Biopsia percutánea core con aguja gruesa guiada por tomografía computada en lesiones retroperitoneales: Experiencia de 10 años / CT-guided core biopsy for retroperitoneal lesions. Experience in 136 procedures
Rev. méd. Chile
;
147(10): 1266-1272, oct. 2019. tab, graf
Artículo
en Español
| LILACS
| ID: biblio-1058593
ABSTRACT
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 andMethods:
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.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Neoplasias Retroperitoneales
/
Tomografía Computarizada por Rayos X
/
Biopsia Guiada por Imagen
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio de prevalencia
/
Factores de riesgo
Límite:
Adolescente
/
Adulto
/
Anciano
/
Aged80
/
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Chile
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2019
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Pontificia Universidad Católica de Chile/CL
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