Back to Search
Start Over
Ultrasound-guided core biopsy as the primary tool for tissue diagnosis in pediatric oncology.
- Source :
-
Journal of pediatric hematology/oncology [J Pediatr Hematol Oncol] 2014 Jul; Vol. 36 (5), pp. 333-6. - Publication Year :
- 2014
-
Abstract
- Introduction: Traditionally in pediatric oncology, biopsies were incisional, with a recent alternative of percutaneous imaging-guided biopsies. In our department, ultrasound (US)-guided core biopsy is the first choice for tissue diagnosis in the pediatric population. We retrospectively reviewed our experience and assessed the accuracy rate, safety, and availability of the procedure.<br />Materials and Methods: Pediatric US-guided biopsies performed in our hospital between November 2003 and November 2011 were studied. Data collection included demographics, clinical and procedural data, and follow-up.<br />Results: A total of 213 biopsies were performed on 191 patients: 40 known oncologic patients and 173 to establish diagnosis. Seventeen biopsies were excluded, as malignancy was not suspected. Sixty-five percent of the patients had a biopsy within a day. A total of 138 biopsies with tumor at the biopsy site were correctly diagnosed and 4 were missed. Fifty-eight patients were negative for tumor. The sensitivity of our ultrasound-guided core biopsy is 97.1%, specificity 100%, and accuracy 97.9%.We found no complication related to sedation, and 2 procedural complications-bleeding from the biopsy site and seeding of tumor cells-were reported.<br />Discussion: We find US-guided core biopsy for suspected malignancy in the pediatric population to be highly available, safe, and very accurate, having a potential to become the procedure of choice.
- Subjects :
- Adolescent
Adult
Biopsy, Needle
Child
Child, Preschool
Female
Follow-Up Studies
Humans
Infant
Male
Neoplasm Recurrence, Local surgery
Neoplasms surgery
Prognosis
Retrospective Studies
Ultrasonography
Young Adult
Image-Guided Biopsy
Neoplasm Recurrence, Local diagnostic imaging
Neoplasm Recurrence, Local pathology
Neoplasms diagnostic imaging
Neoplasms pathology
Subjects
Details
- Language :
- English
- ISSN :
- 1536-3678
- Volume :
- 36
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal of pediatric hematology/oncology
- Publication Type :
- Academic Journal
- Accession number :
- 23274381
- Full Text :
- https://doi.org/10.1097/MPH.0b013e31827e4c4d