Article Sidebar

PDF
Date Published: 11/07/2022
Online Published: 11/07/2022
Abstract Views: 119
Views PDF: 72
DOI: https://doi.org/10.55046/vjrnm.6.235.2012
Issue
No. 6 (2012)
Section
Scientific research
How to Cite
Nguyen, T. D. T., Hoang, M. L., Nguyen, D. C., Nguyen, P. B. Q., & Phan, T. A. (2022). Core biopsies for focal hepatic lesions by ultrasound guidance. Vietnamese Journal of Radiology and Nuclear Medicine, 6, 81-85. https://doi.org/10.55046/vjrnm.6.235.2012

Core biopsies for focal hepatic lesions by ultrasound guidance

Nguyen Thi Da Thao1, Hoang Minh Loi1, Nguyen Dinh Can1, Nguyen Phuoc Bao Quan1, Phan Trong An1,
1 Hue Central Hospital and Hospital Hue University of Medicine and Pharmacy

Main Article Content

Abstract

SUMMARY


All percutaneous US-guided biopsies for focal liver lesions performed in 37 patients. Among the 54 lesions for which the 18- gauge cutting needle was used, core biopsy was performed once in 23 lesions (62.2%), twice in 11 lesions (29.7%), and three times in 3 lesions (8.1%). The length of tissue cores was above 1cm in 44 lesions (81.5%). Three of the 54 specimens (5.6%) fragmented when placed in formalin. The common complications were 2.7%. No major complications were observed. The core biopsy specimen was sufficient for diagnosis in 36 patients (97.3%) and was insufficient in one. Histologic examination revealed various types of H.C.C (62.2%), peripherial cholangiocarcinoma (2.7%), secondary malignant tumors (8.1%), benign tumors (24.3%). There was high concordance between the histologic and cytologic results (Kappa = 0.579, p < 0.05); and very high concordance between the core biopsy and post surgery histologic results (Kappa = 0.942, p < 0.05).

Article Details

Keywords

core biopsy, focal hepatic lesions, HCC, cholangiocarcinoma

References

TÀI LIỆU THAM KHẢO
1. Amaral Joao Guilherme, Schwartz Jordan et al (2006), “Sonographically guided percutaneous liver biopsy in infants: a retrospective review”, AJR, 187, pp.
644-649.
2. Beckmann Max G, Bahr Matthias J et al (2009), “Clinical relevance of transjugular liver biopsy in comparison with percutaneous and laparoscopic liver biopsy”, Gastroenterology Research and Practice, pp.1-7.
3. Cevik Figen Caglan, Aykin Nevil, Naz Hasan (2010), “Complication and efficiency of liver biopsies using Trucut biopsy gun”, J Infect Dev Ctries, 4, pp. 91-95.
4. Gilmore I.T, Burroughs A et al (1995), “Indications, methods, and outcomes of percutaneous liver biopsy in England and Wales: an audit by the British Society of
Gastroenterology and the Royal College of Physicians of London”, GUT, 36, pp. 437-441.
5. Maharaj Breminand, Bhoora Ishan G (1992), “Complications associated with percutaneous needle biopsy of the liver when one, two or three specimens
are taken”, The Fellowship of Postgraduate Medicine, 68, pp. 170-173.
6. Nazarian Levon N, Feld Rick I et al (2000), “Safety and efficacy of sonographically guided random core biopsy for diffuse liver disease”, JUM, 19, pp. 537-541.
7. Simon C.H. Yu, Liew Choong T, Law Wan Y et al (2001), “US-guided percutaneous biopsy of small (<1-cm) hepatic lesions”, Radiology, 218, pp. 195-198.