2020
DOI: 10.1016/j.urology.2019.10.005
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Percutaneous Image-guided Core Needle Biopsy for Upper Tract Urothelial Carcinoma

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Cited by 21 publications
(16 citation statements)
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“…e disadvantages are the need to select the proper threshold, complete loss of information outside the threshold, unfavorable display of lesion details, and so on. Simulation of the gastrointestinal lumen is based on a predetermined threshold value, and the structures within the threshold value are formed into a simulated threedimensional reconstruction image, whose image resembles a barium-filled image [20]. e advantage is that the image is three-dimensional and intuitive, which can show the shape and contour of the organ, and the anatomical relationship is clear, which is conducive to the localization of the lesion [21].…”
Section: Introductionmentioning
confidence: 99%
“…e disadvantages are the need to select the proper threshold, complete loss of information outside the threshold, unfavorable display of lesion details, and so on. Simulation of the gastrointestinal lumen is based on a predetermined threshold value, and the structures within the threshold value are formed into a simulated threedimensional reconstruction image, whose image resembles a barium-filled image [20]. e advantage is that the image is three-dimensional and intuitive, which can show the shape and contour of the organ, and the anatomical relationship is clear, which is conducive to the localization of the lesion [21].…”
Section: Introductionmentioning
confidence: 99%
“…Similar to lower tract UC, there is a paucity of data and literature related to the use of percutaneous biopsy for the diagnosis of UTUC. One of the few studies to date is a retrospective review of 42 patients over 8 yr by Joseph et al [5] at the Mayo Clinic. In this cohort, indications for percutaneous biopsy were provider preference, prior unsuccessful or nondiagnostic ureteroscopic biopsy, and prior cystectomy with a urinary conduit.…”
Section: Discussionmentioning
confidence: 99%
“…With that said, it is important to acknowledge that there have been rare case reports of percutaneous tract seeding in UTUC. Of 14 reported cases from 1986 to 2017, 12 occurred following percutaneous resection or placement of a nephrostomy tube, while two were after percutaneous biopsy [5] , [6] . A systematic review of 736 patients undergoing percutaneous or ureteroscopic treatment of UTUC found that the overall rate of tumor seeding with percutaneous treatment was 0.3% [7] .…”
Section: Discussionmentioning
confidence: 99%
“…One study of 42 patients who underwent percutaneous biopsy of UTUC demonstrated no seeding (including 24% with noncoaxial technique biopsy). 20 A review of 26 patients who underwent percutaneous biopsy also demonstrated no episodes of seeding. 21 More directly relevant to the work described here, a retrospective analysis comparing 25 patients with UTUC who underwent nephrostomy placement with 639 who did not, demonstrated similar oncologic outcomes whether or not nephrostomy was placed.…”
Section: Discussionmentioning
confidence: 98%