RESUMO
Real time ultrasonic guidance of percutaneous fine needle biopsies with a standard transducer is described. This technique is simple, reliable, and cheap to obtain samples in focal liver and pancreatic lesions or abdominal masses.
Assuntos
Biópsia por Agulha/métodos , Punções/métodos , Ultrassonografia , HumanosAssuntos
Neoplasias Encefálicas , Meningioma , Fatores Etários , Angiografia , Neoplasias Encefálicas/classificação , Neoplasias Encefálicas/diagnóstico , Neoplasias Encefálicas/diagnóstico por imagem , Neoplasias Encefálicas/epidemiologia , Neoplasias Encefálicas/mortalidade , Neoplasias Encefálicas/cirurgia , Ventriculografia Cerebral , Fossa Craniana Posterior , Ecoencefalografia , Eletroencefalografia , Humanos , Meningioma/classificação , Meningioma/diagnóstico , Meningioma/diagnóstico por imagem , Meningioma/epidemiologia , Meningioma/mortalidade , Meningioma/cirurgia , Métodos , Prognóstico , Radioisótopos , Fatores SexuaisAssuntos
Abdome , Abscesso/diagnóstico , Biópsia por Agulha/métodos , Drenagem/métodos , Abscesso/terapia , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , UltrassonografiaRESUMO
A prospective study was undertaken to assess the contribution of percutaneous fine-needle biopsy (PFNB) to the diagnostic workup and therapeutic management of 112 abdominal lesions in 106 patients (69 hepatic, 27 pancreatic, and 16 nondetermined). In 75% of the patients, PFNB contributed significantly to the diagnosis, in 22% it was of little help, and in 3% it confused the diagnosis. It confirmed a highly suspected diagnosis in 55% of patients and indicated a specific diagnosis that was not suspected in the remaining 45%. Results of PFNB guided treatment in 32% of cases, increased confidence in a previously planned therapy in 39%, and did not alter therapy in 29%. PFNB was instrumental in avoiding 61 planned invasive investigations and 11 surgical explorations, with a cost savings of about 35%. No significant complication was observed after PFNB.