دورية أكاديمية
Computed tomography-guided percutaneous core needle biopsy in pancreatic tumor diagnosis.
| العنوان: | Computed tomography-guided percutaneous core needle biopsy in pancreatic tumor diagnosis. |
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| المؤلفون: | Tyng CJ; Chiang J Tyng, Maria Fernanda A Almeida, Paula N V Barbosa, Almir G V Bitencourt, José Augusto A G Berg, Macello S Maciel, Luiz Henrique O Schiavon, Marcos D Guimarães, Charles E Zurstrassen, Rubens Chojniak, Department of Imaging, AC Camargo Cancer Center, São Paulo, SP 09015-010, Brazil., Almeida MF; Chiang J Tyng, Maria Fernanda A Almeida, Paula N V Barbosa, Almir G V Bitencourt, José Augusto A G Berg, Macello S Maciel, Luiz Henrique O Schiavon, Marcos D Guimarães, Charles E Zurstrassen, Rubens Chojniak, Department of Imaging, AC Camargo Cancer Center, São Paulo, SP 09015-010, Brazil., Barbosa PN; Chiang J Tyng, Maria Fernanda A Almeida, Paula N V Barbosa, Almir G V Bitencourt, José Augusto A G Berg, Macello S Maciel, Luiz Henrique O Schiavon, Marcos D Guimarães, Charles E Zurstrassen, Rubens Chojniak, Department of Imaging, AC Camargo Cancer Center, São Paulo, SP 09015-010, Brazil., Bitencourt AG; Chiang J Tyng, Maria Fernanda A Almeida, Paula N V Barbosa, Almir G V Bitencourt, José Augusto A G Berg, Macello S Maciel, Luiz Henrique O Schiavon, Marcos D Guimarães, Charles E Zurstrassen, Rubens Chojniak, Department of Imaging, AC Camargo Cancer Center, São Paulo, SP 09015-010, Brazil., Berg JA; Chiang J Tyng, Maria Fernanda A Almeida, Paula N V Barbosa, Almir G V Bitencourt, José Augusto A G Berg, Macello S Maciel, Luiz Henrique O Schiavon, Marcos D Guimarães, Charles E Zurstrassen, Rubens Chojniak, Department of Imaging, AC Camargo Cancer Center, São Paulo, SP 09015-010, Brazil., Maciel MS; Chiang J Tyng, Maria Fernanda A Almeida, Paula N V Barbosa, Almir G V Bitencourt, José Augusto A G Berg, Macello S Maciel, Luiz Henrique O Schiavon, Marcos D Guimarães, Charles E Zurstrassen, Rubens Chojniak, Department of Imaging, AC Camargo Cancer Center, São Paulo, SP 09015-010, Brazil., Coimbra FJ; Chiang J Tyng, Maria Fernanda A Almeida, Paula N V Barbosa, Almir G V Bitencourt, José Augusto A G Berg, Macello S Maciel, Luiz Henrique O Schiavon, Marcos D Guimarães, Charles E Zurstrassen, Rubens Chojniak, Department of Imaging, AC Camargo Cancer Center, São Paulo, SP 09015-010, Brazil., Schiavon LH; Chiang J Tyng, Maria Fernanda A Almeida, Paula N V Barbosa, Almir G V Bitencourt, José Augusto A G Berg, Macello S Maciel, Luiz Henrique O Schiavon, Marcos D Guimarães, Charles E Zurstrassen, Rubens Chojniak, Department of Imaging, AC Camargo Cancer Center, São Paulo, SP 09015-010, Brazil., Begnami MD; Chiang J Tyng, Maria Fernanda A Almeida, Paula N V Barbosa, Almir G V Bitencourt, José Augusto A G Berg, Macello S Maciel, Luiz Henrique O Schiavon, Marcos D Guimarães, Charles E Zurstrassen, Rubens Chojniak, Department of Imaging, AC Camargo Cancer Center, São Paulo, SP 09015-010, Brazil., Guimarães MD; Chiang J Tyng, Maria Fernanda A Almeida, Paula N V Barbosa, Almir G V Bitencourt, José Augusto A G Berg, Macello S Maciel, Luiz Henrique O Schiavon, Marcos D Guimarães, Charles E Zurstrassen, Rubens Chojniak, Department of Imaging, AC Camargo Cancer Center, São Paulo, SP 09015-010, Brazil., Zurstrassen CE; Chiang J Tyng, Maria Fernanda A Almeida, Paula N V Barbosa, Almir G V Bitencourt, José Augusto A G Berg, Macello S Maciel, Luiz Henrique O Schiavon, Marcos D Guimarães, Charles E Zurstrassen, Rubens Chojniak, Department of Imaging, AC Camargo Cancer Center, São Paulo, SP 09015-010, Brazil., Chojniak R; Chiang J Tyng, Maria Fernanda A Almeida, Paula N V Barbosa, Almir G V Bitencourt, José Augusto A G Berg, Macello S Maciel, Luiz Henrique O Schiavon, Marcos D Guimarães, Charles E Zurstrassen, Rubens Chojniak, Department of Imaging, AC Camargo Cancer Center, São Paulo, SP 09015-010, Brazil. |
