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Curved Needles in CT-Guided Fine Needle Biopsies of Abdominal and Retroperitoneal Small Lesions

  • Clinical Investigation
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CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Purpose

To demonstrate the advantages of using curved needles in fine needle aspiration (FNA) with CT-guided, for analyzing abdominal and/or retroperitoneal small lesions which are impossible to reach with conventional non-surgical biopsy techniques, particularly in cases in which the cytology sample was not possible to obtain by means of US or CT guide with axial images.

Materials and Methods

An authorization for CT-guided FNA in patients with neoplasms is not required by the institutional review board of our Institute. From April 2012 to November 2014, the study included retrospectively 25 patients (16 M, 9 F) who underwent CT-guided FNA of abdominal and/or retroperitoneal small lesions (<30 mm), in which the ultrasound and axial CT scans were not reliable guides for the biopsy procedure because of the interposition of anatomical obstacles. Patients with suspected lymphomas or sarcomas, pediatric patients and patients with bleeding diathesis were excluded. Cytology reports were used for evaluating suitability.

Results

The biological material was considered to be suitable for cytological study, with a diagnostic value in all 25 cases, finding in particular: out of 23 neoplastic lesions (85 %), 21 were malignant (90.2 %) and 2 were benign (8 %). 2 out 25 were non-neoplastic benign lesions (8 %). No procedural complications arose in any of the cases (0 %).

Conclusion

Using curved needles, there is an effective improvement in CT-guided FNA of abdominal and retroperitoneal small lesions which are difficult to achieve with conventional CT or ultrasound guide.

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Conflict of Interest

All the author declare that they have not nor Grant support for this paper nor acknowledgment. They also have not conflict of interest of any type.

Statement of Human and Animal Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Authors and Affiliations

  1. Department of Surgical Sciences, Section of Radiological Sciences, Parma Hospital, University of Parma, Via Gramsci, 14, 43100, Parma, Italy

    Massimo De Filippo, Luca Saba, Enrica Rossi & Cristina Rossi

  2. Department of Medicine, Unit of Oncology, Parma Hospital, University of Parma, Via Gramsci, 14, 43100, Parma, Italy

    Rita Nizzoli & Marcello Tiseo

  3. Department of Physics, University of Parma, Via Gramsci, 14, 43100, Parma, Italy

    Giuseppe Pedrazzi

  4. Department of Medicine and Health Sciences, University of Molise, Via Francesco de Sanctis, 1, 86100, Campobasso, Italy

    Luca Brunese

  5. Department of Internal and Experimental Medicine, Magrassi-Lanzara, Second University of Naples, Via Pansini, 5, 80131, Naples, Italy

    Antonio Rotondo

Authors
  1. Massimo De Filippo
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  2. Luca Saba
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  3. Enrica Rossi
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  4. Rita Nizzoli
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  5. Marcello Tiseo
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  6. Giuseppe Pedrazzi
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  7. Luca Brunese
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  8. Antonio Rotondo
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  9. Cristina Rossi
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Corresponding author

Correspondence to Massimo De Filippo.

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De Filippo, M., Saba, L., Rossi, E. et al. Curved Needles in CT-Guided Fine Needle Biopsies of Abdominal and Retroperitoneal Small Lesions. Cardiovasc Intervent Radiol 38, 1611–1616 (2015). https://doi.org/10.1007/s00270-015-1107-2

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  • DOI: https://doi.org/10.1007/s00270-015-1107-2

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