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Intra-Abdominal Biopsies: Results, Success and Complications

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introdominal biopsies results success

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and complications

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A question for you, the majority of histologic diagnoses

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from interabdominal Mass biopsies reveal a

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what disease entity?

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Is it a neoplastic?

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or non-neoplastic disease entity

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If you said neoplastic you would be correct.

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So upwards of about 75% of biopsies

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actually perform for intraminal Mass characterization actually

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yield in neoplastic diagnosis. The

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most common primary tumor is colorectal and

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origin whereas the most common metastasis is

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ADD. No carcinoma.

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So what are some technical success rates I can

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fastest complete data is limited for all possible combinations

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of intra and retro peritoneal sites

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as well as the lesion types. However, the data suggests

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excellent overall capacity. So when we think about the elemental

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mesenteric masses we're thinking on the order of close

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to 100% 99.5% technical success

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with a sensitivity of 93 to

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95% with specificities of 86 to

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100%

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pretty impressive when it comes to peritoneal and retro peritoneal

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lymphatinopathy were considering ultrasound guidance 86% technical

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success and for CT

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guidance 82 to 98 percent accuracy.

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For every procedure that we do it's critically important

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to understand what could go wrong, hence. We

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discuss the potential complications which occur on

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the order of less than one percent. There's bowel

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perforation with abscess formation with or without there

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are evidences of large mesenteric hematomas

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that could result requiring transfusion.

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There's disseminated infection that could also occur and these

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are the major complications.

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The minor complications are sort of less than 3% usually

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between 1.6 and 2.7 depending on

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the sources. They can be pain.

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persistent in nature or local bleeding at

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the puncture site, which

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is often self-limiting

Report

Faculty

Mikhail CSS Higgins, MD, MPH

Director, Radiology Medical Student Clerkships; Director, ESIR

Boston University Medical Center

Tags

Ultrasound

Retroperitoneum

Peritoneum/Mesentery

Oncologic Imaging

Neoplastic

Interventional

Genitourinary (GU)

Gastrointestinal (GI)

CT

Body