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US-guided transcutaneous tru-cut biopsy of laryngo-hypopharyngeal lesions.

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Title: US-guided transcutaneous tru-cut biopsy of laryngo-hypopharyngeal lesions.
Authors: Preda L (AUTHOR), De Fiori E (AUTHOR), Rampinelli C (AUTHOR), Ansarin M (AUTHOR), Petralia G (AUTHOR), Maffini F (AUTHOR), Alterio D (AUTHOR), Bonello L (AUTHOR), Chiesa F (AUTHOR), Bellomi M (AUTHOR), Preda, Lorenzo1 (AUTHOR), De Fiori, Elvio (AUTHOR), Rampinelli, Cristiano (AUTHOR), Ansarin, Mohssen (AUTHOR), Petralia, Giuseppe (AUTHOR), Maffini, Fausto (AUTHOR), Alterio, Daniela (AUTHOR), Bonello, Luke (AUTHOR), Chiesa, Fausto (AUTHOR), Bellomi, Massimo (AUTHOR)
Source: European Radiology. Jun2010, Vol. 20 Issue 6, p1450-1455. 6p.
Abstract: Objective: To evaluate the feasibility and performance of ultrasound-guided transcutaneous tru-cut biopsy (USGTCB) in selected patients (with stenosis of airways or difficult intubation or contraindication to general anaesthesia) with untreated or previously treated suspicious laryngo-hypopharyngeal masses.Methods: Biopsies were performed with a free-hand technique by a single radiologist. Thirty-six USGTCBs were scheduled in 34 patients (24 males, 10 females; age range 47-95 years). Two USGTCBs were not performed, as lesions were not detectable: therefore, 16 USGTCBs were performed for an untreated mass suspicious for malignancy and 18 were performed for a mass suspicious for recurrence after radiotherapy alone, or associated with endoscopic laser surgery or chemotherapy.Results: USGTCB diagnosed 25 squamous cell carcinomas (73.5%) and nine benign lesions (26.5%); no false positives and two false negatives were reported, both in patients previously treated with radiotherapy. The sensitivity, specificity, positive and negative predictive value of the technique was 92.5%, 100%, 100% and 77.7% respectively, with no major complications.Conclusion: Although biopsy under microlaryngoscopy remains the "gold-standard" technique, USGTCB is feasible, carries the advantages of avoiding general anaesthesia, is suitable for outpatients and is cost-effective. If applied to selected patients, it could be considered for the histological diagnosis of both primary and recurrent laryngo-hypopharyngeal masses. [ABSTRACT FROM AUTHOR]
Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: US-guided transcutaneous tru-cut biopsy of laryngo-hypopharyngeal lesions.
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  Data: <searchLink fieldCode="AR" term="%22Preda+L%22">Preda L</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22De+Fiori+E%22">De Fiori E</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rampinelli+C%22">Rampinelli C</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ansarin+M%22">Ansarin M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Petralia+G%22">Petralia G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Maffini+F%22">Maffini F</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Alterio+D%22">Alterio D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bonello+L%22">Bonello L</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chiesa+F%22">Chiesa F</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bellomi+M%22">Bellomi M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Preda%2C+Lorenzo%22">Preda, Lorenzo</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22De+Fiori%2C+Elvio%22">De Fiori, Elvio</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rampinelli%2C+Cristiano%22">Rampinelli, Cristiano</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ansarin%2C+Mohssen%22">Ansarin, Mohssen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Petralia%2C+Giuseppe%22">Petralia, Giuseppe</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Maffini%2C+Fausto%22">Maffini, Fausto</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Alterio%2C+Daniela%22">Alterio, Daniela</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bonello%2C+Luke%22">Bonello, Luke</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chiesa%2C+Fausto%22">Chiesa, Fausto</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bellomi%2C+Massimo%22">Bellomi, Massimo</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. Jun2010, Vol. 20 Issue 6, p1450-1455. 6p.
– Name: Abstract
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  Data: <bold>Objective: </bold>To evaluate the feasibility and performance of ultrasound-guided transcutaneous tru-cut biopsy (USGTCB) in selected patients (with stenosis of airways or difficult intubation or contraindication to general anaesthesia) with untreated or previously treated suspicious laryngo-hypopharyngeal masses.<bold>Methods: </bold>Biopsies were performed with a free-hand technique by a single radiologist. Thirty-six USGTCBs were scheduled in 34 patients (24 males, 10 females; age range 47-95 years). Two USGTCBs were not performed, as lesions were not detectable: therefore, 16 USGTCBs were performed for an untreated mass suspicious for malignancy and 18 were performed for a mass suspicious for recurrence after radiotherapy alone, or associated with endoscopic laser surgery or chemotherapy.<bold>Results: </bold>USGTCB diagnosed 25 squamous cell carcinomas (73.5%) and nine benign lesions (26.5%); no false positives and two false negatives were reported, both in patients previously treated with radiotherapy. The sensitivity, specificity, positive and negative predictive value of the technique was 92.5%, 100%, 100% and 77.7% respectively, with no major complications.<bold>Conclusion: </bold>Although biopsy under microlaryngoscopy remains the "gold-standard" technique, USGTCB is feasible, carries the advantages of avoiding general anaesthesia, is suitable for outpatients and is cost-effective. If applied to selected patients, it could be considered for the histological diagnosis of both primary and recurrent laryngo-hypopharyngeal masses. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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