Stereotactic biopsy for intracranial space occupying lesions : Experience in a referral hospital in Mexico
BACKGROUND: Stereotactic brain biopsy (SBB) is used for establishing the histological diagnosis of intracranial lesions that are not amenable for a direct surgical approach.
OBJECTIVE: The objective of the study was to describe our experience having an evaluation of the biopsy sample by a neuropathologist during SBB.
MATERIALS AND METHODS: Retrospective analysis of 140 consecutive patients who underwent SBB between 2014 and 2018 in whom trans-operatory analysis of the sample was performed.
RESULTS: There were 56% men. The mean age was 45 years. Histological diagnosis was performed in 131 of 140 patients (94% overall diagnostic yield). The presurgical radiological diagnosis was correct in 39%. Neoplastic lesions were reported in 108 cases, and 32 were non-neoplastic. We performed craniotomy and resection after biopsy in 14%. We found complications in 6% of patients.
CONCLUSIONS: SBB continues to be a safe, useful, and inexpensive procedure. The diagnostic performance of SBB increases when intraoperative cytological evaluation by a neuropathologist is included in the study.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:89 |
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| Enthalten in: |
Cirugia y cirujanos - 89(2021), 6 vom: 30., Seite 763-768 |
| Sprache: |
Englisch |
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| Weiterer Titel: |
Biopsia por estereotaxia para lesiones intracraneales: experiencia de un hospital de referencia en México |
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| Beteiligte Personen: |
Navarro-Olvera, José L [VerfasserIn] |
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| Links: |
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| Themen: |
Biopsia |
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| Anmerkungen: |
Date Completed 03.12.2021 Date Revised 28.04.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.24875/CIRU.20001009 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM333884620 |
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| 100 | 1 | |a Navarro-Olvera, José L |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Stereotactic biopsy for intracranial space occupying lesions |b Experience in a referral hospital in Mexico |
| 246 | 3 | 3 | |a Biopsia por estereotaxia para lesiones intracraneales: experiencia de un hospital de referencia en México |
| 264 | 1 | |c 2021 | |
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| 500 | |a Date Completed 03.12.2021 | ||
| 500 | |a Date Revised 28.04.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Stereotactic brain biopsy (SBB) is used for establishing the histological diagnosis of intracranial lesions that are not amenable for a direct surgical approach | ||
| 520 | |a OBJECTIVE: The objective of the study was to describe our experience having an evaluation of the biopsy sample by a neuropathologist during SBB | ||
| 520 | |a MATERIALS AND METHODS: Retrospective analysis of 140 consecutive patients who underwent SBB between 2014 and 2018 in whom trans-operatory analysis of the sample was performed | ||
| 520 | |a RESULTS: There were 56% men. The mean age was 45 years. Histological diagnosis was performed in 131 of 140 patients (94% overall diagnostic yield). The presurgical radiological diagnosis was correct in 39%. Neoplastic lesions were reported in 108 cases, and 32 were non-neoplastic. We performed craniotomy and resection after biopsy in 14%. We found complications in 6% of patients | ||
| 520 | |a CONCLUSIONS: SBB continues to be a safe, useful, and inexpensive procedure. The diagnostic performance of SBB increases when intraoperative cytological evaluation by a neuropathologist is included in the study | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a Biopsy | |
| 650 | 4 | |a Brain tumor | |
| 650 | 4 | |a Diagnostic yield | |
| 650 | 4 | |a Estereotaxia | |
| 650 | 4 | |a Histopathology | |
| 650 | 4 | |a Histopatología | |
| 650 | 4 | |a Rendimiento diagnóstico | |
| 650 | 4 | |a Stereotaxy | |
| 650 | 4 | |a Tumor cerebral | |
| 700 | 1 | |a Parra-Romero, Gustavo |e verfasserin |4 aut | |
| 700 | 1 | |a Carrillo-Ruiz, José D |e verfasserin |4 aut | |
| 700 | 1 | |a Aguado-Carrillo, Gustavo |e verfasserin |4 aut | |
| 700 | 1 | |a Soto-Abraham, Julián E |e verfasserin |4 aut | |
| 700 | 1 | |a Hernández-Valencia, Aldo F |e verfasserin |4 aut | |
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