Biopsia estereotáxica e implante de Ir-192 en tumores intracraneales. Revisión de 7 años de experiencia

G, López Flores; L, Ochoa Zaldívar; Salva, S.; J, González Quintana; E, Guerra Figueredo; Teijeiro, J.; Jm, Morales; Perez, A.; Estupiñán, B; Fermín, E.; Padrón, A; J, Piedra

doi:10.33588/rn.3205.2000445

Cited by 1 publication

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“…In the previous reports, mortality secondary to SBB was settle from 1% to 2% 14,15,19 . Risk factors associated with mortality are size of the lesion to be biopsied, particularly for neoplasms; increase in neovascularization, which confers a greater possibility of edema and hemorrhage and patients with a lower degree of functionality 16,19,20 .…”

Section: Discussionmentioning

confidence: 99%

Stereotactic biopsy for intracranial space occupying lesions: Experience in a referral hospital in Mexico

Navarro-Olvera,

Parra-Romero,

Carrillo-Ruiz

et al. 2023

CIRUE

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Background: Stereotactic brain biopsy (SBB) is used for establishing the histological diagnosis of intracranial lesions that are not amenable for a direct surgical approach. Objective: The objective of the study was to describe our experience having an evaluation of the biopsy sample by a neuropathologist during SBB. Materials and methods: Retrospective analysis of 140 consecutive patients who underwent SBB between 2014 and 2018 in whom trans-operatory analysis of the sample was performed. Results: There were 56% men. The mean age was 45 years. Histological diagnosis was performed in 131 of 140 patients (94% overall diagnostic yield). The presurgical radiological diagnosis was correct in 39%. Neoplastic lesions were reported in 108 cases, and 32 were non-neoplastic. We performed craniotomy and resection after biopsy in 14%. We found complications in 6% of patients. Conclusions: SBB continues to be a safe, useful, and inexpensive procedure. The diagnostic performance of SBB increases when intraoperative cytological evaluation by a neuropathologist is included in the study.

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