuclear medicine |
Zdroj: | Revista médica de Chile v.147 n.10 2019 SciELO Chile CONICYT Chile instacron:CONICYT |
Popis: | Background: CT-guided core biopsy is a widely used diagnostic technique for retroperitoneal lesions. Aim: To evaluate the diagnostic yield and safety of this procedure. Material and Methods: Review of medical records of 136 patients aged 57 ± 16 years (55% males) subjected to core biopsies performed between 2006 and 2016. Procedure images, biopsy reports and patients’ medical charts were reviewed. Diagnostic yield was calculated in those patients whose final diagnosis was confirmed using strict criteria for malignancy. Results: A final diagnosis was confirmed in 122/136 patients. Of these, 110 had malignant lesions. The sensitivity and global accuracy of the procedure for malignancy were 93%. In only 4 of 13 benign lesions (31%), a specific diagnosis was obtained with the biopsy. Only minor complications were reported (6 small, self-contained hematomas). There were no major complications. Conclusions: CT-guided core biopsy of retroperitoneal lesions is a safe procedure, with an excellent diagnostic yield. |
Databáze: | OpenAIRE |
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