Tubular brain tumor biopsy improves diagnostic yield for subcortical lesions.
Biopsy
Complication
Hemorrhage
Neurosurgery
Stereotactic
Tubular
Journal
Journal of neuro-oncology
ISSN: 1573-7373
Titre abrégé: J Neurooncol
Pays: United States
ID NLM: 8309335
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
21
06
2018
accepted:
08
09
2018
pubmed:
18
11
2018
medline:
16
4
2019
entrez:
18
11
2018
Statut:
ppublish
Résumé
Molecular data has become an essential part of the updated World Health Organization (WHO) grading of central nervous system tumors. However, stereotactic needle biopsies provide only small volume specimens and limit the extent of histologic and molecular testing that can be performed. We assessed the use of a tubular retractor-based minimally invasive biopsy technique to provide improved tissue yield and diagnostic data compared to needle biopsy. Eighteen patients underwent an open transtubular biopsy compared to 146 stereotactic biopsies during the years of 2010-2018. Tubular biopsies resulted in a higher volume of tissue provided to the pathologist than needle biopsies (1.26 cm Stereotactic transtubular biopsies are a viable alternative to stereotactic needle biopsies with excellent rates of diagnostic success and acceptable morbidity relative to the needle biopsy technique. As molecular data begins to increasingly drive treatment decisions, additional biopsy techniques that afford large tissue volumes may be necessary to adapt to the new needs of pathologists and treating oncologists.
Identifiants
pubmed: 30446900
doi: 10.1007/s11060-018-03014-w
pii: 10.1007/s11060-018-03014-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
121-129Références
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