Purpose
The role of image-guided percutaneoushepatic biopsy as a safe and accurate diagnosticprocedure for the evaluation of focalor diffuse hepatic disease has been well established,especially with the advent ofspring-loaded biopsy needles and improvementsin image quality (1).
US and CT guidanceare the techniques of choice for liverbiopsy.
In comparison with CT,
US is oftenmore readily available.
US-guided biopsiesmay be easier to perform,
faster,
and lessexpensive and do not expose the patient toradiation (2).
Most of the studies concerning thesafety and efficacy of liver needle biopsieshave been performed...
Methods and Materials
We performed percutaneous biopsies in the 38 patient’s liver masses with ultrasound-assisted free-hand technique in last one year.
The liver biopsies were per-formed following one-night fasting using 18G automatic needles.
After the biopsies,
all patients were hospitalized and monitored for one day.
All specimens were examined without immediate assessment by a pathologist.
Results
A total of 38 hepatic masses from 38 patients were biopsied in last one year (female: 16 (42,1%),
male: 22 (57,9%); mean age: 48,9 years).
Of 38 biopsies,
35 (%92,1) specimens were considered diagnostic and 3 (%7,9) speci-mens were considered as non- diagnostic.
Hepatic mass sizes varied between 14 mm and 155,
with a mean diameter of 42± 27 mm.
No major complication was seen.
Conclusion
According to our experiences,
we conclude that ultrasound assisted percutaneous liver mass biopsy with 18 G automatic needles is a quick,
effective,
minimally invasive and,
safe procedure.
The complication rate is very low.
The ultrasound assisted percutaneous liver mass biopsy modality should be used in all cases that the lesion can be visualized by ultrasonography.
References
1.
Thanos L,
Zormpala A,
Papaioannou G,Malagari K,
Brountzos E,
Kelekis D.
Safety andefficacy of percutaneous CT-guided liver biopsyusing an 18-gauge automated needle.
Eur J InternMed 2005;16:571–574.
2.
Caturelli E,
Giacobbe A,
Facciorusso D,
et al.Percutaneous biopsy in diffuse liver disease:increasing diagnostic yield and decreasing complication
rate by routine ultrasound assessmentof puncture site.
Am J Gastroenterol 1996;91:1318–1321.
3.
McGill DB,
Rakela J,
Zinsmeister AR,
Ott BJ.
A21-year experience with major hemorrhage afterpercutaneous liver biopsy.
Gastroenterology1990;99:1396–1400.
4.
Piccinino F,
Sagnelli E,
Pasquale G,
Giusti G.Complications following...
Personal Information
Mehmet Fatih İNCİ,
MD,
Kahramanmaraş Sütçü İmam University,
School of Medicine,
Department of Radiology,
Kahramanmaraş / TURKEY
Fuat ÖZKAN,
MD,
Kahramanmaraş Sütçü İmam University,
School of Medicine,
Department of Radiology,
Kahramanmaraş / TURKEY
Ozan BALAKAN,
MD,Kahramanmaraş Sütçü İmam University,
School of Medicine,
Department of Oncology,
Kahramanmaraş / TURKEY