Tumores primários da órbita incomuns diagnosticados por biópsia com agulha grossa guiada por tomografia computadorizada: relato de dois casos

Tyng, Chiang Jeng; Matushita, João Paulo Kawaoka; Bitencourt, Almir Galvão Vieira; Neves, Flávia Branco Cerqueira Serra; Amoedo, Maurício Kauark; Barbosa, Paula Nicole Vieira Pinto; Chojniak, Rubens

doi:10.1590/0100-3984.2013.1888

Cited by 4 publications

(3 citation statements)

References 15 publications

(16 reference statements)

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“…further recommended computerized tomography-guided core biopsy as a safe method for selected orbital malignancy, in which the preoperative diagnosis is expected to alter the final management of the patient. [ 4 ]…”

Section: Discussionmentioning

confidence: 99%

Pitfalls in diagnosing orbital malignancy through orbital incisional biopsy: A report of two cases with different scenarios

2020

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Several methods have been implemented to obtain suitable samples from patients for the purpose of histopathological examination and definitive diagnosis. This has been of paramount importance in dealing with oncology cases including orbital neoplasms. Open surgical biopsy has been the common standard technique used in our eye centers in Saudi Arabia for diagnosing various orbital lesions. Other modalities such as fine-needle aspiration biopsy, core biopsy, and imaging-guided core biopsy are not popular. We report two cases where open surgical biopsies may have not been optimal in reaching the desired tissue diagnosis of orbital malignancy on time, thus resulting in delaying further management of the two patients.

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Section: Discussionmentioning

confidence: 99%

Pitfalls in diagnosing orbital malignancy through orbital incisional biopsy: A report of two cases with different scenarios

2020

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“…They reported its success in diagnosing 2 cases of intra-orbital meningioma. Jeng Tyng et al [15] reported the use of CT guidance to acquire a CNB in 2 patients who were eventually diagnosed as having schwannoma and melanocytoma, respectively. They used a trans-palpebral lateral approach comparable to our approach.…”

Section: Discussionmentioning

confidence: 99%

“…Performing CNB under CT guidance can potentially lower the risk of complications and allow more accurate sampling of orbital pathology. There are only 2 reports on small-scale studies of CT being used to acquire CNB of space-occupying lesions of the orbit[14, 15]. The purpose of this study was to describe our experience in performing CT-guided CNB (CT-CNB) of orbital lesions.…”

Section: Introductionmentioning

confidence: 99%

Computerized Tomography-Guided Core-Needle Biopsy of Orbital Space-Occupying Lesions: A Case Series

et al. 2020

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Purpose: To describe our experience in performing biopsy of post-septal orbital masses with core needle under computerized tomography guidance (CT-CNB). Methods: The medical records of all patients who underwent this procedure were reviewed. The procedure was performed under local anesthesia on a day case basis under a peribulbar block. A planning non-contrast computerized tomography (CT) scan of the orbits was performed to localise the mass. A 6-cm 18-G Temno Evolution® semi-automated biopsy needle was inserted through the skin into the orbit. Prior to further advancement of the needle, a low-dose CT limited to the previously determined plane was performed to confirm its position. The needle was then advanced, and the cutting needle was deployed to obtain the biopsy. Results: Five patients who underwent CT-CNB were identified. The CNB was successful in 4 patients and revealed a metastatic prostate adenocarcinoma, diffuse large B-cell lymphoma, a metastatic neuroendocrine tumour, and orbital inflammatory disease. The biopsy failed in the fifth patient when the needle failed to penetrate the tumour despite good localisation on CT. He was eventually diagnosed with fibrous meningioma of the greater wing of sphenoid on open biopsy. None of the patients had any complications other than peri-ocular bruising which was present in all of them. Conclusion: CT-CNB of mass lesions located in the lateral aspect of the orbit can be an alternative to open biopsy in selected cases. It avoids major surgery and allows the use of radiotherapy, if required, without any delay.

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Normal, abnormal, and inconclusive: has the ultrasound pattern of healthy cervical lymph nodes been defined?

Koifman

2016

Radiol Bras

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Tumores primários da órbita incomuns diagnosticados por biópsia com agulha grossa guiada por tomografia computadorizada: relato de dois casos

Cited by 4 publications

References 15 publications

Pitfalls in diagnosing orbital malignancy through orbital incisional biopsy: A report of two cases with different scenarios

Pitfalls in diagnosing orbital malignancy through orbital incisional biopsy: A report of two cases with different scenarios

Computerized Tomography-Guided Core-Needle Biopsy of Orbital Space-Occupying Lesions: A Case Series

Normal, abnormal, and inconclusive: has the ultrasound pattern of healthy cervical lymph nodes been defined?

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