Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2020, 164(4):435-443 | DOI: 10.5507/bp.2019.028
Percutaneous biopsy of retroperitoneal lesions - 10 year experience of a single centre
- a Department of Radiology, Charles University, Faculty of Medicine and University Hospital, Hradec Kralove, Sokolska 581, 500 05, Czech Republic
- b Department of Urology, Charles University, Faculty of Medicine and University Hospital, Hradec Kralove, Sokolska 581, 500 05, Czech Republic
- c Faculty of Education, University of Hradec Kralove, Hradec Kralove, Rokitanskeho 62, 500 03, Czech Republic
- d Department of Oncology and Radiotherapy, Charles University, Faculty of Medicine and University Hospital, Hradec Kralove, Sokolska 581, 500 05, Czech Republic
- e The Fingerland Department of Pathology, Charles University, Faculty of Medicine and University Hospital, Hradec Kralove, Czech Republic
Aims: To retrospectively evaluate the technical features, efficacy, accuracy, appropriate complications, and relationships among monitored parameters of computed tomography-guided biopsies of the retroperitoneum-located processes.
Methods: From December 2008 to December 2018, 208 percutaneous biopsy procedures for tumors, sized 14 - 190 mm in diameter (median size 57.5 mm), were performed on patients with suspected retroperitoneal tumorous process on imaging examinations. The patients were men in 124 cases and women in 84 cases, aged 20 to 90 years (median age 63.2 years). Skin to lesion distance was variable; from 43 cm to 178 cm (median length 108.5 cm).
Results: In 202 cases (97.1%) results were true positive or true negative; only 6 interventions (2.9%) were histologically false negative and had to be confirmed surgically. DLBCL and metastatic disease to the retroperitoneal lymphatic nodes were the most common diagnoses (23.1% each); lymphoma types were verified in 40.9% of cases. 7 complications in total were revealed, 6 of which were minor hemorrhages, and in one case ureteral injury was detected. A statistically significant relationship between the hypervascular process and complication incidence (P=0.00166) and needle gauge (P=0.01427) was identified.
Conclusion: Percutaneous CT-guided biopsy performed in patients with a suspected retroperitoneal tumorous process had a high accuracy in establishing the correct diagnosis including histological subtyping. Simultaneously, the complication rate was low.
Keywords: core needle biopsy, retroperitoneal process, percutaneous approach, complications, hypervascular mass.
Received: April 13, 2019; Accepted: June 3, 2019; Prepublished online: June 17, 2019; Published: December 15, 2020 Show citation
ACS | AIP | APA | ASA | Harvard | Chicago | Chicago Notes | IEEE | ISO690 | MLA | NLM | Turabian | Vancouver |
References
- Tirkes T, Sandrasegaran K, Patel AA, Hollar MA, Tejada JG, Tann M, Akisik FM, Lappas JC. Peritoneal and retroperitoneal anatomy and its relevance for cross-sectional imaging. Radiographics 2012;32(2):437-51.
Go to original source...
Go to PubMed...
- Messiou C, Moskovic E, Vanel D, Morosi C, Benchimol R, Strauss D, Miah A, Douis H, van Houdt W, Bonvalot S. Primary retroperitoneal soft tissue sarcoma: Imaging appearances, pitfalls and diagnostic algorithm. Eur J Surg Oncol 2017;43(7):1191-8.
Go to original source...
Go to PubMed...
- Strauss DC, Hayes AJ, Thomas JM. Retroperitoneal tumours: review of management. Ann R Coll Surg Engl 2011;93(4):275-80.
Go to original source...
Go to PubMed...
- Manzella A, Borba-Filho P, D'Ippolito G, Farias M. Abdominal manifestations of lymphoma: spectrum of imaging features. ISRN Radiol 2013;2013:483069.
Go to original source...
Go to PubMed...
- Tomozawa Y, Inaba Y, Yamaura H, Sato Y, Kato M, Kanamoto T, Sakane M. Clinical value of CT-guided needle biopsy for retroperitoneal lesions. Korean J Radiol 2011;12(3):351-7.
Go to original source...
Go to PubMed...
- Sakamoto Y, Karashima R, Ida S, Imamura Y, Iwagami S, Baba Y, Miyamoto Y, Yoshida N, Baba H. Diagnostic laparoscopic biopsy for intraabdominal tumors. Surg Today 2015;45(3):394-6.
Go to original source...
Go to PubMed...
- Morris-Stiff G, Cheang P, Key S, Verghese A, Havard TJ. Does the surgeon still have a role to play in the diagnosis and management of lymphomas? World J Surg Oncol 2008;6:13.
Go to original source...
Go to PubMed...
- Sando M, Terasaki M, Okamoto Y, Suzumura K, Tsuchiya T. The Utility of Diagnostic Laparoscopic Biopsy for Mesenteric and Retroperitoneal Lymph Nodes. Am J Case Rep 2017;18:878-82.
Go to original source...
Go to PubMed...
- Ferrucci JT Jr, Wittenberg J, Mueller PR, Simeone JF, Harbin WP, Kirkpatrick RH, Taft PD. Diagnosis of abdominal malignancy by radiologic fine-needle aspiration biopsy. AJR Am J Roentgenol 1980;134(2):323-30.
Go to original source...
