Image-guided biopsy in patients with suspected ovarian carcinoma: a safe and effective technique?
In patients with suspected advanced ovarian carcinoma, a precise histological diagnosis is required before commencing neo-adjuvant chemotherapy. This study aims to determine the diagnostic accuracy and complication rate of percutaneous biopsies performed under ultrasound or computed tomography guida...
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| Veröffentlicht in: | European radiology 2009, Vol.19 (1), p.230-235 |
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| creator | Griffin, Nyree Grant, Lee A. Freeman, Susan J. Jimenez-Linan, Mercedes Berman, Laurence H. Earl, Helena Ahmed, Ahmed Ashour Crawford, Robin Brenton, James Sala, Evis |
| description | In patients with suspected advanced ovarian carcinoma, a precise histological diagnosis is required before commencing neo-adjuvant chemotherapy. This study aims to determine the diagnostic accuracy and complication rate of percutaneous biopsies performed under ultrasound or computed tomography guidance. Between 2002 to 2007, 60 consecutive image-guided percutaneous biopsies were performed in patients with suspected ovarian cancer. The following variables were recorded: tissue biopsied, imaging technique, experience of operator, biopsy needle gauge, number of passes, complications, and final histology. Forty-seven patients had omental biopsies, 12 pelvic mass biopsies, and 1 para-aortic lymph node biopsy. Thirty-five biopsies were performed under ultrasound, 25 under computed tomography guidance. Biopsy needle gauges ranged from 14–20 swg with two to five passes for each patient. There were no complications. Histology was obtained in 52 (87%) patients. Percutaneous image-guided biopsy of peritoneal disease or pelvic mass is safe with high diagnostic accuracy. The large-gauge biopsy needle is as safe as the small gauge needle, but has the added value of obtaining tissue samples for immunohistochemistry and genomic studies. |
| doi_str_mv | 10.1007/s00330-008-1121-8 |
| format | Article |
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This study aims to determine the diagnostic accuracy and complication rate of percutaneous biopsies performed under ultrasound or computed tomography guidance. Between 2002 to 2007, 60 consecutive image-guided percutaneous biopsies were performed in patients with suspected ovarian cancer. The following variables were recorded: tissue biopsied, imaging technique, experience of operator, biopsy needle gauge, number of passes, complications, and final histology. Forty-seven patients had omental biopsies, 12 pelvic mass biopsies, and 1 para-aortic lymph node biopsy. Thirty-five biopsies were performed under ultrasound, 25 under computed tomography guidance. Biopsy needle gauges ranged from 14–20 swg with two to five passes for each patient. There were no complications. Histology was obtained in 52 (87%) patients. Percutaneous image-guided biopsy of peritoneal disease or pelvic mass is safe with high diagnostic accuracy. The large-gauge biopsy needle is as safe as the small gauge needle, but has the added value of obtaining tissue samples for immunohistochemistry and genomic studies.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-008-1121-8</identifier><identifier>PMID: 18704437</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Aged ; Biopsy ; Biopsy, Needle - adverse effects ; Biopsy, Needle - methods ; Breast cancer ; Diagnostic Radiology ; Female ; Histology ; Humans ; Imaging ; Internal Medicine ; Interventional Radiology ; Medicine ; Medicine & Public Health ; Middle Aged ; Neuroradiology ; Ovarian cancer ; Ovarian Neoplasms - pathology ; Radiography, Interventional - adverse effects ; Radiography, Interventional - methods ; Radiology ; Reproducibility of Results ; Sensitivity and Specificity ; Surgery, Computer-Assisted - methods ; Tomography, X-Ray Computed - methods ; Ultrasound ; Urogenital</subject><ispartof>European radiology, 2009, Vol.19 (1), p.230-235</ispartof><rights>European Society of Radiology 2008</rights><rights>European Society of Radiology 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c369t-dbb7fca5e30c257df066ca034e92bf5029fef819af0b642f5025227c66fa7aea3</citedby><cites>FETCH-LOGICAL-c369t-dbb7fca5e30c257df066ca034e92bf5029fef819af0b642f5025227c66fa7aea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-008-1121-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-008-1121-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18704437$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Griffin, Nyree</creatorcontrib><creatorcontrib>Grant, Lee A.</creatorcontrib><creatorcontrib>Freeman, Susan J.</creatorcontrib><creatorcontrib>Jimenez-Linan, Mercedes</creatorcontrib><creatorcontrib>Berman, Laurence H.</creatorcontrib><creatorcontrib>Earl, Helena</creatorcontrib><creatorcontrib>Ahmed, Ahmed Ashour</creatorcontrib><creatorcontrib>Crawford, Robin</creatorcontrib><creatorcontrib>Brenton, James</creatorcontrib><creatorcontrib>Sala, Evis</creatorcontrib><title>Image-guided biopsy in patients with suspected ovarian carcinoma: a safe and effective technique?