Buyukbebeci Orhan, Karakurum Gunhan, Tutar Ediz, Gulec Akif, Arpacioglu Omer
Orthopaedics and Traumatology Department, Medicine Faculty, Gaziantep University, Gaziantep, Turkey.
J Orthop Surg (Hong Kong). 2010 Dec;18(3):361-3. doi: 10.1177/230949901001800321.
To examine patients with vertebral tumour metastasis using transpedicular biopsy for diagnosing unknown primary tumours.
13 men and 8 women aged 41 to 80 (mean, 61) years with vertebral tumour metastasis of unknown primary origin underwent transpedicular biopsy of the affected vertebra.
The origins of the primary tumours were lung cancer (n = 6), prostate cancer (n = 5), colorectal cancer (n = 5), kidney cancer (n = 4) and lymphoma (n = 1). All the specimens matched pathological characteristics of their corresponding primary tumours, except in one patient. This 42-year-old man had stage-4 colon cancer, in whom the pathologic findings could not enable differentiation between colon and prostate cancer.
Transpedicular biopsy of the vertebra is a cost-effective diagnostic tool for evaluating unknown primary tumours.
通过经椎弓根活检检查椎体肿瘤转移患者，以诊断原发灶不明的肿瘤。
13名男性和8名女性，年龄41至80岁（平均61岁），患有原发灶不明的椎体肿瘤转移，对受累椎体进行经椎弓根活检。
原发肿瘤的来源为肺癌（n = 6）、前列腺癌（n = 5）、结直肠癌（n = 5）、肾癌（n = 4）和淋巴瘤（n = 1）。除1例患者外，所有标本均符合其相应原发肿瘤的病理特征。这名42岁男性患有IV期结肠癌，其病理结果无法区分结肠癌和前列腺癌。
椎体经椎弓根活检是评估原发灶不明肿瘤的一种经济有效的诊断工具。
