Risk of needle tract seeding after coaxial ultrasound-guided percutaneous biopsy for primary and metastatic tumors of the liver: report of a single institution

Schaffler-Schaden, Dagmar; Birsak, Theresa; Zintl, Ramona; Lorber, Barbara

doi:10.1007/s00261-019-02120-1

Cited by 16 publications

(10 citation statements)

References 24 publications

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“…Their results were: The contamination of the biopsy tracts was significantly higher in the cases of IB (32% vs. 0.8%) [ 36 ] and these were associated with a higher number of local recurrences [ 37 ]. The lower risk of local recurrence after CNB was confirmed in other studies [ 38 , 39 ]. At many musculoskeletal oncology centers, CNB is therefore favored over IB [ 6 , 12 , 36 ].…”

Section: Discussionsupporting

confidence: 70%

Relative Sensitivity of Core-Needle Biopsy and Incisional Biopsy in the Diagnosis of Musculoskeletal Sarcomas

Klein¹,

Fell²,

Birkenmaier³

et al. 2021

Cancers

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Background: There is no evidence as to the diagnostic value of the two most frequently used methods of biopsies in sarcomas: Incisional or core needle biopsy. The aim of our study was to evaluate the diagnostic sensitivity of the incisional and the core needle biopsy techniques in the diagnosis of bone and soft tissue sarcomas. Methods: We included 417 patients with a definitive diagnosis of bone or soft tissue sarcoma in whom a total of 472 biopsies had been performed. We correlated the results of the biopsies with the result of the definitive histopathological examination of the resected tumor. Dignity, entity, and grading (whenever possible) of the tissue samples were evaluated. Results: A total of 258 biopsies (55%) were performed in order to diagnose a soft tissue tumor and 351 biopsies (74.4%) were core needle biopsies. The number of repeat core needle biopsies, necessitated because of inconclusive histopathological results, was significantly higher (50 vs. 5; p = 0.003). We observed no significant difference regarding dignity, entity, and grading between the 2 different types of biopsies. Only with regards to the determination of dignity and entity of chondroid tumors, incisional biopsy was superior with statistical significance (p = 0.024). Conclusions: This study represents the largest study on biopsies for bone and soft tissue sarcomas. Based only on our results, we are unable to favor one method of biopsy and found high accuracy with both methods. Considering the potential complications, the added oncological risks of incisional biopsies and the ready availability of core needle biopsies, the latter, in our assessment, represents a valid and favourable method for bone and soft tissue sarcomas.

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Section: Discussionsupporting

confidence: 70%

Relative Sensitivity of Core-Needle Biopsy and Incisional Biopsy in the Diagnosis of Musculoskeletal Sarcomas

Klein¹,

Fell²,

Birkenmaier³

et al. 2021

Cancers

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“…Although studies have suggested that patients who underwent percutaneous biopsy for sarcoma are not at higher risk of developing local recurrence or needle tract metastasis, the use of heterogeneous biopsy techniques without differentiating between open or percutaneous biopsy with or without coaxial needles, data pooling of different sarcoma entities (mixing up bone sarcoma and STS or histological grading), and an overall limited number of cases of needle tract metastasis does not allow for definitive conclusions . In recent years, the use of coaxial sheathed biopsy needles has reduced the risk of malignant cell deposits in the needle tract . Even in the case of retained malignant cells, their clinical significance remains unclear in the era of modern perioperative chemoradiation.…”

Section: Discussionmentioning

confidence: 99%

Core needle biopsy versus incisional biopsy for differentiation of soft‐tissue sarcomas: A systematic review and meta‐analysis

Birgin

Yang

Hetjens

et al. 2020

Cancer

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BACKGROUND: Controversies exist regarding the biopsy technique of choice for the accurate diagnosis of soft-tissue sarcoma (STS). The objective of this systematic review and meta-analysis was to compare the diagnostic accuracy of core needle biopsy (CNB) versus incisional biopsy (IB) in STS with reference to the final histopathological result. METHODS: Studies regarding the diagnostic accuracy of CNB and IB in detecting STS were searched systematically in the MEDLINE and EMBASE databases. Estimates of sensitivity and specificity with associated 95% CIs for diagnostic accuracy were calculated. The risk of bias was assessed using the Quality Assessment of Diagnostic Accuracy Studies version 2 (QUADAS-2). RESULTS: A total of 17 studies comprising 2680 patients who underwent 1582 CNBs and 241 IBs with subsequent tumor resection met the inclusion criteria. The sensitivity and specificity of CNB and IB to detect the dignity of lesions were 97% (95% CI, 95%-98%) and 99% (95% CI, 97%-99%), respectively, and 96% (95% CI, 92%-99%) and 100% (95% CI, 94%-100%), respectively. Estimates of the sensitivity and specificity of CNB and IB to detect the STS histotype were 88% (95% CI, 86%-90%) and 77% (95% CI, 72%-81%), respectively, and 93% (95% CI, 87%-97%) and 65% (95% CI, 49%-78%), respectively. Patients who underwent CNB had a significantly reduced risk of complications compared with patients who underwent IB (risk ratio, 0.14; 95% CI, 0.03-0.56 [P ≤ .01). Quality assessment of studies revealed a high risk of bias. CONCLUSIONS: CNB has high accuracy in diagnosing the dignity of lesions and STS histotype in patients with suspected STS with fewer complications compared with IB. Therefore, CNB should be regarded as the primary biopsy technique.

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“…Die Besonderheit koaxialer Nadelsysteme besteht darin, dass eine Führungshülse einmal vorgeführt wird und eine Nadel mehrfach über diese Hülse in die Zielläsion zur Probenentnahme vorgeschoben werden kann. Einige Anwender setzen dieses System auch für die sonografisch gestützte Punktion ein [29]. Ein wichtiger Aspekt CT-gestützter Punktionen ist die optimale Lagerung, bevor das Planungs-CT in Spiraltechnik akquiriert wird.…”

Section: Computertomografisch Gestützte Punktionunclassified

Alternativen histologischer Materialgewinnung – Wann und wie ist die histologische Sicherung mittels Ultraschall (US), Computertomografie (CT) oder Endosonografie (EUS) sinnvoll?

Möller

Dietrich²,

Faiss

et al. 2021

Z Gastroenterol

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ZusammenfassungDie histologische Sicherung von Tumoren ist zusammen mit einem adäquaten Staging die Voraussetzung für eine stadiengerechte und personalisierte Therapie. Beschrieben werden Indikationen, technische Möglichkeiten und Einschränkungen sowie potenzielle Komplikationen der bildgebend geführten Nadelbiopsie mittels Ultraschalls (US), Computertomografie (CT) und Endosonografie (EUS). Welches Verfahren für welches Organ und welche Läsion?

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Risk of needle tract seeding after coaxial ultrasound-guided percutaneous biopsy for primary and metastatic tumors of the liver: report of a single institution

Cited by 16 publications

References 24 publications

Relative Sensitivity of Core-Needle Biopsy and Incisional Biopsy in the Diagnosis of Musculoskeletal Sarcomas

Relative Sensitivity of Core-Needle Biopsy and Incisional Biopsy in the Diagnosis of Musculoskeletal Sarcomas

Core needle biopsy versus incisional biopsy for differentiation of soft‐tissue sarcomas: A systematic review and meta‐analysis

Alternativen histologischer Materialgewinnung – Wann und wie ist die histologische Sicherung mittels Ultraschall (US), Computertomografie (CT) oder Endosonografie (EUS) sinnvoll?

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