</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>In patients with suspected advanced ovarian carcinoma, a precise histological diagnosis is required before commencing neo-adjuvant chemotherapy. This study aims to determine the diagnostic accuracy and complication rate of percutaneous biopsies performed under ultrasound or computed tomography guidance. Between 2002 to 2007, 60 consecutive image-guided percutaneous biopsies were performed in patients with suspected ovarian cancer. The following variables were recorded: tissue biopsied, imaging technique, experience of operator, biopsy needle gauge, number of passes, complications, and final histology. Forty-seven patients had omental biopsies, 12 pelvic mass biopsies, and 1 para-aortic lymph node biopsy. Thirty-five biopsies were performed under ultrasound, 25 under computed tomography guidance. Biopsy needle gauges ranged from 14–20 swg with two to five passes for each patient. There were no complications. Histology was obtained in 52 (87%) patients. Percutaneous image-guided biopsy of peritoneal disease or pelvic mass is safe with high diagnostic accuracy. The large-gauge biopsy needle is as safe as the small gauge needle, but has the added value of obtaining tissue samples for immunohistochemistry and genomic studies.</description><subject>Aged</subject><subject>Biopsy</subject><subject>Biopsy, Needle - adverse effects</subject><subject>Biopsy, Needle - methods</subject><subject>Breast cancer</subject><subject>Diagnostic Radiology</subject><subject>Female</subject><subject>Histology</subject><subject>Humans</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neuroradiology</subject><subject>Ovarian cancer</subject><subject>Ovarian Neoplasms - pathology</subject><subject>Radiography, Interventional - adverse effects</subject><subject>Radiography, Interventional - methods</subject><subject>Radiology</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Surgery, Computer-Assisted - 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adverse effects</topic><topic>Biopsy, Needle - methods</topic><topic>Breast cancer</topic><topic>Diagnostic Radiology</topic><topic>Female</topic><topic>Histology</topic><topic>Humans</topic><topic>Imaging</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neuroradiology</topic><topic>Ovarian cancer</topic><topic>Ovarian Neoplasms - pathology</topic><topic>Radiography, Interventional - adverse effects</topic><topic>Radiography, Interventional - methods</topic><topic>Radiology</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>Surgery, Computer-Assisted - methods</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Ultrasound</topic><topic>Urogenital</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Griffin, Nyree</creatorcontrib><creatorcontrib>Grant, Lee A.</creatorcontrib><creatorcontrib>Freeman, Susan J.</creatorcontrib><creatorcontrib>Jimenez-Linan, Mercedes</creatorcontrib><creatorcontrib>Berman, Laurence H.</creatorcontrib><creatorcontrib>Earl, Helena</creatorcontrib><creatorcontrib>Ahmed, Ahmed Ashour</creatorcontrib><creatorcontrib>Crawford, Robin</creatorcontrib><creatorcontrib>Brenton, James</creatorcontrib><creatorcontrib>Sala, Evis</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Griffin, Nyree</au><au>Grant, Lee A.</au><au>Freeman, Susan J.</au><au>Jimenez-Linan, Mercedes</au><au>Berman, Laurence H.</au><au>Earl, Helena</au><au>Ahmed, Ahmed Ashour</au><au>Crawford, Robin</au><au>Brenton, James</au><au>Sala, Evis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Image-guided biopsy in patients with suspected ovarian carcinoma: a safe and effective technique?</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2009</date><risdate>2009</risdate><volume>19</volume><issue>1</issue><spage>230</spage><epage>235</epage><pages>230-235</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>In patients with suspected advanced ovarian carcinoma, a precise histological diagnosis is required before commencing neo-adjuvant chemotherapy. This study aims to determine the diagnostic accuracy and complication rate of percutaneous biopsies performed under ultrasound or computed tomography guidance. Between 2002 to 2007, 60 consecutive image-guided percutaneous biopsies were performed in patients with suspected ovarian cancer. The following variables were recorded: tissue biopsied, imaging technique, experience of operator, biopsy needle gauge, number of passes, complications, and final histology. Forty-seven patients had omental biopsies, 12 pelvic mass biopsies, and 1 para-aortic lymph node biopsy. Thirty-five biopsies were performed under ultrasound, 25 under computed tomography guidance. Biopsy needle gauges ranged from 14–20 swg with two to five passes for each patient. There were no complications. Histology was obtained in 52 (87%) patients. Percutaneous image-guided biopsy of peritoneal disease or pelvic mass is safe with high diagnostic accuracy. The large-gauge biopsy needle is as safe as the small gauge needle, but has the added value of obtaining tissue samples for immunohistochemistry and genomic studies.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>18704437</pmid><doi>10.1007/s00330-008-1121-8</doi><tpages>6</tpages></addata></record> |
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| subjects | Aged Biopsy Biopsy, Needle - adverse effects Biopsy, Needle - methods Breast cancer Diagnostic Radiology Female Histology Humans Imaging Internal Medicine Interventional Radiology Medicine Medicine & Public Health Middle Aged Neuroradiology Ovarian cancer Ovarian Neoplasms - pathology Radiography, Interventional - adverse effects Radiography, Interventional - methods Radiology Reproducibility of Results Sensitivity and Specificity Surgery, Computer-Assisted - methods Tomography, X-Ray Computed - methods Ultrasound Urogenital |
| title | Image-guided biopsy in patients with suspected ovarian carcinoma: a safe and effective technique? |
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