Needle localization of small pediatric tumors for surgical biopsy

Hardaway, Brian; Hoffer, Fredric A.; Rao, Bhaskar N.

doi:10.1007/s002470050748

Cited by 23 publications

(5 citation statements)

References 8 publications

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“…In recent reports concerning thoracoscopic biopsies and especially removal of malignant mediastinal disease, authors reported on feasibility but were concerned about the benefit of complete resection and about potential trocar metastasis [28][29][30][31][32][33]. Under the assumption of a benign lesion, we performed a thoracoscopic complete removal of the tumor, with no problems and retrospectively without any disadvantage for our patient.…”

Section: Concomitant Lymphomamentioning

confidence: 85%

Impact of concomitant thoracic interventions on feasibility of Nuss procedure

Metzelder

Ure

Leonhardt

et al. 2007

Journal of Pediatric Surgery

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Section: Concomitant Lymphomamentioning

confidence: 85%

Impact of concomitant thoracic interventions on feasibility of Nuss procedure

Metzelder

Ure

Leonhardt

et al. 2007

Journal of Pediatric Surgery

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“…7,25,47 Approaches for localization include hook wire, methylene blue injection, and/or the utilization of endoscopic ultrasound. Preoperative, image-guided, lung nodule localization, [48][49][50][51][52][53] and intraoperative ultrasound localization have been explored for lesions, especially when small and solitary. 54 A combination of computed tomography (CT)-guided microcoil localization and thoracoscopy 49 or CT-guided hook wire localization, methylene blue staining, and thoracoscopy was able to achieve a 97%-100% diagnostic yield for small subpleural lesions.…”

Section: Localization and Biopsymentioning

confidence: 99%

“…48,49,51,52 CT-guided needle localization and thoracoscopy for 0.1-cm 3 lesions were 100% diagnostic. 53 CT-guided needle localization with methylene blue staining and thoracoscopy was performed on small pulmonary nodules < 1 cm or nodules up to 2 cm deep to the pleural surface with 92.3%-100% diagnostic yield. 50,52 Minimally invasive thoracoscopic ultrasound has also been used to assist in localization of lesions between 0.3 and 2.9 cm.…”

Section: Localization and Biopsymentioning

confidence: 99%

The Role of Thoracoscopic Surgery in Pediatric Oncology

Malkan

Loh

Fernández-Pineda

et al. 2014

Journal of Laparoendoscopic & Advanced Surgical Techniques

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The application of thoracoscopic surgical techniques to pediatric solid tumors represents an important adjunctive tool for the surgical management of childhood cancer. Nearly four decades has passed since the introduction of minimally invasive chest surgery in children, and although the adoption of minimally invasive surgery in general pediatric surgical practice is better recognized, its role in pediatric oncology is still considered a developing field. As no consensus exists regarding the use of thoracoscopy for pediatric thoracic solid tumors, the purpose of this article is to review the current literature surrounding the use of thoracoscopic interventions in pediatric oncology and examine established indications, procedures, and technologic advances.

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“…Bei der transläsionalen Drahteinlegung muss bedacht werden, dass es hierbei zu einer Verschleppung von Tumorzellen kommen kann. Pulmonale Drahtmarkierungen sind bei Kindern bisher nur kasuistisch beschrieben worden [35,36] (l " Abb. 5).…”

Section: Drahtmarkierungunclassified

Computertomografisch gesteuerte Interventionen bei Kindern

Honnef

Wildberger

Schubert

et al. 2007

Fortschr Röntgenstr

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In pediatric CT-guided interventions specific features have to be taken into account. Due to a lack of cooperation or limited ability to cooperate, procedures are often performed using analgosedation or general anesthesia. To provide radiation protection, justified indication for CT-guided intervention is necessary and sonography and MRI are to be preferred whenever possible. CT examinations also need to be dose-adapted with sequential scanning and a tube voltage and tube current reduction compared to pediatric diagnostic CT studies must be ensured. Gonad shields are recommended for male patients. Biopsy device selection depends on the assumed tumor entity since histology and also immunohistochemical, molecular pathological and cytogenetical analysis are necessary to differentiate pediatric tumors (small, round, blue cell tumors). In addition to diagnostic procedures, therapeutic interventions (drainage, injection therapies, neurolysis, and radiofrequency ablation) can also be used in children and can provide an alternative to surgery in selected cases. With justified indications and precise performance, CT-guided interventions can be successful in pediatric patients with limited risks.

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Needle localization of small pediatric tumors for surgical biopsy

Abstract: Needle localization allows effective and less invasive excision or biopsy of a variety of small pediatric soft-tissue lesions.

Cited by 23 publications

References 8 publications

Impact of concomitant thoracic interventions on feasibility of Nuss procedure

Impact of concomitant thoracic interventions on feasibility of Nuss procedure

The Role of Thoracoscopic Surgery in Pediatric Oncology

Computertomografisch gesteuerte Interventionen bei Kindern

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