Go to PubMed...
- Shao H, McCarthy C, Wehrenberg-Klee E, Thabet A, Uppot R, Dawson S, Arellano RS. CT-Guided Percutaneous Needle Biopsy of Retroperitoneal and Pelvic Lymphadenopathy: Assessment of Technique, Diagnostic Yield, and Clinical Value. J Vasc Interv Radiol 2018;29(10):1429-36.
Go to original source...
Go to PubMed...
- Chew C, Reid R, O'Dwyer PJ. Value of biopsy in the assessment of a retroperitoneal mass. Surgeon 2006;4(2):79-81.
Go to original source...
Go to PubMed...
- Zhang S, Yu X, Zheng Y, Yang Y, Xie J, Zhou X. Value of fine needle aspiration cell blocks in the diagnosis and classification of lymphoma. Int J Clin Exp Pathol 2014;7(11):7717-25.
- Skelton E, Jewison A, Okpaluba C, Sallomi J, Lowe J, Ramesar K, Grace R, Howlett DC. Image-guided core needle biopsy in the diagnosis of malignant lymphoma. Eur J Surg Oncol 2015;41:852-8.
Go to original source...
Go to PubMed...
- Ladetto M, Buske C, Hutchings M, Dreyling M, Gaidano G, Le Gouill S, Luminari S, Pott C, Zamò A, Zucca E; & the ESMO Lymphoma Consensus Conference Panel Members. ESMO consensus conference on malignant lymphoma: general perspectives and recommendations for prognostic tools in mature B-cell lymphomas and chronic lymphocytic leukaemia. Ann Oncol 2018;29:525.
Go to original source...
Go to PubMed...
- Buske C, Hutchings M, Ladetto M, Goede V, Mey U, Soubeyran P, Spina M, Stauder R, Trnený M, Wedding U, Fields P; ESMO Lymphoma Consensus Conference Panel Members. ESMO Consensus Conference on malignant lymphoma: general perspectives and recommendations for the clinical management of the elderly patient with malignant lymphoma. Ann Oncol 2018;29:544-562.
Go to original source...
Go to PubMed...
- Acar T, Harman M, Guneyli S, Gemici K, Efe D, Guler I, Yildiz M. Cross-sectional Imaging Features of Primary Retroperitoneal Tumors and Their Subsequent Treatment. J Clin Imaging Sci 2015;5:24.
Go to original source...
Go to PubMed...
- Schiavon LHO, Tyng CJ, Travesso DJ, Rocha RD, Schiavon ACSA, Bitencourt AGV. Computed tomography-guided percutaneous biopsy of abdominal lesions: indications, techniques, results, and complications. Radiol Bras 2018;51(3):141-6.
Go to original source...
Go to PubMed...
- Tamayo P, Martín A, Díaz L, Cabrero M, García R, García-Talavera P, Caballero D. 18F-FDG PET/CT in the clinical management of patients with lymphoma. Rev Esp Med Nucl Imagen Mol 2017;36(5):312-21.
Go to original source...
Go to PubMed...
- Johl A, Lengfelder E, Hiddemann W, Klapper W; German Low-grade Lymphoma Study Group (GLSG). Core needle biopsies and surgical excision biopsies in the diagnosis of lymphoma-experience at the Lymph Node Registry Kiel. Ann Hematol 2016;95(8):1281-6.
Go to original source...
Go to PubMed...
- Stattaus J, Kalkmann J, Kuehl H, Metz KA, Nowrousian MR, Forsting M, Ladd SC. Diagnostic yield of computed tomography-guided coaxial core biopsy of undetermined masses in the free retroperitoneal space: single-center experience. Cardiovasc Intervent Radiol 2008;31(5):919-25.
Go to original source...
Go to PubMed...
- Sofocleous CT, Schubert J, Brown KT, Brody LA, Covey AM, Getrajdman GI. CT-guided transvenous or transcaval needle biopsy of pancreatic and peripancreatic lesions. J Vasc Interv Radiol 2004;15(10):1099-104.
Go to original source...
Go to PubMed...
- Özel D, Aydin T. A clinical compilation of lymph node pathologies comparing the diagnostic performance of biopsy methods. J Ultrasound 2019;22(1):59-64. doi: 10.1007/s40477-018-0321-6.
Go to original source...
Go to PubMed...
- Knelson M, Haaga J, Lazarus H, Ghosh C, Abdul-Karim F, Sorenson K. Computed tomography-guided retroperitoneal biopsies. J Clin Oncol 1989;7(8):1169-73.
Go to original source...
Go to PubMed...
- Fisher AJ, Paulson EK, Sheafor DH, Simmons CM, Nelson RC. Small lymph nodes of the abdomen, pelvis, and retroperitoneum: usefulness of sonographically guided biopsy. Radiology 1997;205(1):185-90.
Go to original source...
Go to PubMed...
- Daly SC, Klairmont M, Arslan B, Vigneswaran Y, Roggin KF, Ujiki MB, Denham W, Millikan KW, Luu MB, Deziel DJ, Myers JA. Laparoscopy has a superior diagnostic yield than percutaneous image-guided biopsy for suspected intra-abdominal lymphoma. Surg Endosc 2015;29:2496-9.
Go to original source...
Go to PubMed...
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.