Selective transitional zone sampling approach versus random biopsy in cases with malignant liver masses: is there any superiority?
| Autor: | Banu Ozguven, Zeki Karpat, Umut Percem Orhan, Emin Cakmakci, Kosti Can Caliskan, Muzaffer Basak, Mehmet Sait Bugdaci, Fatih Selcukbiricik, Mehmet Ertürk |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Liver Cirrhosis Male medicine.medical_specialty Pathology Carcinoma Hepatocellular Lung Neoplasms Skin Neoplasms Breast Neoplasms Breast Adenocarcinoma Adenocarcinoma Sensitivity and Specificity Lesion Diagnosis Differential Cytokeratin Biopsy medicine Biomarkers Tumor Humans Sampling (medicine) Creatine Kinase Melanoma Aged Gastrointestinal Neoplasms medicine.diagnostic_test business.industry Biopsy Needle Liver Neoplasms Gastroenterology Prostatic Neoplasms Interventional radiology Middle Aged medicine.disease Keratins Female Radiology medicine.symptom business |
| Zdroj: | The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology. 23(6) |
| ISSN: | 2148-5607 |
| Popis: | BACKGROUND/AIMS Currently, the diagnostic sensitivity of malignant liver mass biopsies is an important problem in the definitive diagnosis. In this study, we aimed to investigate the role of selective peripheral approach to lesion biopsies for diagnostic sensitivity of liver masses. MATERIALS AND METHODS Between June 2007 and March 2011, totally 88 patients (50 male, 38 female), referred to our Interventional Radiology Department for sonographically guided Tru-cut biopsies for liver lesions, were examined.All biopsies were performed by an experienced radiologist with an 18-gauge Tru-cut biopsy needle with a spring-loaded biopsy gun under sonographic guidance. We describe two locations (peripheral and central) for liver lesions, with the inner 2/3 part of the mass as central and the outer 1/3 part as peripheral. We obtained biopsy from both of these locations, and samples were transferred to the Pathology Department separately. RESULTS According to pathological and immunohistochemistry studies, there were 42 hepatocellular carcinomas and 46 metastases. All of the metastatic tumors were stained by cytokeratin (10 lung adenocarcinoma, 15 breast adenocarcinoma, 16 gastrointestinal tract, 4 prostate, and 1 malignant melanoma of these 46 metastases were reported as primary). According to histopathological results, diagnostic sensitivity was 97.7% in peripherally located biopsies and 86.3% in biopsies taken from the center of the masses (p=0.0063). CONCLUSIONS Selective peripheral biopsy approach in Tru-cut biopsies of liver lesions has better sensitivity rates for histopathologic diagnosis compared to the centrally located and random biopsies. |
| Databáze: | OpenAIRE |
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