Diagnosis of abdominal masses with percutaneous biopsy guided by ultrasound.

Jaeger, H J; MacFie, John; Mitchell, C. J.; N, Couse; Wai, Desmond

doi:10.1136/bmj.301.6762.1188

Cited by 22 publications

(17 citation statements)

References 11 publications

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“…1, 2, 8, 9, 11, 13 and 14) and benign disease in four (patient nos. 3,4,7,12). In only one case did an asymptomatic small pneumothorax develop as a complication of a peripancreatic biopsy (patient no.…”

Section: Resultsmentioning

confidence: 94%

“…The anatomical obstacles between the skin and the target lesion in our study included abdominal organs in 1,2,5,6,7,8,9). In due casi (pazienti 10, 14) la biopsia è stata eseguita in un surrene lievemente aumentato di volume, in cui era stata documentata una captazione del tracciante radioattivo all'esame TC-tomografia ad emissione di positroni (PET).…”

Section: Discussionunclassified

“…In due casi (pazienti 10, 14) la biopsia è stata eseguita in un surrene lievemente aumentato di volume, in cui era stata documentata una captazione del tracciante radioattivo all'esame TC-tomografia ad emissione di positroni (PET). L'analisi citologica o istologica del campione, a seconda dei casi, ha portato a diagnosi di malignità in 7 casi (pazienti 1,2,8,9,11,13,14) e di benignità in 4 casi (pazienti 3,4,7,12). In un solo caso si è osservata una complicanza rappresentata da una sottile falda di pneumotorace, del tutto asintomatica, a seguito di una biopsia di un linfonodo peripancreatico (paziente 5).…”

Section: Discussionunclassified

“…Cytohistological investigation plays an important role in the primary diagnosis of neoplasms but also in staging, selecting tumour-specific therapy and follow-up [3,4]. Anatomical and histological complexity makes the retroperitoneum the centre of different primary neoplasms (many malignant) arising in the epithelium, soft tissues, nervous tissues and haemolymphopoietic system; there is also frequent tumour infiltration from adjacent structures (vertebral column, abdominal wall, chest) and metastasis [5][6][7]. Before the advent of needle biopsy, histological diagnosis of retroperitoneal nodules or masses was obtained by surgical biopsy or surgical resection [3,8].…”

Section: Introductionmentioning

confidence: 99%

“…L'esame cito-istologico è di fondamentale importanza nella diagnosi di natura, ma anche nella fase di stadiazione della neoplasia, nell'impostazione della strategia terapeutica e nel successivo follow-up [3,4]. Il retroperitoneo, per la sua complessità anatomica ed istologica, è sede di svariate neoplasie primitive (molte delle quali maligne) epiteliali, delle parti molli, neuroectodermiche e del sistema emolinfopoietico; frequenti sono anche le infiltrazioni tumorali da strutture adiacenti (ad esempio, colonna vertebrale, pareti addominali, torace) e le metastasi [5][6][7]. In era pre-agobioptica, la diagnosi istologica di noduli o masse retroperitoneali era affidata alla biopsia chirurgica o alla resezione chirurgica [3,8].…”

Section: Introductionunclassified

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Benefits of 3D technique in guiding percutaneous retroperitoneal biopsies

et al. 2010

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Section: Resultsmentioning

confidence: 94%

Section: Discussionunclassified

Section: Introductionmentioning

confidence: 99%

Section: Introductionunclassified

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Benefits of 3D technique in guiding percutaneous retroperitoneal biopsies

et al. 2010

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Emergency laparotomy in patients with AIDS

Davidson

Allen-Mersh

Miles

et al. 1991

Journal of British Surgery

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The presentation, operative management and final diagnosis were reviewed in 28 patients with AIDS (27 men and one woman) who underwent emergency laparotomy. On clinical and radiological examination, six patients showed features of toxic megacolon, five patients had small bowel obstruction, six patients had localized peritonitis and three had perforated viscus with generalized peritonitis. The most common disease processes were acute colitis in seven patients (associated with cytomegalovirus (CMV) infection in six), intra-abdominal lymphoma in five patients, acute appendicitis in five patients (associated with CMV infection in two), and atypical mycobacterial (MAI) infection in four patients. Two perioperative deaths occurred; one in a patient with acute pancreatitis and a second with generalized peritonitis. Later deaths were due to progression of AIDS, and patient survival at 1 month, 3 months and 6 months was 89 per cent, 64 per cent and 48 per cent, respectively. Lower operative mortality than in previously reported series may be due to earlier intervention in CMV toxic megacolon. Surgery, however, conferred less benefit in patients with acute abdominal pain from MAI infection or lymphoma. With careful patient selection, emergency laparotomy may achieve worthwhile palliation in patients with AIDS.

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