Detection of Intrahepatic Metastases by Blind Needle Liver Biopsy

Parets, Albert D.

doi:10.1097/00000441-195903000-00007

Cited by 30 publications

(6 citation statements)

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“…The frequency with which a single liver biopsy demonstrates metastatic cancer in patients proven to have liver metastases a t necropsy has been reported to range from 58 t o 91% (Conn and Yesner, 1963;Kleckner, 1964; Parets, 1959). Our own results (54%) suggest t h a t the lower figure is more realistic.…”

Section: Discussionmentioning

confidence: 52%

“…The accuracy of diagnostic studies in predicting the presence of hepatic metastases has been studied (Covington, 1970; Conn and Yesner, 1963;Kleckner, 1964; Parets, 1959). The frequency with which a single liver biopsy demonstrates metastatic cancer in patients proven to have liver metastases a t necropsy has been reported to range from 58 t o 91% (Conn and Yesner, 1963;Kleckner, 1964; Parets, 1959).…”

Section: Discussionmentioning

confidence: 99%

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The liver scan in patients with cancer: Histologic correlation

Volpe

Lull

Nusynowitz

1971

Journal of Surgical Oncology

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Liver scans, biopsies, and function studies were reviewed in 63 cancer patients and correlated with autopsy material to determine the value of the liver scan in such patients. The scan is abnormal in 96% of patients with autopsy-confirmed hepatic disease, but the scan pattern is of little assistance in differentiating tumor from nontumor pathology. Liver function studies are equally nonspecific and even less sensitive than the scan. Percutaneous biopsy, while diagnostic when positive, is insensitive, showing false-negative results in up to 40% of cases. The liver scan, as the most sensitive indicator of liver disease, may be most valuable when normal, reflecting a better prognosis and aiding in the determination of treatment. When the liver scan is abnormal, more specific tests must be employed. A method of approach is suggested. Whang et al., 1965). It is difficult t o compare these studies for several reasons: the use of different radiopharmaceuticals, improvements in techniques and in the experience of the nuclear medicine physician, the failure in older studies t o obtain The mentioning of trade names or manufacturers does not constitute approval of or endorsement by the U.S. Government.

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Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

The liver scan in patients with cancer: Histologic correlation

Volpe

Lull

Nusynowitz

1971

Journal of Surgical Oncology

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“…This idea would deprive us of an important diagnostic procedure in patients of the older age bracket, in whom such metastases are most often suspected. The experience of several groups (11–13) and our own data do not support the opinion that liver biopsy in patients with hepatic metastatic disease is an extremely hazardous procedure. The two fatal complications in our 111 cases are explainable on a basis other than that of liver metastases.…”

Section: Discussionmentioning

confidence: 56%

“…In the study by Battaglia and associates (12), only 2 fatalities were ascribable to needle biopsy among 208 patients with metastatic disease of the liver. Parets (13), too, did not observe any increased bleeding following needle biopsy of the liver in his series of 108 cases. Recently, Fenster and Klatskin (14) reported their experiences in 81 cases of metastatic liver disease; they agreed fully with the previous observations (11–13) that hepatic metastases do not enhance the hazards of needle biopsy of the liver.…”

mentioning

confidence: 91%

“…Recently, Fenster and Klatskin (14) reported their experiences in 81 cases of metastatic liver disease; they agreed fully with the previous observations (11-13) that hepatic metastases do not enhance the hazards of needle biopsy of the liver. Parets (13) concluded that the occurrence of accidents (such as bleeding) is related more to the technique of the biopsy than to the pathologic condition of the tissue.…”

mentioning

confidence: 99%

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