Tetti C, Fava C, Garretti L, Grosso M, Potenzoni F, Regge D, Gandini G
Istituto di Radiologia, Università Torino.
Radiol Med. 1988 Nov;76(5):443-7.
The results are reported of 283 percutaneous biopsies performed on solid thoracic and abdominal masses. Indications to biopsy are examined at first, which are relatively limited in number if compared to other authors' opinion on the subject--i.e., when the tumor cannot be characterized with any other methodology, or in case of neoplasms whose histological type is to be known in order to plan therapy. The techniques employed are then evaluated, with a special emphasis on the needle caliber and the guidance method (US, radioscopy and CT). Correct samplings have been obtained in more than 90% of cases. Minor complications were observed in less than 10% of cases, while major complications were totally absent. In conclusion, percutaneous biopsy proves useful in those cases where exam indication is respected and an accurate selection is previously performed.
报告了对283例胸部和腹部实性肿块进行经皮活检的结果。首先对活检的适应证进行了研究,与其他作者在该主题上的观点相比,适应证的数量相对有限,即当无法用任何其他方法对肿瘤进行特征性诊断时,或者对于为了制定治疗方案而需要了解其组织学类型的肿瘤。然后对所采用的技术进行了评估,特别强调了针的口径和引导方法(超声、透视和CT)。在超过90%的病例中获得了正确的样本。在不到10%的病例中观察到了轻微并发症,而未出现严重并发症。总之,经皮活检在遵循检查适应证并事先进行准确选择的情况下被证明是有用的。