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Safety and Accuracy of Core Needle Biopsy for Soft Tissue Masses in an Ambulatory Setting
Joint Authors
Walker, J. Brock
Stockwell, Erin
Worhacz, Kellen
Kang, Paul
Decomas, Amalia
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-06-12
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Percutaneous needle biopsy has been found to be a safe and accurate method for the initial investigation of soft tissue masses.
The notion exists that needle biopsies should be performed in specialized sarcoma centers, which can place a financial burden on patients without a sarcoma center near their place of residence.
There is no consensus in the current literature regarding the diagnostic accuracy and clinical utility of clinic-based percutaneous core needle biopsy performed by community orthopedic surgeons with fellowship training in musculoskeletal oncology.
Questions/Purposes.
Our primary goal was to determine if office-based core needle biopsy of soft tissue masses could safely yield accurate diagnoses when performed by a community orthopedic surgeon with fellowship training in musculoskeletal oncology.
Patients and Methods.
We retrospectively reviewed the charts of 105 patients who underwent percutaneous core needle biopsy of soft tissue masses in a community clinic.
All procedures were performed by one fellowship-trained musculoskeletal oncologist.
Accuracy of the initial clinic-based needle biopsy was determined through comparison to the results of pathological analysis of the surgically excised masses.
Final data analysis included 69 patients who underwent both clinic-based biopsy and subsequent surgical excision of their masses.
Results.
We found clinic-based biopsies to be 87.0% accurate for exact diagnosis and 94.2% accurate in determining whether the mass was benign or malignant (p<0.0001).
Minor complications related to the clinic-based biopsy occurred in 5.80% of cases, with no documentation of major complications.
Conclusions.
Our results provide evidence that office-based percutaneous biopsy can be administered safely and yield accurate, clinically useful results when performed by a fellowship-trained musculoskeletal oncologist.
American Psychological Association (APA)
Walker, J. Brock& Stockwell, Erin& Worhacz, Kellen& Kang, Paul& Decomas, Amalia. 2018. Safety and Accuracy of Core Needle Biopsy for Soft Tissue Masses in an Ambulatory Setting. Complexity،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1212790
Modern Language Association (MLA)
Walker, J. Brock…[et al.]. Safety and Accuracy of Core Needle Biopsy for Soft Tissue Masses in an Ambulatory Setting. Complexity No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1212790
American Medical Association (AMA)
Walker, J. Brock& Stockwell, Erin& Worhacz, Kellen& Kang, Paul& Decomas, Amalia. Safety and Accuracy of Core Needle Biopsy for Soft Tissue Masses in an Ambulatory Setting. Complexity. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1212790
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1212790