Image-guided core needle biopsy in the diagnosis of malignant lymphoma: comparison with surgical excision biopsy

Chatani, Shohei; Hasegawa, Takaaki; Kato, Seiichi; Murata, Shinichi; Sato, Yozo; Yamaura, Hidekazu; Yamamoto, Kazuhito; Yatabe, Yasushi; Inaba, Yoshitaka

doi:10.1016/j.ejrad.2020.108990

Cited by 15 publications

(21 citation statements)

References 28 publications

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“…Chatani et al compared the diagnostic complications in CNB vs SEB; the grade 3 complication rate was significantly lower (0% vs. 4.6%, P < .01), thus suggesting that severe complications are extremely rare with CNB procedures. Chatani et al also found there was no significant statistical difference in overall complication rates (4.9% vs. 6.5%, respectively, P = .61) 20 …”

Section: Discussionmentioning

confidence: 89%

“…Chatani et al also found there was no significant statistical difference in overall complication rates (4.9% vs. 6.5%, respectively, P = .61). 20 Another important limitation is that adequate provision of image-guided CNB services is reliant upon fully trained operators in both diagnostic ultrasonography and CNB technique. However, once trained it is less operator-dependent than FNA.…”

Section: Limitations Of Cnbmentioning

confidence: 99%

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Image‐guided core needle biopsy as the first‐line diagnostic approach in lymphoproliferative disorders—A review of the current literature

Seviar

Yousuff

Chia

et al. 2020

European J of Haematology

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The World Health Organization (WHO) and numerous expert guidelines for lymphoma diagnosis and subclassification advocate the use of histology from surgical nodal excision biopsy (SEB) over core needle biopsy (CNB) due to perceived higher diagnostic yield. CNB is associated with lower morbidity and is more cost‐effective compared to SEB. Furthermore, current practice increasingly demonstrates material obtained from CNB can rapidly diagnose individuals with a clinical suspicion of lymphoma and allow initiation of treatment in the majority of patients. We performed a literature review to assess the suitability of CNB in lymphoma diagnosis given recent advances in radiological and histopathological techniques in obtaining and processing tissue. Additionally, expert international guidelines in lymphoma diagnosis were compared. We found that CNB demonstrated a diagnostic efficacy between 79% and 97% (median 91%) where the diagnostic outcome was conclusive with full lymphoma subclassification. Studies demonstrate that there is a high diagnostic reproducibility amongst haematopathologists (87%‐93%) in lymphoma diagnoses with full subtyping from material obtained via CNB. Furthermore, CNB is a safe, rapid and reliable method of obtaining tissue from lymph nodes for histopathological analysis. These procedures are minimally invasive, well‐tolerated and should be considered the first‐line diagnostic approach in clinical practice in patients with suspected lymphoproliferative disorders.

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Section: Discussionmentioning

confidence: 89%

Section: Limitations Of Cnbmentioning

confidence: 99%

Image‐guided core needle biopsy as the first‐line diagnostic approach in lymphoproliferative disorders—A review of the current literature

Seviar

Yousuff

Chia

et al. 2020

European J of Haematology

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“…As in biopsy for bone tumors, percutaneous biopsy for soft tissue tumors is also performed mainly under CT or US guidance under local anesthesia [7][8][9][10][11]. Biopsy is generally performed under US guidance for tumors in a superficial area and under CT guidance for tumors in a deep area [7,13]. However, the modality should be determined by considering the The diagnostic yield of core-needle biopsy for soft tissue tumors, including lymphatic lesions, has been reported to be 76%-97% [7-10, 29, 45].…”

Section: Soft Tissue Tumor Biopsymentioning

confidence: 99%

“…In particular, surgical biopsy for soft tissue tumors located in deep areas, such as the retroperitoneal or mediastinal regions, is invasive and places a substantial burden on the patient. Percutaneous needle biopsy is superior to surgical biopsy in terms of reduced invasiveness and earlier results from histopathological diagnosis; therefore, core-needle biopsy should be considered as the first choice for patients who require early diagnosis or with low performance status [7]. Several studies reported that no significant difference was found between diagnostic accuracy and needle size, although a larger number of specimens were obtained using a thick needle [46][47][48].…”

