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Focal hepatic lesion ultrasound-guided biopsies.
Saloura, Eleni-Anna; Bizimi, Vasiliki; Theodoropoulos, Emmanouil; Motogna-Kalokairinou, Marianna; Balanika, Alexia P; Baltas, Christos S.
Afiliación
  • Saloura EA; Radiology Imaging Department, General Hospital of Athens "G.Gennimatas", Athens, Greece.
Med Ultrason ; 12(4): 295-9, 2010 Dec.
Article en En | MEDLINE | ID: mdl-21210014
PURPOSE: To compare the results of pathologic and cytologic reports of specimens acquired from focal liver lesions using ultrasound-guided biopsy and to evaluate the necessity of performing both techniques in the same patient. MATERIALS AND METHODS: 21 patients were eligible for enrollment in the study. Specimens for both pathologic and cytologic examination were obtained from 16 lesions using a 17G needle guide in a single puncture attempt. In 2 cases the diagnosis was based on cytologic smears. In 3 cases only histologic sections were acquired. The needle was introduced under continuous ultrasonographic control using a freehand technique. A cytologist was present at all times. RESULTS: The diagnostic sensitivity of cytologic examination was 83.33% and that of histologic examination was 94.74%. Histology diagnosed all cases of benign lesions and was proved inconclusive in 1 patient. The diagnostic sensitivity and accuracy of both methods combined reached 100%. In 94.4% malignancy was immediately diagnosed by cytology. CONCLUSIONS: Combination of both methods should increase the sensitivity and accuracy in diagnosing focal liver lesions performing a safe minimally invasive technique.
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Bases de datos: MEDLINE Asunto principal: Biopsia con Aguja / Ultrasonografía / Neoplasias Hepáticas Tipo de estudio: Diagnostic_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Med Ultrason Asunto de la revista: DIAGNOSTICO POR IMAGEM Año: 2010 Tipo del documento: Article País de afiliación: Grecia
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Bases de datos: MEDLINE Asunto principal: Biopsia con Aguja / Ultrasonografía / Neoplasias Hepáticas Tipo de estudio: Diagnostic_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Med Ultrason Asunto de la revista: DIAGNOSTICO POR IMAGEM Año: 2010 Tipo del documento: Article País de afiliación: Grecia