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Cryobiopsy: Should This Be Used in Place of Endobronchial Forceps Biopsies?

Forceps biopsies of airway lesions have variable yields. The yield increases when combining techniques in order to collect more material. With the use of cryotherapy probes (cryobiopsy) larger specimens can be obtained, resulting in an increase in the diagnostic yield. However, the utility and safet...

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Autores principales: Rubio, Edmundo R., le, Susanti R., Whatley, Ralph E., Boyd, Michael B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771258/
https://www.ncbi.nlm.nih.gov/pubmed/24066296
http://dx.doi.org/10.1155/2013/730574
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author Rubio, Edmundo R.
le, Susanti R.
Whatley, Ralph E.
Boyd, Michael B.
author_facet Rubio, Edmundo R.
le, Susanti R.
Whatley, Ralph E.
Boyd, Michael B.
author_sort Rubio, Edmundo R.
collection PubMed
description Forceps biopsies of airway lesions have variable yields. The yield increases when combining techniques in order to collect more material. With the use of cryotherapy probes (cryobiopsy) larger specimens can be obtained, resulting in an increase in the diagnostic yield. However, the utility and safety of cryobiopsy with all types of lesions, including flat mucosal lesions, is not established. Aims. Demonstrate the utility/safety of cryobiopsy versus forceps biopsy to sample exophytic and flat airway lesions. Settings and Design. Teaching hospital-based retrospective analysis. Methods. Retrospective analysis of patients undergoing cryobiopsies (singly or combined with forceps biopsies) from August 2008 through August 2010. Statistical Analysis. Wilcoxon signed-rank test. Results. The comparative analysis of 22 patients with cryobiopsy and forceps biopsy of the same lesion showed the mean volumes of material obtained with cryobiopsy were significantly larger (0.696 cm(3) versus 0.0373 cm(3), P = 0.0014). Of 31 cryobiopsies performed, one had minor bleeding. Cryopbiopsy allowed sampling of exophytic and flat lesions that were located centrally or distally. Cryobiopsies were shown to be safe, free of artifact, and provided a diagnostic yield of 96.77%. Conclusions. Cryobiopsy allows safe sampling of exophytic and flat airway lesions, with larger specimens, excellent tissue preservation and high diagnostic accuracy.
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spelling pubmed-37712582013-09-24 Cryobiopsy: Should This Be Used in Place of Endobronchial Forceps Biopsies? Rubio, Edmundo R. le, Susanti R. Whatley, Ralph E. Boyd, Michael B. Biomed Res Int Research Article Forceps biopsies of airway lesions have variable yields. The yield increases when combining techniques in order to collect more material. With the use of cryotherapy probes (cryobiopsy) larger specimens can be obtained, resulting in an increase in the diagnostic yield. However, the utility and safety of cryobiopsy with all types of lesions, including flat mucosal lesions, is not established. Aims. Demonstrate the utility/safety of cryobiopsy versus forceps biopsy to sample exophytic and flat airway lesions. Settings and Design. Teaching hospital-based retrospective analysis. Methods. Retrospective analysis of patients undergoing cryobiopsies (singly or combined with forceps biopsies) from August 2008 through August 2010. Statistical Analysis. Wilcoxon signed-rank test. Results. The comparative analysis of 22 patients with cryobiopsy and forceps biopsy of the same lesion showed the mean volumes of material obtained with cryobiopsy were significantly larger (0.696 cm(3) versus 0.0373 cm(3), P = 0.0014). Of 31 cryobiopsies performed, one had minor bleeding. Cryopbiopsy allowed sampling of exophytic and flat lesions that were located centrally or distally. Cryobiopsies were shown to be safe, free of artifact, and provided a diagnostic yield of 96.77%. Conclusions. Cryobiopsy allows safe sampling of exophytic and flat airway lesions, with larger specimens, excellent tissue preservation and high diagnostic accuracy. Hindawi Publishing Corporation 2013 2013-08-27 /pmc/articles/PMC3771258/ /pubmed/24066296 http://dx.doi.org/10.1155/2013/730574 Text en Copyright © 2013 Edmundo R. Rubio et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Rubio, Edmundo R.
le, Susanti R.
Whatley, Ralph E.
Boyd, Michael B.
Cryobiopsy: Should This Be Used in Place of Endobronchial Forceps Biopsies?
title Cryobiopsy: Should This Be Used in Place of Endobronchial Forceps Biopsies?
title_full Cryobiopsy: Should This Be Used in Place of Endobronchial Forceps Biopsies?
title_fullStr Cryobiopsy: Should This Be Used in Place of Endobronchial Forceps Biopsies?
title_full_unstemmed Cryobiopsy: Should This Be Used in Place of Endobronchial Forceps Biopsies?
title_short Cryobiopsy: Should This Be Used in Place of Endobronchial Forceps Biopsies?
title_sort cryobiopsy: should this be used in place of endobronchial forceps biopsies?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771258/
https://www.ncbi.nlm.nih.gov/pubmed/24066296
http://dx.doi.org/10.1155/2013/730574
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