Intraparenchymal brain lesion biopsy guided by a rigid endoscope and navigation system

Ishikawa, Eiichi; Yamamoto, Tetsuya; Matsuda, Masahide; Akutsu, Hidenori; Zaboronok, Alexander; Kohzuki, Hidehiro; Miki, Soichiro; Takano, Shingo; Matsumura, Akira

doi:10.4103/2152-7806.165764

Cited by 6 publications

(5 citation statements)

References 19 publications

(36 reference statements)

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“…Compared with conventional stereotactic biopsy, navigation-guided endoscopic biopsy enables intraoperative visualization of the lesion, collection of a sufficient amount of specimen, and confirmation of hemostasis. [5,10] Especially in the case of tumors with hemorrhage, visualization of the tumor using endoscopy is important because the removal of hemorrhage is expected to cause dislocation in the navigation system.…”

Section: Discussionmentioning

confidence: 99%

Hemorrhagic brain metastasis from small-cell carcinoma of the urinary bladder

Maeshima

Sasaki

Yamoto

et al. 2022

Surgical Neurology International

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Background: Small-cell carcinoma of the urinary bladder (SCCB) accounts for 1% of all bladder tumors. We present a rare case of hemorrhagic metastatic brain tumor from SCCB diagnosed by navigation-guided endoscopic biopsy. Case Description: A 76-year-old man presented with sudden onset of aphasia and right hemiplegia from 3 weeks previously. He had a medical history of prostate cancer and SCCB. Computed tomography showed a mixed density mass in the left basal ganglia. On magnetic resonance imaging, the mass showed mixed intensity in both T1-weighted images and T2-weighted images, suggesting subacute hemorrhage. The mass was partially enhanced with gadolinium. The patient underwent endoscopic hematoma evacuation and partial removal of the tumor. Histopathological diagnosis was neuroendocrine carcinoma, which was consistent with SCCB metastasis. After surgery, the patient underwent whole-brain radiation therapy of 30 Gy. His general condition gradually deteriorated, however, and he died 4 months after surgery. Conclusion: Our patient had a rare case of brain metastasis derived from SCCB which presented with cerebral hemorrhage. Navigation-guided endoscopic biopsy was useful for the diagnostic sampling of deep localized brain tumors with hemorrhage.

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Section: Discussionmentioning

confidence: 99%

Hemorrhagic brain metastasis from small-cell carcinoma of the urinary bladder

Maeshima

Sasaki

Yamoto

et al. 2022

Surgical Neurology International

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“…Recently, navigation-guided endoscopic biopsy has been used to overcome the drawbacks of needle and open biopsies 7 . Ishikawa et al reported that endoscopic biopsy is safe and feasible for diagnostic tissue sampling 5 . Navigation-guided endoscopic biopsy is less invasive than open biopsy; the required incision length and operation time are both shorter in the former than in the latter procedure and the risk of brain swelling due to damage to the cortical vein by the bone edge is also reduced 7 .…”

Section: Discussionmentioning

confidence: 99%

“…We believe that the key characteristics of the ideal biopsy procedure include (1) accurate sampling, (2) less invasiveness, (3) large continuous line specimens, and (4) visualization of the intraparenchymal structures during surgery 5 . Presently, no surgical method satisfies all these criteria.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical biopsy, which involves a craniotomy, is associated with high diagnostic accuracy; however, it is an invasive procedure that carries a high risk of complications. Recently, the usefulness of endoscopic biopsy, which involves neuroendoscopy, has been described 5 . These conventional methods have some advantages and disadvantages in sampling accuracy, approach to deep lesions, sample volume, and invasiveness; the choice of optimal technique depends on context.…”

Section: Introductionmentioning

confidence: 99%

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A preliminary study of the diagnostic efficacy and safety of the novel boring biopsy for brain lesions

Ogiwara

Nitta

Fujii

et al. 2022

Sci Rep

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Existing methods for biopsy of intraparenchymal brain lesions, including stereotactic biopsy and open block biopsy, have advantages and disadvantages. We propose a novel biopsy method, called “boring biopsy,” which aims to overcome the drawbacks of each conventional method. This method is less invasive and allows obtaining continuous specimens of sufficient volume. We aimed to assess the feasibility and efficacy of using boring biopsy for intraparenchymal brain lesions. We included 26 consecutive patients who underwent boring biopsy for intraparenchymal lesions. Columnar continuous specimens from the surface of the normal brain tissue to the tumor margin and the center of the lesion were obtained using the boring biopsy method. We used a catheter introducer with original modifications to create a cylindrical biopsy tool for surgery. Columnar continuous specimens were successfully obtained. Histopathological diagnosis was based on cellular changes and differentiation from normal tissues to the core of the lesion and established in all cases. No permanent deficits, major adverse outcomes, or deaths were observed. This novel technique may improve diagnostic accuracy and reduce invasiveness associated with brain biopsy. This method may become the next standard procedure, particularly in some cases where histological evaluation is paramount, and conventional biopsy methods are not suitable.

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“…With the recent development of endoscopic surgical instruments, many reports on the usefulness of endoscopic biopsy have appeared, and it is reasonable to say that operative procedures for endoscopic biopsy of intraventricular brain tumors have already been established. The usefulness of endoscopic biopsy for intraparenchymal brain tumors has also been reported [1][2][3]. With endoscopic biopsy for intraventricular brain tumors, it is easy to identify the target intraoperatively because the anatomy within the ventricle can be observed and the tumor confirmed.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Biopsy using High-Dose Fluorescein Sodium for Malignant Brain Tumors

Okuda¹

2016

Int J Neurol Neurother

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The utility of endoscopic biopsy using high-dose fluorescein sodium in biopsy of malignant brain tumors was investigated. The subjects were 9 patients with malignant brain tumors (malignant lymphoma 5, glioblastoma 3, metastatic brain tumor 1). After making an incision in the dura mater, 20 mg/kg fluorescein sodium were administered intravenously. A transparent sheath was then inserted under neuronavigation guidance. To observe the tumor, an endoscopic biopsy was performed using normal white light endoscopy with a rigid endoscope, without the use of an excitation filter or other special devices. Yellow staining of the tumor was confirmed with white light endoscopy in all cases, and the biopsies could be performed with reliable identification of the target and no complications. Endoscopic biopsy using high-dose fluorescein sodium for malignant brain tumors is a simple and highly useful surgical technique that improves the safety and reliability of biopsies.

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Intraparenchymal brain lesion biopsy guided by a rigid endoscope and navigation system

Cited by 6 publications

References 19 publications

Hemorrhagic brain metastasis from small-cell carcinoma of the urinary bladder

Hemorrhagic brain metastasis from small-cell carcinoma of the urinary bladder

A preliminary study of the diagnostic efficacy and safety of the novel boring biopsy for brain lesions

Endoscopic Biopsy using High-Dose Fluorescein Sodium for Malignant Brain Tumors

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