Percutaneous image-guided splenic biopsy in the oncology patient: an audit of 156 consecutive cases

Journal of Vascular and Interventional Radiology : JVIR
Alda TamDavid C Madoff

Abstract

To assess the safety and diagnostic accuracy of percutaneous image-guided splenic biopsy in patients known to have or suspected of having malignancy. Data from all image-guided splenic biopsies performed at a single institution from January 1992 to March 2007 were retrospectively reviewed. One hundred fifty-six splenic biopsies were performed in 147 patients (78 male and 69 female patients; mean age, 54.9 years; age range, 13-81 years). The most common indications for biopsy were suspected recurrent lymphoma (n = 101, 64.7%), suspected metastatic disease (n = 39, 25%), and unknown diagnosis (n = 16, 10.3%). All biopsies were performed with computed tomographic (n = 86), ultrasonographic (n = 68), or fluoroscopic (n = 2) guidance. Most biopsies (91%) were performed with 22-gauge needles, with a mean of 2.8 passes. The mean lesion size was 3.2 cm (range, 0.8-13 cm). Final diagnosis was confirmed with splenectomy (n = 39), histopathologic correlation with concurrent biopsy or surgical specimen (n = 52), or clinical or imaging follow-up ranging from 2 weeks to 14 years (n = 44). Complications were recorded. Sufficient tissue for pathologic analysis was obtained in 144 of the 156 biopsies (diagnostic yield, 92.3%). The overall sensi...Continue Reading

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Citations

Apr 13, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Kei Yiu Douglas HuiSteven A White
Mar 14, 2012·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Ajay K SinghPeter R Mueller
Dec 18, 2015·Cardiovascular and Interventional Radiology·Okan AkhanDevrim Akıncı
Feb 24, 2016·AJR. American Journal of Roentgenology·Michael C OlsonDarci J Wall
Mar 23, 2010·Journal of Vascular and Interventional Radiology : JVIR·Sanjay GuptaUNKNOWN Society of Interventional Radiology Standards of Practice Committee
Dec 9, 2008·Blood Reviews·Anna L PozoKristian M Bowles
Jun 4, 2010·Journal of Medical Imaging and Radiation Oncology·T SutherlandW-K Lee
Oct 10, 2013·Journal of Surgical Oncology·Amudhan PugalenthiT Peter Kingham
Dec 31, 2016·World Journal of Clinical Cases·Sachin B Ingle, Chitra R Hinge Ingle
Nov 22, 2020·American Journal of Clinical Pathology·Steven H KroftMatthew C Cheung
Jan 20, 2021·European Journal of Radiology·Alireza AbrishamiHans-Ulrich Kauczor
Mar 23, 2021·Zeitschrift für Gastroenterologie·Ehsan Safai ZadehCorinna Trenker

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