Benign circumscribed lesions of the liver diagnosed by ultrasonically guided fine‐needle biopsy

Spamer, C.; Brambs, Hans‐Jürgen; Koch, H; Gerok, W.

doi:10.1002/jcu.1870140202

Cited by 20 publications

(4 citation statements)

References 19 publications

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“…Fine needle biopsy can be of diagnostic utility, even though it carries a risk of bleeding [22]. More recent reports, however, claim that fine needle biopsy is safe and effective [23]. Percutaneous fine needle biopsy was performed in 5 of our patients without complications.…”

Section: Discussionmentioning

confidence: 72%

Giant cavernous hemangiomas: Diagnosis and surgical strategies

et al. 1992

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From January, 1972 to June, 1989, 51 patients with liver hemangiomas (32 females and 19 males, mean age 35 years) were evaluated for surgical treatment. Diameters of the masses were 5 cm to 20 cm (median 8.5 cm). Nine of the patients had already been treated for cancer. Twenty-two (43.1%) of the 51 patients were symptomatic and 29 (56.9%) patients were asymptomatic. In 34 patients (66.7%) a definite diagnosis of hemangioma was made by scintiscan and/or ultrasound and/or computed tomography and/or angiography while in the remaining 17 (33.3%) patients the diagnosis was uncertain. The most common indications for resection were the presence of a symptomatic angioma, a symptomatic mass with an uncertain diagnosis, and/or lack of a definite pre-operative diagnosis. Surgery was performed on 25 patients. Ten anatomic and 15 atypical resections or enucleations were performed. There were no postoperative deaths. Two further patients, operated for probable hemangioma, were found to have primary hepatic malignancies. In the 26 unresected patients, no complications were observed during follow-up. In 3 patients, hemangioma enlargement was detected by ultrasound, but there were no symptoms. As cavernous liver hemangiomas are now more reliably diagnosed and their natural history is usually uneventful, surgery can be avoided in most cases. However, when a non-resection policy is adopted, an exact diagnosis is essential in order to rule out primary or metastatic cancer. Surgical exploration and treatment should be limited to symptomatic or complicated cases as well as to patients with an uncertain diagnosis.

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Section: Discussionmentioning

confidence: 72%

Giant cavernous hemangiomas: Diagnosis and surgical strategies

et al. 1992

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“…It is likely that the small needle calibre in our complication kept the amount of bleeding moderate. Guided histologic sampling has been successfully performed with fine needles (12). No treatment is required for a small liver hemangioma.…”

Section: Discussionmentioning

confidence: 99%

“…Local anesthesia was applied in the aspiration of very small lesions and sometimes to reduce the anxiety of the patient. Before the aspiration, bleeding diathesis was excluded by measuring Accepted for publication 12 July 1989. the bleeding time, the platelet count and the prothrombinproconvertin time. The patients were kept in bed for six hours after the aspiration and stayed in the hospital until the next morning.…”

Section: Methodsmentioning

confidence: 99%

Fine-Needle Aspiration Biopsy of Liver Hemangioma

Taavitsainen¹,

Airaksinen²,

Kreula³

et al. 1990

Acta Radiol

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The results of 36 consecutive fine-needle aspiration biopsies of liver hemangiomas at two University Hospitals from the years 1981-1988 are described. The sizes of the lesions were I to 15 em. Six patients had malignant disease, and liver metastasis was considered possible. In 2 cases the chief complaint was related to liver enlargement, and 28 patients had other abdominal symptoms. The aspiration was performed to confirm a suggested hemangioma in 18 and because of inconclusive findings at imaging in 18 cases. The aspirations were performed with sonographic guidance using 0.7 to 0.8 mm outer diameter needles. Cellular material from a hemangioma was obtained in 21 cases; only blood was aspirated in 5 cases. Hepatocytes were seen among abundant blood cells in 10, and some fibroblasts in 5 cases. One patient had significant bleeding that was treated with a transfusion of two units of blood. Nine patients were treated surgically, and histologic samples confirmed the diagnosis of hemangioma. None of the 27 non-operated patients showed progression of the liver lesion at 3 to 48 months follow-up. Fine-needle aspiration biopsy is helpful in the diagnosis of liver hemangioma. Confusion with malignancy is unlikely. Further experience will show the frequency of complications.

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“…With use of a 20-gauge CN. histologic diagnosis of hemangioma has been obtained in 100% of the cases [46,47] (table 3). Up to now reported cases are too rare for the percu taneous biopsy to be recommended as safe diagnostic procedure for the hepatic heman gioma: anyway the puncture is dangerous when the lesion is subcapsular [44], Hepatic abscesses are a specific indication for US-guided puncture, which, at the same time, can be both a diagnostic and a thera peutic step.…”

Section: Livermentioning

confidence: 99%

Ultrasonically-Guided Fine-Needle Biopsy of Gastrointestinal Organs: Indications, Results and Complications

Fornari¹,

Buscarini²

1992

Dig Dis

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Percutaneous ultrasonically (US) guided fine-needle biopsy can be considered the first invasive diagnostic step for hepatic malignancies. This procedure may also be useful for benign hepatic lesions. In pancreatic tumors the success rate of this technique is lower than that obtained in hepatic masses. US-guided puncture shows low risk even though fatal and major complications, although rare, may occur.

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Benign circumscribed lesions of the liver diagnosed by ultrasonically guided fine‐needle biopsy

Cited by 20 publications

References 19 publications

Giant cavernous hemangiomas: Diagnosis and surgical strategies

Giant cavernous hemangiomas: Diagnosis and surgical strategies

Fine-Needle Aspiration Biopsy of Liver Hemangioma

Ultrasonically-Guided Fine-Needle Biopsy of Gastrointestinal Organs: Indications, Results and Complications

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