Diagnostic Usefulness of CT-guided Pe rcutaneous Biopsy of the Spine
Journal of the Korean Radiological Society
; : 1195-1199, 1999.
Article
em Ko
| WPRIM
| ID: wpr-46708
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE: To evaluate the diagnostic value of CT-guided percutaneous biopsy of inflammatory and tumorous lesions of the spine and paraspinal soft tissue. MATERIALS AND METHODS: Twenty-three patients underwent CT-guided percutaneous biopsy of the spine and paraspinal soft tissue. Tentative clinical diagnoses determined before biopsy were tuberculous spondylitis (n=5), pyogenic spondylitis (n=4), butterfly vertebra (n=1), old compression fracture (n=3), discitis (n=1), hemangioma (n=1), metastasis (n=7) and multiple myeloma (n=1). Biopsy was performed at the following levels: cervical-(n=1), thoracic-(n=9), and lumbar-spine(n=13). The approach to biopsy of the spine and paraspinal soft tissue lesions was posterolateral (n=11), posterior (n=2), or transpedicular (n=10). RESULTS: Tissue considered adequate by the pathologist involved was obtained in 21 (91%) of the 23 cases. In 19 cases, pathologic findings supported the clinical diagnoses determined before biopsy. In two cases, pathologic and clinical diagnoses differed. Complications such as severe pain, bleeding, infection, neurologic deficit or damage to internal organs were detected neither during or after the procedure. CONCLUSION: CT-guided percutaneous biopsy is a safe and reliable method of obtaining a diagnosis in many cases involving different spinal and paraspinal lesions.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Coluna Vertebral
/
Espondilite
/
Biópsia
/
Borboletas
/
Discite
/
Diagnóstico
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Fraturas por Compressão
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Hemangioma
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Hemorragia
/
Mieloma Múltiplo
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
Ko
Revista:
Journal of the Korean Radiological Society
Ano de publicação:
1999
Tipo de documento:
Article