Fluoroscopy-Guided Transnasal Biopsy of Nasopharyngeal Carcinoma Using a Flexible Bronchoscopic Biopsy Forcep
Journal of the Korean Radiological Society
;
: 673-677, 1996.
Artículo
en Coreano
| WPRIM
| ID: wpr-123417
ABSTRACT
PURPOSE:
Otolaryngoscopic biopsy of nasopharyngeal carcinoma is a generalized method which may be associatedwith inadequate sampling of tissue and patient discomfort. So, we tried fluoroscopy-guided transnasal biopsy using bronchoscopic biopsy forcep and evaluated its safety and efficacy. MATERIALS ANDMETHODS:
Prospectively weperformed fluoroscopy-guided transnasal biopsy in 11 patients who were radiographically suspected of nasopharyngeal carcinoma. The posterior wall of the nasopharynx was coated with barium sulfate under fluoroscopy. A flexible bronchoscopic biopsy forcep with a steerable guiding catheter which was used in removal of intrahepaticduct stones was inserted through the nare. After localization of the tip of the biopsy forcep at tumor site with fluoroscopy, a tissue specimen was obtained. We also tried CT guided biopsy in initial 2 cases. Each patient hadotolaryngoscopic biopsy to compare the biopsy result and patient discomfort.RESULTS:
We could have sufficientamount of tissue for pathological evaluation in 10 of 11 patients by the first pass with the fluoroscopic technique. Contrarily, otolaryngoscopic biopsy was successful in 7 of 11 patients on single passage. Additionally, 2 patients had complaint in our method comparing with 9 patients in otolaryngoscopic biopsy.CONCLUSION:
Fluoroscopy-guided transnasal biopsy of nasopharyngeal carcinoma using the bronchoscopic biopsy forcep is safe and accurate. It can be a appropriate method competing otolaryngoscopic biopsy.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Instrumentos Quirúrgicos
/
Sulfato de Bario
/
Biopsia
/
Nasofaringe
/
Estudios Prospectivos
/
Catéteres
Tipo de estudio:
Estudio observacional
Límite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Radiological Society
Año:
1996
Tipo del documento:
Artículo
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