Section: Soft Tissue Tumor Biopsymentioning

confidence: 99%

“…Percutaneous needle biopsy is often preferred as an initial procedure to obtain a histopathological diagnosis [3,4]. For soft tissue tumors, surgical biopsy is thought to be the standard method with a high accuracy of 93.5%-100% [2,3,[5][6][7]. Nevertheless, percutaneous needle biopsy is also performed because of its low invasiveness [9][10][11][12][13], and opportunities for percutaneous needle biopsy of musculoskeletal lesions are increasing as minimally invasive medicine becomes more prevalent.…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous Image-guided Needle Biopsy of Musculoskeletal Tumors: Technical Tips

Hasegawa

Chatani

Sato

et al. 2021

Interventional Radiology

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With recent advances in imaging technology, the frequency of detecting musculoskeletal lesions has also increased. Percutaneous image-guided needle biopsy is occasionally required for the diagnosis of such lesions. Moreover, in the era of personalized cancer care, chances in histopathological diagnosis and the importance of histopathological diagnosis by percutaneous needle biopsy are increasing. However, as percutaneous needle biopsy is not a common procedure for musculoskeletal lesions, careful planning and the application of adequate techniques such as hydrodissection and the trans-osseous approach are occasionally required. In this review, we have summarized the indications and techniques for percutaneous image-guided needle biopsy for musculoskeletal lesions, including lymphatic lesions.

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Multimodal Sonographic Appearance and Survival Outcomes of 69 Cases of Primary Thyroid Lymphoma Over 10 Years

Peng

Yang

Yao

et al. 2022

J of Ultrasound Medicine

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Objectives To investigate ultrasound appearance and the survival outcomes for patients with primary thyroid lymphoma (PTL). Methods Ultrasonic images and clinical characteristics from pathologically confirmed 69 PTL patients (2008–2019) were retrospectively analyzed. The clinical characteristics, ultrasonic characters, and prognostic factors were analyzed. Survival curves were plotted using the Kaplan–Meier method. Univariate and multivariate analyses were performed. Results Of the 69 study patients, 23 were indolent PTL and 46 were aggressive PTL. Age (>70 years old) and elevated lactate dehydrogenase levels were statistically different clinical features between aggressive and indolent PTL. From ultrasonic images, 34 cases were nodular, 11 diffuse, and 24 mixed pattern. Mixed types displayed high invasiveness (45.7%) while diffuse types displayed higher inertness (39.1%), with statistically significant differences (P = .000). Invaded thyroid capsule and increased chaotic vascularity also showed significant differences between aggressive and indolent PTL. We also observed statistical difference in overall survival rates between aggressive and indolent PTL (P = .032). Single factor K‐M analyses showed that age >70 years, aggressive pathology, and Ki67 >30% were positively correlated with the risk of poor PTL survival (P < .05). Conclusions Multimodal ultrasound provides accurate ultrasonographic information and facilitates PTL invasiveness diagnostics for improved clinical treatment. In addition, PTL patients aged >70 years, with aggressive pathology, and Ki67 >30% were more likely to have a poor survival outcome.

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Image-guided core needle biopsy in the diagnosis of malignant lymphoma: comparison with surgical excision biopsy

Cited by 15 publications

References 28 publications

Image‐guided core needle biopsy as the first‐line diagnostic approach in lymphoproliferative disorders—A review of the current literature

Image‐guided core needle biopsy as the first‐line diagnostic approach in lymphoproliferative disorders—A review of the current literature

Percutaneous Image-guided Needle Biopsy of Musculoskeletal Tumors: Technical Tips

Multimodal Sonographic Appearance and Survival Outcomes of 69 Cases of Primary Thyroid Lymphoma Over 10 Years

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