Computed tomography-guided percutaneous biopsy of bone lesions: rate of diagnostic success and complications

Radiologia brasileira
Macello Jose Sampaio MacielRubens Chojniak

Abstract

To determine the rates of diagnostic success and complications of computed tomography (CT)-guided percutaneous biopsy of bone lesions suspected for malignancy. Retrospective study including 186 cases of CT-guided percutaneous biopsies of bone lesions in the period from January, 2010 to December, 2012. All the specimens were obtained with 8-10 gauge needles. The following data were collected: demographics, previous history of malignancy, data related to the lesion, to the procedure, and to histological results. Most patients were women (57%), and the mean age was 53.0 ± 16.4 years. In 139 cases (74.6%), there was diagnostic suspicion of metastasis and the most common primary tumors were breast (32.1%) and prostate (11.8%). The bones most commonly involved were spine (36.0%), hip (32.8%) and long bones (18.3%). Complications occurred in only three cases (1.6%) including bone fracture, paresthesia with functional impairment, and needle breakage requiring surgical removal. The specimens collected from 183 lesions (98.4%) were considered appropriate for diagnosis. Malignant results were more frequently found in patients who had a suspected secondary lesion and history of known malignancy (p < 0.001), and in patients who underwent PE...Continue Reading

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Citations

Jan 6, 2016·European Journal of Nuclear Medicine and Molecular Imaging·Hugo J A AdamsThomas C Kwee
Jul 10, 2019·Expert Review of Medical Devices·Matthias N Van OosteromFijs W B Van Leeuwen
Sep 6, 2019·Skeletal Radiology·Walker AspreyAdam J Schwartz
Aug 3, 2021·Annals of Medicine and Surgery·Kazuhiko HashimotoMasao Akagi

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