Arteriovenous fistula: A complication following renal biopsy of suspected bilateral Wilms' tumor

Coppes, Max J.; Robertson‐Anderson, Rae M.; Mueller, D. L.; Steed, B.L.; Grant, Ron; Donckerwolcke, R. A.

doi:10.1002/(sici)1096-911x(199706)28:6<455::aid-mpo12>3.0.co;2-8

Cited by 4 publications

(3 citation statements)

References 16 publications

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“…Finally, our data confirm the safety of needle biopsies in children in this indication . Few serious complications have been reported in the literature, and the only complications observed in this series were transient grade 1 or 2 hematuria . Recurrence along the biopsy track is considered to be exceptional, although several cases have been reported .…”

Section: Discussionsupporting

confidence: 82%

“…Few serious complications have been reported in the literature, and the only complications observed in this series were transient grade 1 or 2 hematuria . Recurrence along the biopsy track is considered to be exceptional, although several cases have been reported . The use of a coaxial technique lowers this risk by avoiding contact between the biopsy needle and the abdominal wall.…”

Section: Discussionmentioning

confidence: 99%

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Indications and results of diagnostic biopsy in pediatric renal tumors: A retrospective analysis of 317 patients with critical review of SIOP guidelines

Monneraye

Michon

Pacquement

et al. 2019

Pediatric Blood & Cancer

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Objectives According to the Renal Tumor Study Group (RTSG) of the International Society of Paediatric Oncology (SIOP), diagnostic biopsy of renal tumors prior to neoadjuvant chemotherapy is not mandatory unless the presentation is atypical for a Wilms tumor (WT). This study addresses the relevance of this strategy as well as the accuracy and safety of image‐guided needle biopsy. Methods Clinical, radiological, and pathological data from 317 children (141 males/176 females, mean age: 4 years, range, 0–17.6) consecutively treated in one SIOP‐affiliated institution were retrospectively analyzed. Results Presumptive chemotherapy for WT was decided for 182 patients (57% of the cohort), 24 (8%) were operated upfront, and 111 (35%) were biopsied at diagnosis. A non‐WT was confirmed after surgery in 5/182 (3%), 11/24 (46%), and 28/111 (25%), respectively. Age at diagnosis was the most commonly (46%) used criterion to go for biopsy but a nine‐year threshold should be retrospectively considered more relevant. Tumor volumes of clear cell sarcoma of the kidney and WT were significantly higher than those of other tumors (P = 0.002). The agreement between core‐needle biopsy (CNB) and final histology was 99%. No significant morbidity was associated with CNB. Conclusion The use of SIOP criteria to identify patients eligible for presumptive WT neoadjuvant chemotherapy or upfront surgery avoided biopsy in 65% of children and led to a 97% rate of appropriate preoperative chemotherapy. Image‐guided CNB is a safe and accurate diagnostic procedure. The relevance of SIOP biopsy criteria might be improved by using an older age threshold (9 years instead of 6 years) and by adding initial tumor volume.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Indications and results of diagnostic biopsy in pediatric renal tumors: A retrospective analysis of 317 patients with critical review of SIOP guidelines

Monneraye

Michon

Pacquement

et al. 2019

Pediatric Blood & Cancer

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“…Clinically, the most important of these is tumor seeding in the biopsy track-it has been described in only two cases in the literature, including one from our series [4]. Another rare complication is arteriovenous fistula which has been reported in 2-8% of patients undergoing a renal biopsy, but only in one case of biopsied WT [18].…”

Section: Morbiditymentioning

confidence: 71%

The role of biopsy in the diagnosis of renal tumors of childhood: Results of the UKCCSG Wilms tumor study 3

Vujanić

Kelsey

Mitchell

et al. 2002

Med. Pediatr. Oncol.

140

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Background The United Kingdom Children's Cancer Study Group (UKCCSG) Wilms Tumor Study 3 has adopted preoperative chemotherapy for Wilms tumors (WT), but required prechemotherapy biopsy for histologic diagnosis. The aims of this review were to assess the usefulness and safety of prechemotherapy biopsy and to compare histologic features of WT before and after chemotherapy. Procedure There were 286 eligible patients but only 241 biopsies and 226 nephrectomy case slides were submitted for panel review. The presence of different histologic components of WT before and after chemo therapy was retrospectively assessed. Results Among the 241 cases, the biopsy material in 9 (4%) was not diagnostic, in 28 (12%) that were clinically and radiologically consistent with WT, the biopsy revealed tumors other than WT, and in the remaining 204 (85%) WT was confirmed. Of 188 WT suitable cases, blastema was found in 89% of tumors at biopsy, but in only 50% at nephrectomy; the remainder were either completely necrotic (17%) or showed only epithelial and/or stromal elements (33%). Of 182 children who had percutaneous cutting needle biopsy (PCNB), a fall in haemoglobin (20% of cases) and local pain (19%) were the most common complications. One child re quired emergency nephrectomy due to massive intratumoral bleeding, another had tumor rupture and subsequently died, and a third developed a needle track recurrence 8 months after the biopsy. Conclusions A number of renal tumors (12%) can have the correct histologic diagnosis made by PCNB. Preoperative chemo therapy markedly decrease in the number of samples with preserved blastema. The morbidity associated with PCNB is small. Needle biopsy of any renal mass prior to initiation of chemotherapy is recommended. Med Pediatr Oncol 2003;40:18–22, © 2003 Wiley‐Liss, Inc.

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Letter to the Editor: “Arteriovenous fistula: A complication following renal biopsy of suspected bilateral Wilms tumor”

Kraker

1998

Med. Pediatr. Oncol.

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Arteriovenous fistula: A complication following renal biopsy of suspected bilateral Wilms' tumor

Cited by 4 publications

References 16 publications

Indications and results of diagnostic biopsy in pediatric renal tumors: A retrospective analysis of 317 patients with critical review of SIOP guidelines

Indications and results of diagnostic biopsy in pediatric renal tumors: A retrospective analysis of 317 patients with critical review of SIOP guidelines

The role of biopsy in the diagnosis of renal tumors of childhood: Results of the UKCCSG Wilms tumor study 3

Letter to the Editor: “Arteriovenous fistula: A complication following renal biopsy of suspected bilateral Wilms tumor”

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