| المصدر: | World journal of gastroenterology [World J Gastroenterol] 2015 Mar 28; Vol. 21 (12), pp. 3579-86. |
| نوع المنشور: | Evaluation Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Baishideng Publishing Group Country of Publication: United States NLM ID: 100883448 Publication Model: Print Cited Medium: Internet ISSN: 2219-2840 (Electronic) Linking ISSN: 10079327 NLM ISO Abbreviation: World J Gastroenterol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2014- : Pleasanton, CA : Baishideng Publishing Group Original Publication: Beijing : WJG Press, c1998- |
| مواضيع طبية MeSH: | Biopsy, Large-Core Needle*/adverse effects , Radiography, Interventional*/adverse effects , Tomography, X-Ray Computed*/adverse effects, Adenocarcinoma/*pathology , Image-Guided Biopsy/*methods , Neuroendocrine Tumors/*pathology , Pancreatic Neoplasms/*pathology, Adenocarcinoma/diagnostic imaging ; Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Image-Guided Biopsy/adverse effects ; Male ; Middle Aged ; Neuroendocrine Tumors/diagnostic imaging ; Pancreatic Neoplasms/diagnostic imaging ; Predictive Value of Tests ; Prognosis ; Retrospective Studies |
| مستخلص: | Aim: To evaluate the techniques, results, and complications related to computed tomography (CT)-guided percutaneous core needle biopsies of solid pancreatic lesions. Methods: CT-guided percutaneous biopsies of solid pancreatic lesions performed at a cancer reference center between January 2012 and September 2013 were retrospectively analyzed. Biopsy material was collected with a 16-20 G Tru-Core needle (10-15 cm; Angiotech, Vancouver, CA) using a coaxial system and automatic biopsy gun. When direct access to the lesion was not possible, indirect (transgastric or transhepatic) access or hydrodissection and/or pneumodissection maneuvers were used. Characteristics of the patients, lesions, procedures, and histologic results were recorded using a standardized form. Results: A total of 103 procedures included in the study were performed on patients with a mean age of 64.8 year (range: 39-94 year). The mean size of the pancreatic lesions was 45.5 mm (range: 15-195 mm). Most (75/103, 72.8%) procedures were performed via direct access, though hydrodissection and/or pneumodissection were used in 22.2% (23/103) of cases and indirect transhepatic or transgastric access was used in 4.8% (5/103) of cases. Histologic analysis was performed on all biopsies, and diagnoses were conclusive in 98.1% (101/103) of cases, confirming 3.9% (4/103) of tumors were benign and 94.2% (97/103) were malignant; results were atypical in 1.9% (2/103) of cases, requiring a repeat biopsy to diagnose a neuroendocrine tumor, and surgical resection to confirm a primary adenocarcinoma. Only mild/moderate complications were observed in 9/103 patients (8.7%), and they were more commonly associated with biopsies of lesions located in the head/uncinate process (n = 8), than of those located in the body/tail (n = 1) of the pancreas, but this difference was not significant. Conclusion: CT-guided biopsy of a pancreatic lesion is a safe procedure with a high success rate, and is an excellent option for minimally invasive diagnosis. |
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| فهرسة مساهمة: | Keywords: Computed tomography; Image-guided biopsy; Large-core needle biopsy; Needle biopsy; Pancreatic neoplasms |
| تواريخ الأحداث: | Date Created: 20150403 Date Completed: 20160120 Latest Revision: 20220318 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC4375580 |
| DOI: | 10.3748/wjg.v21.i12.3579 |
| PMID: | 25834323 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2219-2840 |
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| DOI: | 10.3748/wjg.v21.i12.3579 |