Ultrasound-guided fine-needle biopsy of focal liver lesions: techniques, diagnostic accuracy and complications: A retrospective study on 2091 biopsies

作者: Luigi Buscarini , Fabio Fornari , Luigi Bolondi , Paolo Colombo , Tito Livraghi

DOI: 10.1016/0168-8278(90)90219-H

关键词:

摘要: Two thousand and ninety-one ultrasound-guided fine-needle biopsies were performed in 1946 patients to diagnose focal liver lesions. The diagnostic accuracy of is very high (only one false positive was observed), both for aspiration biopsy (93.4%) cutting (95.1%). difference not statistically significant. In cases hepatocellular carcinoma (but metastasis or hepatic lymphoma), double (aspiration cutting) showed higher sensitivity than single methods. A certain number benign lesions also diagnosed. the present series, no case death following puncture observed. Intraperitoneal hemorrhage most common complication. risk with a needle being an aspirative needle.

参考文章(32)
M. Labadie, F. Berger, A. Liaras, Pa. Bret, M. Bretagnolle, A. Fond, Y. Minaire, La ponction-aspiration cytologique des lésions hépatiques peut-elle remplacer la ponction biopsique? Acta Endoscopica. ,vol. 15, pp. 281- 290 ,(1985) , 10.1007/BF02966121
D. Sautereau, O. Vire, P.Y. Cazes, J.B. Cazals, G. Catanzano, R. Claude, B. Pillegand, Value of sonographically guided fine needle aspiration biopsy in evaluating the liver with sonographic abnormalities Gastroenterology. ,vol. 93, pp. 715- 718 ,(1987) , 10.1016/0016-5085(87)90432-X
F. Piccinino, E. Sagnelli, G. Pasquale, G. Giusti, A. Battocchia, M. Bernardi, R. Bertolazzi, F.B. Bianchi, E. Brunelli, G. Budillon, L. Buscarini, A. Cargnel, G. Carrara, N. Carulli, L. Caruso, V. Cataldi, G. Celle, L. Chiandussi, L. Chiesa, M. Colombo, M. Coltorti, C. De Bac, C. Del Vecchio Blanco, G. Di Marco, F. Fiaccadori, M.G. Filippazzo, F. Fornari, A. Francavilla, M. Frezza, V. Gallo, V. Galvani, T. Givatto, C. Iannuzzi, C.M. Izzo, S. Le Moli, G. Longo, G. Magnani, M. Manai, F. Manenti, O. Manghisi, G. Manzillo, G. Marenco, F. Miglio, G. Molino, P.G. Mosca, R. Moschetta, C. Panella, G. Panichi, G. Parrilli, G. Pastore, C. Peluso, A. Picciotto, G. Pilleri, E. Pisi, M. Ponz de Leon, M. Rago, G. Raimondo, G. Realdi, M. Rizzetto, A. Rizzo, G. Ronchi, F. Rossi Fanelli, G. Ruggiero, N. Russo, A. Satta, D.E. Sansonno, C. Struglia, P. Tolentino, F. Tremolada, C. Trischitta, G. Verme, P. Viganò, G. Visco, P. Zivelonghi, Complications following percutaneous liver biopsy Journal of Hepatology. ,vol. 2, pp. 165- 173 ,(1986) , 10.1016/S0168-8278(86)80075-7
Gabriele Sangalli, Tito Livraghi, Ferdinando Giordano, Fine needle biopsy of hepatocellular carcinoma: improvement in diagnosis by microhistology. Gastroenterology. ,vol. 96, pp. 524- 526 ,(1989) , 10.1016/S0016-5085(89)91580-1
Patrice M. Bret, Michel Labadie, Michel Bretagnolle, Pierre Paliard, Alain Fond, Pierre Jean Valette, Hepatocellular carcinoma: Diagnosis by percutaneous fine needle biopsy Abdominal Imaging. ,vol. 13, pp. 253- 255 ,(1988) , 10.1007/BF01889073
Chihiro Ashida, Elliot K. Fishman, Elias A. Zerhouni, Franklin H. Herlong, Stanley S. Siegelman, Computed tomography of hepatic cavernous hemangioma Journal of Computer Assisted Tomography. ,vol. 11, pp. 455- 460 ,(1987) , 10.1097/00004728-198705000-00016
Fukuo Kondo, Katsunori Wada, Yoshinobu Nagato, Tohru Nakajima, Yoichiro Kondo, Noboru Hirooka, Masaaki Ebara, Masao Ohto, Kunio Okuda, Biopsy diagnosis of well-differentiated hepatocellular carcinoma based on new morphologic criteria. Hepatology. ,vol. 9, pp. 751- 755 ,(1989) , 10.1002/HEP.1840090516
Lennox Jeffers, Gary Spieglman, Rajender Reddy, Richard Dubow, Mehrdad Nadji, Parvin Ganjei, Eugene R. Schiff, Laparoscopically directed fine needle aspiration for the diagnosis of hepatocellular carcinoma: a safe and accurate technique Gastrointestinal Endoscopy. ,vol. 34, pp. 235- 237 ,(1988) , 10.1016/S0016-5107(88)71319-X
X. Cussó, A. Marti-Vicente, J. Monés-Xiol, F. Vilardell, Laparoscopic cytology--an evaluation. Endoscopy. ,vol. 20, pp. 102- 103 ,(1988) , 10.1055/S-2007-1018147