Accuracy and effectiveness of ultrasound-guided core-needle biopsy in the diagnosis of focal lesions in the salivary glands.
Objectives: To review the diagnostic accuracy of ultrasound-guided core-needle biopsy (CNB) in the diagnosis of salivary gland tumours (SGT).Methods: Retrospective, institutional review board approved, analysis of the CNB of SGT performed at our centre in 8 years. We used an automatic 18-G spring-lo...
| Publicado en: | European Radiology Vol. 28; no. 7; pp. 2934 - 2942 |
|---|---|
| Autores principales: | , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Jul2018
|
| 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=129951963&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 129951963 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Jul2018 vid: 28 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 129951963 129951963 NLM29387922 10.1007/s00330-017-5295-9 NLM29387922 129951963 ppf: 2934 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Accuracy and effectiveness of ultrasound-guided core-needle biopsy in the diagnosis of focal lesions in the salivary glands. aug: au: del Cura, Jose Luis Coronado, Gloria Zabala, Rosa Korta, Igone López, Ignacio affil: Radiology Department, Hospital Universitario Basurto, Bilbao, Spain sug: subj: Ultrasonography Methods Salivary Gland Neoplasms Salivary Gland Neoplasms Pathology Female Middle Age Sensitivity and Specificity Diagnosis, Differential Adolescence Biopsy Methods Young Adult Child, Preschool Male Aged, 80 and Over Adult Retrospective Design Salivary Glands Reproducibility of Results Child Salivary Glands Pathology Biopsy, Needle Methods Aged Scales Middle Aged: 45-64 years Adolescent: 13-18 years Child, Preschool: 2-5 years Aged, 80 & over Adult: 19-44 years Child: 6-12 years Aged: 65+ years Female Male ab: Objectives: To review the diagnostic accuracy of ultrasound-guided core-needle biopsy (CNB) in the diagnosis of salivary gland tumours (SGT).Methods: Retrospective, institutional review board approved, analysis of the CNB of SGT performed at our centre in 8 years. We used an automatic 18-G spring-loaded device. The final diagnosis was based on surgery in the cases that were operated on, and on clinical evolution and biopsy findings in the rest.Results: Four hundred and nine biopsies were performed in 381 patients (ages, 2-97 years; mean, 55.9). There were two minor complications. Biopsy was diagnostic in 98.3%. There were eight false negatives. The diagnostic values for malignancy were: sensitivity 89.6%, specificity 100%, positive predictive value (PPV) 100% and negative predictive value (NPV) 98%. For the detection of neoplasms were: sensitivity 98.7%, specificity 99%, PPV 99.7% and VPN 96.1%.Conclusions: Accuracy of CNB in SGT is very high, with a very high sensitivity and an absolutely reliable diagnosis of malignancy. Complication rate is very low. It should be considered the technique of choice when a STG is detected. Normal tissue results warrant repeating biopsy.Key Points: • Ultrasound-guided core-biopsy is the technique of choice in salivary glands nodules • Sensitivity, specificity for detecting neoplasms (which should be resected) are around 99% • Diagnosis of malignancy in core-biopsy is absolutely reliable • A CNB result of "normal tissue", however, warrants repeating the biopsy • Complication rate is very low. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|