CT-guided percutaneous core biopsy of deep face and skull-base lesions

Clinical Radiology
S E J Connor, N Chaudhary

Abstract

To evaluate the diagnostic accuracy of deep face and skull-base computed tomography (CT)-guided core biopsy. Seventeen patients underwent CT-guided percutaneous core biopsies of deep face and skull-base lesions. One biopsy was repeated due to a non-diagnostic sample so 18 biopsy procedures were evaluated. The 17 lesions were centred within the central skull base (n=2), parapharyngeal (n=3), retropharyngeal spaces (n=4), masticator (n=3), pterygopalatine fossa (n=1), and deep lobe of parotid (n=4). Subzygomatic (n=7), retromaxillary (n=9), suprazygomatic (n=1), and transparotid (n=1) needle approaches were used. The diagnostic accuracy was either assessed by a positive histological result from the operative specimen or based on treatment response and clinical follow-up. No immediate or delayed procedural complications were encountered. A histological diagnosis was obtained in 16 of the 18 biopsies (89% diagnostic yield). The pathological diagnosis was confirmed by surgical excision (5/18 biopsies) and by predicted treatment response or clinical follow-up (10/18 biopsies). Diagnosis could not be confirmed for three of the 18 biopsies. The diagnostic accuracy of core biopsy was 13 of 15 (87%) for all samples. CT-guided percutaneou...Continue Reading

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Citations

Apr 3, 2009·Current Opinion in Oncology·Olivier De WitteNicolas Massager
Feb 20, 2013·Dento Maxillo Facial Radiology·A A K Abdel Razek, N Nada
Jun 15, 2015·International Journal of Oral and Maxillofacial Surgery·A A K Abdel Razek
Mar 14, 2013·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·En-Haw WuShu-Hang Ng
Sep 28, 2013·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·En-Haw WuShu-Hang Ng
Mar 31, 2018·Journal of Healthcare Engineering·Xingguang DuanYanjun Guo
Jun 17, 2020·International Journal of Oral and Maxillofacial Surgery·J-H ZhuC-B Guo
Jul 22, 2021·The British Journal of Oral & Maxillofacial Surgery·M CouzinsJ Bekker

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