Abstract
The relatively common occurrence of ureteral obstruction in patients with known malignancy elsewhere presents an interesting clinical problem. In those who have undergone abdominal surgery or radiation therapy for malignancy, it is difficult to determine whether ureteral obstruction is the complication of therapy or of recurrent metastatic carcinoma. Transperitoneal thin-needle aspiration biopsy provides an acceptable alternative in determining the true cause of the obstruction. This procedure is competitive with explorative surgery and laparoscopy and is much more specific than CT, excretory urography, and other imaging modalities. In our series of 32 patients, biopsy revealed metastatic tumor in 18 patients, thus altering their clinical management.
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Sotto LSJ, Graham JB, Pickeren JW: Postmortem findings in cancer of the cervix; analysis of 108 autopsies in the past 5 years.Am J Obstet Gynecol 80:791–812, 1960
Slater JM, Fletcher GH: Ureteral strictures after radiation therapy for carcinoma of the uterine cervix.AJR 111:269–272, 1971
Jacobs JA, Rosenthal RS, Shaw JL: Localized ureteral fibrosis: an unrecognized complication of radiation therapy for prostatic carcinoma.J Urol 115:610–611, 1976
Alfert HJ, Gillenwater JY: The consequences of ureteral irradiation with special reference to subsequent ureteral injury.J Urol 107:369–371, 1972
Kline ST, Neal HS: Needle aspiration biopsy: a critical appraisal; eight years and 3.267 specimens later.JAMA 239:36–39, 1978
Ferguson RS: Cytology of prostatic specimens obtained by perineal aspiration biopsy.Am J Surg 9:507–511, 1930
Franzén S, Giertz G, Zajicek J: Cytological diagnosis of prostatic tumors by transrectal aspiration biopsy: a preliminary report.Br J Urol 32:193–196, 1960
Kjellgren O, Angstrom T, Bergman F, Wiklund DE: Fine-needle aspiration biopsy in diagnosis and classification of ovarian carcinoma.Cancer 28:967–976, 1971
Oscarson J, Stormby N, Sundgren R: Selective angiography in fine-needle aspiration cytodiagnosis of gastric and pancreatic tumours.Acta Radiol [Diagn] (Stockh) 12:737–743, 1972
Gothlin JH: Post lymphographic percutaneous fine needle biopsy of lymph nodes guided by fluoroscopy.Radiology 120:205–207, 1976
Zornoza J, Wallace S, Goldstein HM: Transperitoneal percutaneous retroperitoneal lymph node aspiration biopsy.Radiology 122:111–115, 1977
Zornoza J, Jonsson K, Wallace S, Lukeman JM: Fine needle aspiration biopsy of retroperitoneal lymph nodes and abdominal masses.Radiology 125:87–88, 1977
Gothlin JH, Barbaric ZL: Fluoroscopy-guided percutaneous transperitoneal needle biopsy of renal masses.Urology 11:300–302, 1978
Freiman DB, Ring EJ, Oleaga JA, Carpiniello VC, Wein AJ: Thin needle biopsy in the diagnosis of ureteral obstruction with malignancy.Cancer 42:714–716, 1978
Holm HH, Pedersen JF, Kristensen JK, Rasmussen SN, Hancke S, Jensen F: Ultrasonically guided percutaneous puncture.Radiol Clin North Am 13:493–503, 1975
Haaga JR, Alfidi RJ: Precise biopsy localization by computed tomography.Radiology 118:603–607, 1976
Haaga JR, Reich NE, Havrilla TR, Alfidi RJ: Interventional CT scanning.Radiol Clin North Am 15:449–456, 1977
Hancke S, Pedersen JF: Percutaneous puncture of pancreatic cysts guided by ultrasound.Surg Gynecol Obst 140:361–364, 1975
Hancke S, Holm HM, Koch F: Ultrasonically guided percutaneous fine needle biopsy of the pancreas.Surg Gynecol Obstet 140:361–364, 1975
Ferucci JT, Wittenberg J: CT biopsy of abdominal tumors: aids for lesion localization.Radiology 129:739–744, 1978
Jaques PF, Staab E, Rickey W, Photopulous G, Swanton M: CT assisted pelvic and abdominal aspiration biopsies in gynecological malignancy.Radiology 128:651–655, 1978
Ho C-S, McLaughlin MJ, McHattie JD, Tao L-C: Percutaneous fine needle aspiration biopsy of the pancreas following endoscopic retrograde cholangiopancreatography.Radiology 125:351–353, 1977
MacIntosh PK, Thomson KR, Barbaric ZL: Percutaneous transperitoneal lymph node biopsy as a means of improving lymphographic diagnosis.Radiology 131:647–649, 1979
Smith EH, Bartrum RJ, Chang YC, D’Orsi CJ, Lokich J, Abbruzzese A, Dantono J: Percutaneous aspiration biopsy of the pancreas under ultrasonic guidance.N Engl J Med 292:825–858, 1975
Bigongiari LR: Vagal pseudohermorrhage after percutaneous biopsy.Invest Radiol 15:350–352, 1980
von Schreeb T, Arner O, Skovsted G, Winstad N: Renal adenocarcinoma: is there risk of spreading tumor cells in diagnostic puncture.Scand J Urol 1:270–276, 1967
Labardini MM, Nisbity RM: Perineal extension of adenocarcinoma of the prostate gland after punch biopsy.
Sinner WN, Zajicek J: Implantation metastasis after percutaneous transthoracic needle aspiration biopsy.Acta Radiol [Diagn] (Stockh) 17:473–476, 1976
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Barbaric, Z.L., MacIntosh, P.K. Periureteral thin-needle aspiration biopsy. Urol Radiol 2, 181–185 (1981). https://doi.org/10.1007/BF02926721
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DOI: https://doi.org/10.1007/BF02926721