Saim AÇIKGÖZOĞLU, Alaaddin DİLSİZ, Adnan TEKİN

US ve BT rehberliğinde tek ve çift girişli biyopsilerin tanıya katkısı

Amaç: Cerrahi biyopsiye alternatif olarak daha noninvaziv olan perkütan biyopsinin rutinde güvenilir bir yöntem olarak kullanılmasının değerlendirilmesi amaçlandı. Yöntem: Çalışma kapsamında 46 hastada 48 lezyona US veya BT rehberliğinde biyopsi yapıldı. 32 olguda US, 16 olguda BT rehberliği kullanıldı. Lezyonların 20’si karaciğerde,12’si retroperitoneal alanda, 9’u böbrekte, 6’sı akciğerde, 1’i de dalaktaydı. Bulgular: Tek girişli biyopsilerde patolojik inceleme % 84.3, iki girişli biyopsilerde ise % 93.7 ve ortalama % 87.5 başarılı sonuç verdi. Hepsi tek girişli olgularda olmak üzere toplam 3 olguda (% 6.3) komplikasyon görüldü. Sonuç: Perkütan biyopsilerde gerekli görülen durumlarda biyopsinin iki defa yapılmasının patolojik tanıya olumlu katkısı olmaktadır.

Anahtar Kelimeler:

Tanı teknik ve işlemleri, Ultrasonografi, Tomografi, x-ışınlı bilgisayarlı, Biyopsi, iğne, Biyopsi

The impact of repeated US and CT percutaneous biopsy on diagnostic accuracy

Objective: In the present study, the diagnostic accuracy of percutaneous fine needle aspiration (FNA) was evaluated. Methods: US and CT guidance in 48 lesions of the 46 patients. Twenty of lesions were in liver, 12 in retroperitoneal region, 9 in kidney, 6 in lung, and one in spleen. Results: 84.3% of the initial specimens were diagnostic, however, this rate increased to 93.7% with second biopsy. Complication rate of initial percutaneous biopsy was 6.3%, and repeated percutaneous biopsy did not cause any complication. Conclusion: When performed by with US and CT guidance, repeated percutaneeous biopsy does not increase complications but the diagnostic accuracy.

Keywords:

Diagnostic Techniques and Procedures, Ultrasonography, Tomography, X-Ray Computed, Biopsy, Needle, Biopsy,

PDF

___

Gazelle GS, Haaga JR, Rowland DY. Effect of needle gauge, level of anticoagulation and target organ on bleeding associated with aspiration biopsy. Radiology 1992;183:509-13.
Zargar SA, Khuroo MS, Mahajan R, Jan GM, Shah P. US guided fine needle aspiration biopsy of gallbladder masses. Radiology 1991;179:275-8.
Brandt KR, Charboneou JW, Stephans DH, Welch TJ, Goellner JR. CT and US guided biopsy of the pankreas. Radiology 1993;187:99-104.
Parker SH, Hopper KD, Yakes WF, Gibson MD, Ownbey JL, Carter TE. Image guided percutaneous biopsies with a biopsy gun. Radiology 1989;171:663-9.
Hopper KD. Percutaneous radiographically guided biopsy:A history. Radiology 1995;196:329-33.
Gazelle GS, Haaga JR. Guided percutaneous biopsy of intraabdominal lesions. AJR 1989;158:929-35.
Yamashita Y, Matsukawa T, Arakawa A, Hatanaka Y, Urata J, Takahashi M. US guided liver biopsy:Predicting the effect of interventional treatment of hepatocelluler carcinoma. Radiology 1995;196:799-804.
Boyvat F, Coşkun M, Akın O, Aytekin C, Tutar N, Ağıldere AM. Bilgisayarlı tomografi eşliğinde transtorasik “tru-cut” iğne biyopsileri. TRD 1998;33:319-22.
Klein JS, Zarka MA. Transtoracic needle biopsy:An overview. J Thorac Imaging 1997;12:232-49.
Grant EG, Richardson JD, Smirniotopoulos JG, Jacobs NM. Fine needle biopsy directed by real time sonography:Technique and accuracy. AJR 1983;141:29-32.
Bernardino M. Percutaneous biopsy. AJR 1984;142:41-5
O’moore PV, Muelle PR, Simeone SF, Saini S, Butch RJ, Hahn PT, et al. Sonographic guidance in diagnostic and therapeutic interventions in the pleural space. AJR 1987;149:1-5.
Fornari F, Rapaccini GL, Cavanna L, Civardi G, Di Sitasi M, Sbolli G, et al. Diagnosis of hepatic lesions:Ultrasonically guided fine needle biopsy or laparoscopy. Gastrointes Endosc 1988;34:231-4.
Moulton JS, Moore PT. Coaxial percutaneous biopsy technique with automated biopsy devices:Value in improving accuracy and negative predictive value. Radiology 1993;186:515-23.
Solbiati L, Livraghi T, De Pra LD, Lerace T, Masciadri N, Ravetto C. Fine needle biopsy of hepatic hemanjioma with sonographic guidance. AJR 1985;144:471-4.
Nosher JL, Plafker J. Fine needle aspiration of the liver with ultrasound guidance. Radiology 1980;136:177-80.
D’Agostino HB, Sanchez RB, Lavoide RM, Oglevie S, Donaldson JS, Russack V, et al. Anterior mediastinal lesions:Transsternal biopsy with CT guidance. Radiology 1993;189:703-5.
Heilo A. Tumors in the mediastinum:US guided histologic core needle biopsy. Radiology 1993;189:143-6.
VanSonnanberg E, D’Agostino HB, Casola G, Wittich GR, Varney RR, Harker C. Percutaneous biopsy of difficult mediastinal, hilar and pulmonary lesions by CT guidance and coacsial technique. Radiology 1983;148:300-2.
Yang PC, Luh KT, Sheu JC, Kuo SH, Yang SP. Peripheral pulmonary lesions:Ultrasonography and ultrasonically guided aspiration biopsy. Radiology 1989;155:451-6.
Austin JH, Cohen MB. Value of having a cytopatologist present during percutaneous fine needle aspiration biopsy of lung:Reports of 55 cancer patients and meta analysis of the literature. AJR 1993;160:175-7.
Haramati LB, Austin JHM. Complications after CT guided needle biopsy through aerated versus nonaerated lung. Radiology 1991;181:778.
Akman C, Duran C, Ersavaştı G. Biyopsi tabancasıyla ultrasonografi rehberliğinde renal biyopsi. TRD 1995;1:62-5.
Westcott JR. Direct percutaneous needle aspiration of localized pulmonary lesions:Results in 422 patients. Radiology 1980;137:31-45.
Haaga JR, LiPuma JP, Bryan PJ, Balsara VJ, Cohen AM. Clinical comparison of small and large caliber cutting needles for biopsy. Radiology 1983;146:665-7.
Cavanna L, Civardi G, Fornari F, Di Stasi M, Sbolli G, Buscarini E, et al. Ultrasonically guided percutaneous splenic tissue core biopsy in patients with malignant lymphomas. Radiology 1993;186:584.

ISSN: 2602-3741
Yayın Aralığı: Yılda 6 Sayı
Başlangıç: 1997
Yayıncı: SELÇUK ÜNİVERSİTESİ > TIP FAKÜLTESİ

Arşiv