Abstract
A series of 77 ultrasound guided biopsies wereperformed in 72 patients with an ultrasonographicallydiagnosed focal liver lesion using a new semiautomatedbiopsy gun (Temno Biopty Gun) with a 21 G trucut needle. The rate of insufficient sampling wasvery low (1.5%), and more precise identification ofmalignant as well as benign lesions was possible whencompared with the results of other fine-needletechniques available in the literature. No highercomplication rate was noted. Our results show asensitivity of 88%, a specificity of 100%, and anoverall accuracy of 91% in identifying malignancy.Therefore we conclude that fine-needle trucut biopsy is asafe and accurate procedure combining the safety of thefine needle with the better sample quality of alarge-bore needle biopsy technique.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
REFERENCES
Menghini G: One second biopsy of the liver. Problems of its clinical application. N Engl J Med 283:582-584, 1970
Fornari F, Civardi G, Cavanna L, Di Stasi M, Rossi S, Sbolli G, Buscarini L: Complications of ultrasonically guided fine needle abdominal biopsy. Results of a multicenter Italian study and review of the literature. Scand J Gastroenterol 24:949-955, 1989
Smith EH: Complications of percutaneous abdominal fine needle biopsy. Review. Radiology 178:253-258, 1991
Weiss H, Duntsch U, Weiss A: Risiken der Feinnadelpunktion; Ergebnisse einer Umfrage in der BRD (DEGUM Umfrage). Ultraschall 9:121-127, 1988
Buscarini L, Fornari F, Bolondi L, Colombo P, Livraghi T, Magnoli F, Rapaccini G, Salmi A: Ultrasound guided fine needle biopsy of focal liver lesions: Techniques, diagnostic accuracy and complications. J Hepatol 11:344-348, 1990
Schwerk WB, Durr H, Schmitz Moormann P: Ultrasound guided fine needle biopsy in pancreatic and hepatic neoplasms. Gastrointest Radiol 8:219-225, 1983
Solmi L, Muratori R, Brambati M, Gandolfi L: Comparison between the 21G Urocut needle and the 21G Surecut needle in echo guided percutaneous biopsy of neoplastic liver lesions. Surg Endosc 3:38-41, 1989
Limberg B, Hopker WW, Kommerell B: Histologic differential diagnosis of focal liver lesions by ultrasonically guided fine needle biopsy. Gut 28:237-241, 1987
Quinn SF, Demlow T, Dunkley B: Temno Biopsy Needle: Evaluation of efficacy and safety in 165 biopsy procedures. Am J Radiol 158:641-643, 1992
Schwerk WB, Schmitz-Moormann P: Ultrasonically guided fine needle biopsy in neoplastic liver disease. Cancer 48:1469-1477, 1981
Tudway DC, Newman J, Wittenberg J: Ultrasound guided fine needle biopsies in the abdomen. Clin Radiol 39:377-380, 1988
Isler RJ, Ferrucci JT, Wittenberg J, Mueller PR, Simeone JF, Van Sonnenberg E, Hall DA: Tissue core biopsy of abdominal tumours with a 22 gauge cutting needle. Am J Radiol 136:725-728, 1981
Hopper KD, Parker SH, Yakes WF: The biopsy gun. Hospimedica 9:52-55, 1991
Rights and permissions
About this article
Cite this article
Duysburgh, I., Michielsen, P., Fierens, H. et al. Fine Needle Trucut Biopsy of Focal Liver Lesions (A New Technique). Dig Dis Sci 42, 2077–2081 (1997). https://doi.org/10.1023/A:1018870501882
Issue Date:
DOI: https://doi.org/10.1023/A:1018870501882