Accuracy and Safety of Ultrasound-Guided Core Needle Biopsy of Soft Tissue Tumors in an Outpatient Setting: A Sarcoma Center Analysis of 392 Consecutive Patients

Background: The aim of this study was to investigate diagnostic accuracy, safety and histologic results of ultrasound guided core needle biopsy (CNB) in patients with soft tissue lesions (STL) at a tertiary referral center. Methods: A retrospective analysis of all consecutive patients undergoing ult...

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Autores principales:	Helene Weigl, Peter Hohenberger, Alexander Marx, Nikolaos Vassos, Jens Jakob, Christian Galata
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	core needle biopsy soft tissue sarcoma accuracy safety Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/e30c8196107d49aeb6a242d05b47bc9d
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spelling	oai:doaj.org-article:e30c8196107d49aeb6a242d05b47bc9d2021-11-25T17:02:19ZAccuracy and Safety of Ultrasound-Guided Core Needle Biopsy of Soft Tissue Tumors in an Outpatient Setting: A Sarcoma Center Analysis of 392 Consecutive Patients10.3390/cancers132256592072-6694https://doaj.org/article/e30c8196107d49aeb6a242d05b47bc9d2021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/22/5659https://doaj.org/toc/2072-6694Background: The aim of this study was to investigate diagnostic accuracy, safety and histologic results of ultrasound guided core needle biopsy (CNB) in patients with soft tissue lesions (STL) at a tertiary referral center. Methods: A retrospective analysis of all consecutive patients undergoing ultrasound guided CNB for STL at our sarcoma outpatient service between January 2015 and August 2020 was performed. Results: A total of 392 patients were identified. Main histologic entities were sarcomas, lipomas and desmoid tumors. Biopsy was performed in an outpatient setting in 87.6% of the cases. Conclusive biopsies were obtained in 88.5% of the cases. In patients who underwent surgical resection after CNB, the concordance of dignity, tumor entity and histopathological grading between biopsy and resection specimen were 97.2%, 92.7% and 92.5% respectively. The risk of inconclusive CNB was highest in intraabdominal or retroperitoneal tumors (19.5%) and lowest in lesions at the lower extremity (4.4%). Major complications after CNB occurred in three cases (0.8%). No case of biopsy tract seeding was observed during the study period. Conclusions: Ultrasound guided CNB for STL at first presentation in a dedicated surgical outpatient setting is a safe procedure and yields a high diagnostic accuracy.Helene WeiglPeter HohenbergerAlexander MarxNikolaos VassosJens JakobChristian GalataMDPI AGarticlecore needle biopsysoft tissue sarcomaaccuracysafetyNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5659, p 5659 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	core needle biopsy soft tissue sarcoma accuracy safety Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	core needle biopsy soft tissue sarcoma accuracy safety Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Helene Weigl Peter Hohenberger Alexander Marx Nikolaos Vassos Jens Jakob Christian Galata Accuracy and Safety of Ultrasound-Guided Core Needle Biopsy of Soft Tissue Tumors in an Outpatient Setting: A Sarcoma Center Analysis of 392 Consecutive Patients
description	Background: The aim of this study was to investigate diagnostic accuracy, safety and histologic results of ultrasound guided core needle biopsy (CNB) in patients with soft tissue lesions (STL) at a tertiary referral center. Methods: A retrospective analysis of all consecutive patients undergoing ultrasound guided CNB for STL at our sarcoma outpatient service between January 2015 and August 2020 was performed. Results: A total of 392 patients were identified. Main histologic entities were sarcomas, lipomas and desmoid tumors. Biopsy was performed in an outpatient setting in 87.6% of the cases. Conclusive biopsies were obtained in 88.5% of the cases. In patients who underwent surgical resection after CNB, the concordance of dignity, tumor entity and histopathological grading between biopsy and resection specimen were 97.2%, 92.7% and 92.5% respectively. The risk of inconclusive CNB was highest in intraabdominal or retroperitoneal tumors (19.5%) and lowest in lesions at the lower extremity (4.4%). Major complications after CNB occurred in three cases (0.8%). No case of biopsy tract seeding was observed during the study period. Conclusions: Ultrasound guided CNB for STL at first presentation in a dedicated surgical outpatient setting is a safe procedure and yields a high diagnostic accuracy.
format	article
author	Helene Weigl Peter Hohenberger Alexander Marx Nikolaos Vassos Jens Jakob Christian Galata
author_facet	Helene Weigl Peter Hohenberger Alexander Marx Nikolaos Vassos Jens Jakob Christian Galata
author_sort	Helene Weigl
title	Accuracy and Safety of Ultrasound-Guided Core Needle Biopsy of Soft Tissue Tumors in an Outpatient Setting: A Sarcoma Center Analysis of 392 Consecutive Patients
title_short	Accuracy and Safety of Ultrasound-Guided Core Needle Biopsy of Soft Tissue Tumors in an Outpatient Setting: A Sarcoma Center Analysis of 392 Consecutive Patients
title_full	Accuracy and Safety of Ultrasound-Guided Core Needle Biopsy of Soft Tissue Tumors in an Outpatient Setting: A Sarcoma Center Analysis of 392 Consecutive Patients
title_fullStr	Accuracy and Safety of Ultrasound-Guided Core Needle Biopsy of Soft Tissue Tumors in an Outpatient Setting: A Sarcoma Center Analysis of 392 Consecutive Patients
title_full_unstemmed	Accuracy and Safety of Ultrasound-Guided Core Needle Biopsy of Soft Tissue Tumors in an Outpatient Setting: A Sarcoma Center Analysis of 392 Consecutive Patients
title_sort	accuracy and safety of ultrasound-guided core needle biopsy of soft tissue tumors in an outpatient setting: a sarcoma center analysis of 392 consecutive patients
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/e30c8196107d49aeb6a242d05b47bc9d
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Accuracy and Safety of Ultrasound-Guided Core Needle Biopsy of Soft Tissue Tumors in an Outpatient Setting: A Sarcoma Center Analysis of 392 Consecutive Patients

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