Comparison of needle core biopsy and fine-needle aspiration for diagnostic accuracy in musculoskeletal lesions.
Context. - Needle core biopsy has been reported to be the choice of biopsy for musculoskeletal tumors. Fine-needle aspiration, on the other hand, has been widely accepted for nonmusculoskeletal tumors, but is only used in selected medical centers for musculoskeletal tumors. While fine-needle aspirat...
| Publicado en: | Archives of Pathology & Laboratory Medicine Vol. 128; no. 7; pp. 759 - 765 |
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| Autores principales: | , |
| Formato: | research Journal Article |
| Publicado: |
College of American Pathologists
Jul2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105716516&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105716516 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039985 1FS jtl: Archives of Pathology & Laboratory Medicine issn: 00039985 maglogo: N pubinfo: dt: Jul2004 vid: 128 iid: 7 pid: 2550 pub: College of American Pathologists place: Northfield, Illinois artinfo: ui: 105716516 105716516 2009398913 10.5858/2004-128-759-concba NLM15214827 105716516 ppf: 759 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Comparison of needle core biopsy and fine-needle aspiration for diagnostic accuracy in musculoskeletal lesions. aug: au: Yang YJ Damron TA sug: subj: Biopsy, Needle Bone Neoplasms Pathology Muscle Neoplasms Pathology Musculoskeletal Diseases Pathology Adolescence Adult Aged Aged, 80 and Over Female Male Middle Age Prospective Studies Human Adolescent: 13-18 years Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Context. - Needle core biopsy has been reported to be the choice of biopsy for musculoskeletal tumors. Fine-needle aspiration, on the other hand, has been widely accepted for nonmusculoskeletal tumors, but is only used in selected medical centers for musculoskeletal tumors. While fine-needle aspiration appears to have advantages to needle core biopsy in the aspects of simplicity and cost, the diagnostic accuracy should be the most critical parameter in determining the choice of biopsy. However, few studies comparing the diagnostic accuracy of these 2 biopsy methods have been performed. Objective. - This study was designed to compare the diagnostic accuracy of fine-needle aspiration and needle core biopsy in musculoskeletal tumors. Design. - Prospective study was performed in patients aged 10 years or older. Diagnostic accuracy was compared in 50 consecutive concurrent needle core biopsies and fine-needle aspirations of musculoskeletal lesions. Results. - For primary musculoskeletal lesions, fine-needle aspiration achieved a diagnostic accuracy rate of 88% for nature of lesion, 64% for specific diagnosis, 78% for histologic grading, and 74% for histologic typing. Needle core biopsy achieved an accuracy rate of 93 % for nature of lesions, 83 % for specific diagnosis, 83 % for histologic grading, and 90% for histologic typing. Both biopsy methods have a higher diagnostic accuracy rate for high-grade tumors than for low-grade or benign lesions in determining the nature, specific diagnosis, and histologic grading. Conclusions. - The needle core biopsy has a higher diagnostic accuracy than fine-needle aspiration in all aspects, including determining the nature of the tumor, establishing the histologic type and grade, and achieving a specific diagnosis. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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