Ippolito V, Saccalani M, Pavia M, Brembilla R, Motta C
Centro di Oncologia Ortopedica, 1o Ortopedia, Ospedale Civile di Brescia.
Chir Organi Mov. 1998 Jan-Jun;83(1-2):7-13.
As is the case for tumor lesions of the limbs, for the spine, too, no treatment should be started without a pathological diagnosis. Open biopsy of the spine is always a major surgical procedure with all of the related risks, and the surgeon is frequently tempted to perform, during the same operation, biopsy and definitive treatment. This approach leads many patients to unnecessary major operations, when the final histology shows a disease which does not carry an indication for surgical resection. CT-guided percutaneous Trochar-Biopsy is a safe procedure used to obtain an adequate sample for full histological evaluation. Eliminating the need for biopsy, several major vertebral resections could be avoided. This technique deserves to become the standard first-choice procedure whenever a biopsy of the spine is required.
与四肢肿瘤病变的情况一样，对于脊柱来说，在没有病理诊断的情况下也不应开始治疗。脊柱开放活检始终是一项存在所有相关风险的大型外科手术，外科医生常常倾向于在同一手术中进行活检和确定性治疗。当最终组织学显示的疾病不存在手术切除指征时，这种方法会导致许多患者接受不必要的大型手术。CT引导下经皮套管针活检是一种安全的方法，用于获取足够的样本进行全面的组织学评估。由于无需进行活检，因此可以避免一些主要的椎体切除术。每当需要对脊柱进行活检时，这项技术都理应成为标准的首选方法。
