Laborda-Vidal Patricia, Martín Myriam, Orts-Porcar Marc, Vilalta Laura, Melendez-Lazo Antonio, de Carellán Alejandra García, Ros Carlos
Departamento de Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, CEU Universities, Calle Tirant lo Blanch 7, 46115 Alfara del Patriarca, Valencia, Spain.
Department of Veterinary Clinical Sciences, Louisiana State University School of Veterinary Medicine, Skip Bertman Drive, Baton Rouge, LA 70803, USA.
Animals (Basel). 2022 Jun 30;12(13):1688. doi: 10.3390/ani12131688.
Fine needle biopsy (FNB) is an effective, minimally invasive and inexpensive diagnostic technique. Under computed tomography (CT)-guidance, lesions that have a difficult approach can be sampled to reach a diagnosis. The aim of this study is to describe the use of CT-guidance to obtain FNB from vertebral and paravertebral lesions in small animals. Ten dogs and one ferret that had undergone CT-guided FNB of vertebral and paravertebral lesions and had a cytological or a histological diagnosis were included in this retrospective study. The FNB samples were taken in four cases from the vertebra, in two cases from the intervertebral disc and in five cases from the intervertebral foramen. Two infectious and nine neoplastic lesions were diagnosed. The percentage of successful FNB was 91%. The percentage of samples with a cytological diagnosis was 80%. The percentage of complications was 9%. Limitations were the small number of animals in the study, the lacking complementary percutaneous biopsies for comparison, the lacking final histological diagnoses in some cases and the intervention of multiple operators. Computed tomography-guided FNB is a useful and safe technique for the diagnosis of vertebral and paravertebral lesions in small animals. However, a degree of expertise is important.
细针穿刺活检(FNB)是一种有效、微创且廉价的诊断技术。在计算机断层扫描(CT)引导下,对于难以接近的病变可以进行采样以达成诊断。本研究的目的是描述使用CT引导从小动物的椎体和椎旁病变获取FNB的方法。本回顾性研究纳入了10只犬和1只雪貂,这些动物均接受了CT引导下椎体和椎旁病变的FNB,并获得了细胞学或组织学诊断。FNB样本在4例取自椎体,2例取自椎间盘,5例取自椎间孔。诊断出2例感染性病变和9例肿瘤性病变。FNB成功的百分比为91%。细胞学诊断样本的百分比为80%。并发症的百分比为9%。局限性在于研究中的动物数量较少、缺乏用于比较的补充经皮活检、某些病例缺乏最终组织学诊断以及多名操作者的干预。CT引导下FNB是诊断小动物椎体和椎旁病变的一种有用且安全的技术。然而,一定程度的专业知识很重要。