Percutaneous biopsy in oncology orthopedics. Case series
DOI:
https://doi.org/10.1016/j.rccot.2015.10.005Keywords:
biopsy, percutaneous biopsy, histopathologic diagnosis, retrospective studyAbstract
Introduction: Pecutaneous biopsies have the advantage of being cost-effective, lower morbidity, and provide a more rapid diagnosis of the disease. The purpose of this article is to determine the frequency and risk factors for the conversion of percutaneous to open biopsy for histopathologic diagnosis.
Methods: This is a retrospective descriptive case-series of 152 patients who underwent percutaneous biopsy over a period of 5 years.
Results: 152 cases of percutaneous biopsy were evaluated, 54% were performed on females. Most biopsies were done on femur or hip (47.4%); 35.5% of biopsies were diagnostic of malignancy; 9.2% of percutaneous biopsies were converted to open biopsies, without significant difference between genders. Average age was 41.6 in females and 40.1 years in males, and no significant differences were found in sexes (p = 0.678) The most frequent tumors reported were giant cell tumor (22.37%), cartilage-producing tumors (13.82%); no significant differences were found in immunoperoxidase testing between the types of tumor.
Discussion: Percutaneous biopsy was found to be technically adequate and reliable with low risk for conversion to open biopsy.
Level of evidence: IV.
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References
Adams SC, Potter BK, Pitcher DJ, Temple HT. Office-based core needle biopsy of bone and soft tissue malignancies: An accurate alternative to open biopsy with infrequent complications. Clin Orthop Relat Res. 2010;468:2774-80. https://doi.org/10.1007/s11999-010-1422-5
Lindeque BG. Musculoskeletal tumors. Orthopedics. 2012;35: 206-7. https://doi.org/10.3928/01477447-20120222-06
Issakov J, Flusser G, Kollender Y, Merimsky O, Lifschitz-Mercer B, Meller I. Computed tomography-guided core needle biopsy for bone and soft tissue tumors. Isr Med Assoc J. 2003;5:28-30.
Kreicbergs A, Bauer HC, Brosjö O, Lindholm J, Skoog L, Söderlund V. Cytological diagnosis of bone tumours. J Bone Joint Surg Br. 1996;78-B:258-63. https://doi.org/10.1302/0301-620X.78B2.0780258
Espinosa LA, Jamadar DA, Jacobson JA, DeMaeseneer MO, Ebrahim FS, Sabb BJ, et al. CT-guided biopsy of bone: A radiologist's perspective. AJR Am J Roentgenol. 2008;190:W283-9. https://doi.org/10.2214/AJR.07.3138
Gogna A, Peh WCG, Munk PL. Image-guided musculoskeletal biopsy. Radiol Clin North Am. 2008;46:455-73. https://doi.org/10.1016/j.rcl.2008.04.014
Tornetta P, Einhorn TA, Damron TA, editores. Orthopedic surgery essentials: oncology and basic science. Chapter 5. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2008. p. 38.
Springfield DS, Rosenberg A. Biopsy: Complicated and risky. J Bone Joint Surg. 1996;78-A:639-43. https://doi.org/10.2106/00004623-199605000-00001
Gogna A, Peh WC, Munk PL. Image-guided musculoskeletal biopsy. Radiol Clin North Am. 2008;46:455-73. https://doi.org/10.1016/j.rcl.2008.04.014
Heare TC, Enneking WF, Heare MJ. Staging techniques and biopsy of bone tumors. Orthop Clin North Am. 1989;20:273-85.
Hau MA, Kim JI, Kattapuram S, et al. Accuracy of CT-guided biopsies in 359 patient with musculoskeletal lesions. Skeletal Radiol. 2002;31:349-53. https://doi.org/10.1007/s00256-002-0474-3
Yang YJ, Damron TA. Comparison of needle core biopsy and fine needle aspiration for diagnostic accuracy in musculoskeletal lesions. Arch Pathol Lab Med. 2004;128:759-64. https://doi.org/10.5858/2004-128-759-CONCBA
Altuntas AO, Slavin J, Smith PJ, Schlict SM, Powell GJ, Ngan S, et al. Accuracy of computed tomography guided core needle biopsy of musculoskeletal tumours. ANZ J Surg. 2005;75: 187-91. https://doi.org/10.1111/j.1445-2197.2005.03332.x
Puri A, Shingade VU, Agarwal MG, Anchan C, Juvekar S, Desai S, et al. CT-guided percutaneous core needle biopsy in deep seated musculoskeletal lesions: a prospective study of 128 cases. Skeletal Radiol. 2006;35:138-43. https://doi.org/10.1007/s00256-005-0038-4
Wu JS, Goldsmith JD, Horwich PJ, Shetty SK, Hochman M. Bone and soft- tissue lesions: what factors affect diagnostic yield of image-guided core-needle biopsy? Radiology. 2008;248: 96270. https://doi.org/10.1148/radiol.2483071742
Tsukushi S, Nishida Y, Yamada Y, Yoshida M, Ishiguro N. CT-guided needle biopsy for musculoskeletal lesions. Arch Orthop Trauma Surg. 2010;130:699-703. https://doi.org/10.1007/s00402-009-1030-6
Rimondi E, Rossi G, Bartalena T, et al. Percutaneous CT-guided biopsy of the musculoskeletal system: results of 2027 cases. Eur J Radiol. 2011;77:34-42. https://doi.org/10.1016/j.ejrad.2010.06.055
Omura MC, Motamedi K, UyBico S, Nelson SD, Seeger LL. Revisiting CT-guided percutaneous core needel biopsy of musculoskeletal lesions: contributors to biopsy success. AJR Am J Roentgenol. 2011;197:457-61. https://doi.org/10.2214/AJR.10.6145
Yang J, Frassica FJ, Fayad L, Clark P, Weber KL. Analysis of nondiagnostic results after image-guided needle biopsy of musculoskeletal lesions. Clin Orthop Relat Res. 2010;468: 3103-11. https://doi.org/10.1007/s11999-010-1337-1
Ray-Coquard I, Ranchère-Vince D, Thiesse P, Ghesquières H, Biron P, Sunyach MP, et al. Evaluation of core needle biopsy as a substitute to open biopsy in the diagnosis of soft-tissue masses. Eur J Cancer. 2003;39:2021-5. https://doi.org/10.1016/S0959-8049(03)00430-1
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