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Computed tomography-guided percutaneous biopsy of head and neck masses: techniques, outcomes, and complications

OBJECTIVE: To assess the technique, efficacy, and safety of computed tomography (CT)-guided percutaneous biopsies of head and neck masses. MATERIALS AND METHODS: This was a retrospective, single-center study of CT-guided percutaneous core-needle biopsies of head and neck masses. For the analysis of...

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Autores principales: Amoedo, Mauricio Kauark, Tyng, Chiang Jeng, Barbosa, Paula Nicole Vieira Pinto, de Melo, Rayssa Araruna Bezerra, Almeida, Maria Fernanda Arruda, Chojniak, Rubens, Bitencourt, Almir Galvão Vieira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Publicação do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8475163/
https://www.ncbi.nlm.nih.gov/pubmed/34602664
http://dx.doi.org/10.1590/0100-3984.2020.0100
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author Amoedo, Mauricio Kauark
Tyng, Chiang Jeng
Barbosa, Paula Nicole Vieira Pinto
de Melo, Rayssa Araruna Bezerra
Almeida, Maria Fernanda Arruda
Chojniak, Rubens
Bitencourt, Almir Galvão Vieira
author_facet Amoedo, Mauricio Kauark
Tyng, Chiang Jeng
Barbosa, Paula Nicole Vieira Pinto
de Melo, Rayssa Araruna Bezerra
Almeida, Maria Fernanda Arruda
Chojniak, Rubens
Bitencourt, Almir Galvão Vieira
author_sort Amoedo, Mauricio Kauark
collection PubMed
description OBJECTIVE: To assess the technique, efficacy, and safety of computed tomography (CT)-guided percutaneous biopsies of head and neck masses. MATERIALS AND METHODS: This was a retrospective, single-center study of CT-guided percutaneous core-needle biopsies of head and neck masses. For the analysis of diagnostic accuracy, biopsy results were compared with the final diagnosis, which was determined by histological examination and clinical follow-up. RESULTS: We evaluated 74 biopsies performed in 68 patients. The mean age of the patients was 55.6 years. Most of the lesions (79.7%) were located in the suprahyoid region, and the maximum diameter ranged from 11 mm to 128 mm. The most common approaches were paramaxillary (in 32.4%), retromandibular (in 21.6%), and periorbital (in 14.9%). Five patients (6.8%) developed minor complications. The presence of a complication did not show a statistically significant association with any clinical, radiological, or procedure-related factor. Sufficient material for histological analysis was obtained in all procedures. Thirty-eight biopsies (51.4%) yielded a histological diagnosis of malignancy. There was a false-negative result in three cases (8.3%), and there were no false-positive results. The procedure had a sensitivity of 92.7%, a specificity of 100%, and an accuracy of 96.0%. CONCLUSION: Our results demonstrate that CT-guided percutaneous core-needle biopsy of head and neck lesions is a safe, effective procedure for obtaining biological material for histological analysis.
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spelling pubmed-84751632021-10-01 Computed tomography-guided percutaneous biopsy of head and neck masses: techniques, outcomes, and complications Amoedo, Mauricio Kauark Tyng, Chiang Jeng Barbosa, Paula Nicole Vieira Pinto de Melo, Rayssa Araruna Bezerra Almeida, Maria Fernanda Arruda Chojniak, Rubens Bitencourt, Almir Galvão Vieira Radiol Bras Original Article OBJECTIVE: To assess the technique, efficacy, and safety of computed tomography (CT)-guided percutaneous biopsies of head and neck masses. MATERIALS AND METHODS: This was a retrospective, single-center study of CT-guided percutaneous core-needle biopsies of head and neck masses. For the analysis of diagnostic accuracy, biopsy results were compared with the final diagnosis, which was determined by histological examination and clinical follow-up. RESULTS: We evaluated 74 biopsies performed in 68 patients. The mean age of the patients was 55.6 years. Most of the lesions (79.7%) were located in the suprahyoid region, and the maximum diameter ranged from 11 mm to 128 mm. The most common approaches were paramaxillary (in 32.4%), retromandibular (in 21.6%), and periorbital (in 14.9%). Five patients (6.8%) developed minor complications. The presence of a complication did not show a statistically significant association with any clinical, radiological, or procedure-related factor. Sufficient material for histological analysis was obtained in all procedures. Thirty-eight biopsies (51.4%) yielded a histological diagnosis of malignancy. There was a false-negative result in three cases (8.3%), and there were no false-positive results. The procedure had a sensitivity of 92.7%, a specificity of 100%, and an accuracy of 96.0%. CONCLUSION: Our results demonstrate that CT-guided percutaneous core-needle biopsy of head and neck lesions is a safe, effective procedure for obtaining biological material for histological analysis. Publicação do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem 2021 /pmc/articles/PMC8475163/ /pubmed/34602664 http://dx.doi.org/10.1590/0100-3984.2020.0100 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Amoedo, Mauricio Kauark
Tyng, Chiang Jeng
Barbosa, Paula Nicole Vieira Pinto
de Melo, Rayssa Araruna Bezerra
Almeida, Maria Fernanda Arruda
Chojniak, Rubens
Bitencourt, Almir Galvão Vieira
Computed tomography-guided percutaneous biopsy of head and neck masses: techniques, outcomes, and complications
title Computed tomography-guided percutaneous biopsy of head and neck masses: techniques, outcomes, and complications
title_full Computed tomography-guided percutaneous biopsy of head and neck masses: techniques, outcomes, and complications
title_fullStr Computed tomography-guided percutaneous biopsy of head and neck masses: techniques, outcomes, and complications
title_full_unstemmed Computed tomography-guided percutaneous biopsy of head and neck masses: techniques, outcomes, and complications
title_short Computed tomography-guided percutaneous biopsy of head and neck masses: techniques, outcomes, and complications
title_sort computed tomography-guided percutaneous biopsy of head and neck masses: techniques, outcomes, and complications
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8475163/
https://www.ncbi.nlm.nih.gov/pubmed/34602664
http://dx.doi.org/10.1590/0100-3984.2020.0100
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