Predictive Value of Percutaneous Imaging-Guided Biopsy of Peritoneal and Omental Masses: Results in 111 Patients

Souza, Frederico; Mortelé, Koenraad J.; Cibas, Edmund S.; Ertürk, Şükrü Mehmet; Silverman, Stuart G.

doi:10.2214/ajr.08.1283

Cited by 53 publications

(55 citation statements)

References 12 publications

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“…The technique has been extensively used to biopsy the bile duct, gallbladder [6,7] , hepatic hilum [8] , regional lymph nodes [9] pancreatic lesions [10] and hepatic lesions [11] as well as for aspiration of malignant ascites [12] . CT guided FNA has been utilized to biopsy peritoneal and omental masses [13] . This case also delineates the difficulties encountered while managing patients with cholangiocarcinoma and cirrhosis [14,15] .…”

Section: Discussionmentioning

confidence: 99%

Use of endoscopic ultrasound for diagnosis of cholangiocarcinoma in auto-immune hepatitis

Rial

Henderson²,

Bhattacharyya³

et al. 2010

WJGE

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In this report, a patient was exposed to an herbal re medy for hypercholesterolemia. She became acutely jaundiced while taking the remedy and presented for medical care. Endoscopic ultrasound was utilized, and found a distal common bile duct mass. Endosco pic retrograde cholangiopancreatography guided bile duct biopsies revealed that the mass was cholangio carcinoma (CCA). This case highlights a unique associa tion between autoimmune hepatitis and CCA. It also highlights that EUS can be safely used in patients with cirrhosis to spare invasive evaluation such as explora tory laporotomy for diagnosis and staging of cholangio carcinoma.© 2010 Baishideng. All rights reserved.

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Section: Discussionmentioning

confidence: 99%

Use of endoscopic ultrasound for diagnosis of cholangiocarcinoma in auto-immune hepatitis

Rial

Henderson²,

Bhattacharyya³

et al. 2010

WJGE

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“…The usual contraindications to biopsy are abnormal hemostasis, gaseous distention, or lack of patient cooperation. Complications are rare (2-3%) [44] and usually well tolerated. There is a risk of intestinal perforation, but it is usually of little consequence due to the small caliber of the biopsy needle.…”

Section: Diagnostic Approachmentioning

confidence: 99%

“…While the specificity of needle biopsy to determine malignancy is excellent (100%), the sensitivity is considerably weaker (89-95%) [43,46]. Some authors propose that if a biopsied lesion is labelled as ''benign'' but without a specific etiologic diagnosis, the patient should undergo repeat biopsy [44]. When a difficultly-placed mass is inaccessible to percutaneous biopsy or if radioguided biopsy fails to yield a diagnosis (4% of cases according to Gottlieb et al [47]), surgical biopsy by either laparoscopy or open laparotomy is the next option.…”

Section: Diagnostic Approachmentioning

confidence: 99%

Mesenteric tumors: Diagnosis and treatment

Dufay

Abdelli

Pennéc

et al. 2012

Journal of Visceral Surgery

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Undifferentiated carcinoma is a usually aggressive, malignant epithelial neoplasm composed of atypical cells which do not display evidence of glandular, squamous, or urothelial cell differentiation.1 Mesenteric tumors are rare and consist of a heterogeneous group of lesions. Among them undifferentiated carcinoma of the mesentery is very very rare entity. Here we present a case of undifferentiated carcinoma of the mesentery in a 51 year old male admitted to the department of surgery, Shaheed Suhrawardy Medical College Hospital (ShSMCH) with rapidly increasing huge abdominal lump, central abdominal pain and weight loss. Ultrasound of the whole abdomen and CT scan of whole abdomen reports were suggestive of retroperitoneal mass. Exploratory laparotomy was done and specimen sent for histopathology. Reports were suggestive of malignant mesothelioma whereas immunohistochemistry report revealed undifferentiated carcinoma of the mesentery. To the best of our knowledge, there was no report of undifferentiated carcinoma of the mesentery in a 51 year old male from Bangladesh or any other country, 2013;5(2):114-116]

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“…In another study of 111 percutaneous image-guided peritoneal and omental biopsies, the overall diagnostic rate was 89%, with a sensitivity of 93% and specificity of 86% [26]. Moreover, the authors concluded that a second malignancy was revealed in approximately 10% of patients with a known primary cancer (8/79), such as non-Hodgkin’s lymphoma [27]. …”

Section: Role Of Image-guided Biopsymentioning

confidence: 99%

Omental cakes: unusual aetiologies and CT appearances

et al. 2011

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BackgroundOmental cakes typically are associated with ovarian carcinoma, as this is the most common malignant aetiology. Nonetheless, numerous other neoplasms, as well as infectious and benign processes, can produce omental cakes.MethodsA broader knowledge of the various causes of omental cakes is valuable diagnostically and to direct appropriate clinical management.ResultsWe present a spectrum of both common and unusual aetiologies that demonstrate the variable computed tomographic appearances of omental cakes.ConclusionThe anatomy and embryology are discussed, as well as the importance of biopsy when the aetiology of omental cakes is uncertain.

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Predictive Value of Percutaneous Imaging-Guided Biopsy of Peritoneal and Omental Masses: Results in 111 Patients

Cited by 53 publications

References 12 publications

Use of endoscopic ultrasound for diagnosis of cholangiocarcinoma in auto-immune hepatitis

Use of endoscopic ultrasound for diagnosis of cholangiocarcinoma in auto-immune hepatitis

Mesenteric tumors: Diagnosis and treatment

Omental cakes: unusual aetiologies and CT appearances

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