Stereotactic biopsy for intracranial space occupying lesions: Experience in a referral hospital in Mexico
Background: Stereotactic brain biopsy (SBB) is used for establishing the histological diagnosis of intracranial lesions that are not amenable for a direct surgical approach. Objective: The objective of the study was to describe our experience having an evaluation of the biopsy sample by a neuropatho...
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oai:doaj.org-article:67d43126179c421db13d4b57ad9877792021-12-01T20:34:10ZStereotactic biopsy for intracranial space occupying lesions: Experience in a referral hospital in Mexico10.24875/CIRU.200010092444-054Xhttps://doaj.org/article/67d43126179c421db13d4b57ad9877792021-01-01T00:00:00Zhttps://www.cirugiaycirujanos.com/frame_esp.php?id=579https://doaj.org/toc/2444-054XBackground: Stereotactic brain biopsy (SBB) is used for establishing the histological diagnosis of intracranial lesions that are not amenable for a direct surgical approach. Objective: The objective of the study was to describe our experience having an evaluation of the biopsy sample by a neuropathologist during SBB. Materials and methods: Retrospective analysis of 140 consecutive patients who underwent SBB between 2014 and 2018 in whom trans-operatory analysis of the sample was performed. Results: There were 56% men. The mean age was 45 years. Histological diagnosis was performed in 131 of 140 patients (94% overall diagnostic yield). The presurgical radiological diagnosis was correct in 39%. Neoplastic lesions were reported in 108 cases, and 32 were non-neoplastic. We performed craniotomy and resection after biopsy in 14%. We found complications in 6% of patients. Conclusions: SBB continues to be a safe, useful, and inexpensive procedure. The diagnostic performance of SBB increases when intraoperative cytological evaluation by a neuropathologist is included in the study. José L. Navarro-OlveraGustavo Parra-RomeroJosé D. Carrillo-RuizGustavo Aguado-CarrilloJulián E. Soto-AbrahamJulián E. Soto-AbrahamPermanyerarticleBiopsy. Brain tumor. Diagnostic yield. Histopathology. Stereotaxy.SurgeryRD1-811ENESCirugía y Cirujanos, Vol 89, Iss 6 (2021) |
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Biopsy. Brain tumor. Diagnostic yield. Histopathology. Stereotaxy. Surgery RD1-811 |
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Biopsy. Brain tumor. Diagnostic yield. Histopathology. Stereotaxy. Surgery RD1-811 José L. Navarro-Olvera Gustavo Parra-Romero José D. Carrillo-Ruiz Gustavo Aguado-Carrillo Julián E. Soto-Abraham Julián E. Soto-Abraham Stereotactic biopsy for intracranial space occupying lesions: Experience in a referral hospital in Mexico |
description |
Background: Stereotactic brain biopsy (SBB) is used for establishing the histological diagnosis of intracranial lesions that are not amenable for a direct surgical approach. Objective: The objective of the study was to describe our experience having an evaluation of the biopsy sample by a neuropathologist during SBB. Materials and methods: Retrospective analysis of 140 consecutive patients who underwent SBB between 2014 and 2018 in whom trans-operatory analysis of the sample was performed. Results: There were 56% men. The mean age was 45 years. Histological diagnosis was performed in 131 of 140 patients (94% overall diagnostic yield). The presurgical radiological diagnosis was correct in 39%. Neoplastic lesions were reported in 108 cases, and 32 were non-neoplastic. We performed craniotomy and resection after biopsy in 14%. We found complications in 6% of patients. Conclusions: SBB continues to be a safe, useful, and inexpensive procedure. The diagnostic performance of SBB increases when intraoperative cytological evaluation by a neuropathologist is included in the study.
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format |
article |
author |
José L. Navarro-Olvera Gustavo Parra-Romero José D. Carrillo-Ruiz Gustavo Aguado-Carrillo Julián E. Soto-Abraham Julián E. Soto-Abraham |
author_facet |
José L. Navarro-Olvera Gustavo Parra-Romero José D. Carrillo-Ruiz Gustavo Aguado-Carrillo Julián E. Soto-Abraham Julián E. Soto-Abraham |
author_sort |
José L. Navarro-Olvera |
title |
Stereotactic biopsy for intracranial space occupying lesions: Experience in a referral hospital in Mexico |
title_short |
Stereotactic biopsy for intracranial space occupying lesions: Experience in a referral hospital in Mexico |
title_full |
Stereotactic biopsy for intracranial space occupying lesions: Experience in a referral hospital in Mexico |
title_fullStr |
Stereotactic biopsy for intracranial space occupying lesions: Experience in a referral hospital in Mexico |
title_full_unstemmed |
Stereotactic biopsy for intracranial space occupying lesions: Experience in a referral hospital in Mexico |
title_sort |
stereotactic biopsy for intracranial space occupying lesions: experience in a referral hospital in mexico |
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publishDate |
2021 |
url |
https://doaj.org/article/67d43126179c421db13d4b57ad987779 |
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