1.Percutaneous interventional procedures in an era of liver transplantation.
The Korean Journal of Hepatology 2011;17(2):96-98
No abstract available.
Biopsy, Fine-Needle/*adverse effects
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Carcinoma, Hepatocellular/*secondary
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Female
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Humans
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Liver Neoplasms/*pathology
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Male
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*Neoplasm Seeding
2.Core needle biopsy of palpable breast lump: the influence of needle size.
The Medical Journal of Malaysia 2003;58(3):399-404
The diagnostic value of core needle biopsy is increasingly being preferred because of its better characterization of benign and malignant lesions and lower frequency of insufficient samples. The aim of this study was to determine the diagnostic accuracy and complication rates with 2 different gauges of core biopsy needle in the preoperative diagnosis of palpable breast lumps. A total of 150 consecutive core biopsies were included in this prospective non-randomised study of palpable breast lump from May 2000 to May 2001. The tissue diagnosis made from the core biopsy specimen was compared with the final histopathology reports from the excised specimen. However, if the lump is not excised, a presumptive diagnosis of benign lesion was made only after at least 6 months follow up with no change in the breast lump. The data were analysed for sensitivity, specificity, predictive values, diagnostic accuracy and complications. The results from the 2 different sizes of core needle biopsies were compared accordingly and a statistical analysis was performed using Chi-squared test. Ninety-six core specimens were acquired with 14 G needle while the other 54 with 16 G needle. There was no significant statistical difference between the accuracy of both needle sizes. However, 4 complications occurred with the larger size 14 G needle while none with the 16 G needle, but this was not statistically significant. In conclusion the size 16 G core biopsy needle provided an accurate diagnostic reliability that is comparable to the larger size 14 G needle in the preoperative diagnosis of palpable breast lump.
Biopsy, Fine-Needle/*instrumentation
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Breast Diseases/*pathology
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Needles/*adverse effects
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*Palpation
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Preoperative Care/*instrumentation
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Reproducibility of Results
4.Complications with transrectal biopsy of the prostate.
Xiao-Xin MENG ; Li-Xin HUA ; Hong-Fei WU
National Journal of Andrology 2002;8(3):210-211
OBJECTIVESTo probe into the complications of prostate biopsy.
METHODSThe clinical data of 220 patients underwent prostate biopsy from 1997 to 2001 were reviewed.
RESULTSA total of 93 patients suffered slight complications, and 15 patients suffered severe complications.
CONCLUSIONSTransrectal prostate biopsy is easily and safely by using 18 gague biopsy needles. These data demonstrate the low morbidity and less complication associated with contemporary transrectal prostate biopsy.
Aged ; Aged, 80 and over ; Biopsy, Needle ; adverse effects ; Humans ; Male ; Middle Aged ; Prostate ; pathology
5.Ultrasound-Guided Fine Needle Aspiration of Thyroid Nodules: A Consensus Statement by the Korean Society of Thyroid Radiology.
Young Hen LEE ; Jung Hwan BAEK ; So Lyung JUNG ; Jin Young KWAK ; Ji Hoon KIM ; Jung Hee SHIN
Korean Journal of Radiology 2015;16(2):391-401
Ultrasound (US)-guided fine needle aspiration (US-FNA) has played a crucial role in managing patients with thyroid nodules, owing to its safety and accuracy. However, even with US guidance, nondiagnostic sampling and infrequent complications still occur after FNA. Accordingly, the Task Force on US-FNA of the Korean Society of Thyroid Radiology has provided consensus recommendations for the US-FNA technique and related issues to improve diagnostic yield. These detailed procedures are based on a comprehensive analysis of the current literature and from the consensus of experts.
Biopsy, Fine-Needle/*methods
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Consensus
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Fibrinolytic Agents/adverse effects/therapeutic use
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Humans
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Radiology
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Sensitivity and Specificity
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Thyroid Nodule/*diagnosis/therapy/*ultrasonography
6.A Case of Intraluminal Gallbladder Hematoma after Percutaneous Liver Biopsy.
Taek Kun KWON ; Sang Hoon JEON ; Hae Won PARK ; Woo Jin JUNG ; Jun Young HWANG ; Kyung Sik PARK ; Kwang Bum CHO ; Jae Seok HWANG ; Sung Hoon AHN ; Soong Kook PARK
The Korean Journal of Hepatology 2002;8(4):486-489
Percutaneous liver biopsy is valued in the diagnosis of diffuse or localized liver disease. Serious complications after ultrasonography-guided liver biopsy are rare. We report a case of a 69-year-old man who underwent a percutaneous liver biopsy for the evaluation of his underlying liver disease with subsequent late complication of intraluminal gallbladder hematoma.
Aged
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Biopsy, Needle/*adverse effects
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English Abstract
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Gallbladder Diseases/*etiology
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Hematoma/*etiology
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Human
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Liver/*pathology/ultrasonography
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Male
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Ultrasonography, Interventional
7.A Case of Acute Cholecystitis Secondary to Hemobilia after Percutaneous Liver Biopsy.
Won MOON ; Joo Hyun SOHN ; Myung Hee JANG ; Chang Hee BAEK ; Yong Woo CHUNG ; Jong Pyo KIM ; Dong Soo HAN ; Yong Chul JEON ; Joon Soo HAHM ; Dong Hoo LEE ; Choon Suhk KEE
The Korean Journal of Gastroenterology 2006;47(1):72-76
Percutaneous liver biopsy is well established for the diagnosis and follow-up of many liver diseases. Although it is rather safe, major complications, such as bleeding into the peritoneal or thoracic cavity, hemobilia, enteric perforation and intrahepatic hematoma, have been reported related to the procedure. Recently, incidence of such major complications has been decreased since the introduction of ultrasonography-guided liver biopsy. We report a case of 59-year-old female patient with acute cholecystitis secondary to hemobilia 2 days after ultrasonography-guided percutaneous liver biopsy.
Biopsy, Needle/*adverse effects
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Cholecystitis, Acute/*etiology
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Female
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Hemobilia/*etiology
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Humans
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Liver/*pathology
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Middle Aged
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Ultrasonography, Interventional
8.Risk factors of complications after CT-guided percutaneous needle biopsy of lumps near pulmonary hilum.
Zhong-yuan YIN ; Zhen-yu LIN ; Ye WANG ; Peng-cheng LI ; Nan SHEN ; Qiong WANG ; Ting YE ; Zhen-wei ZOU ; Bian WU ; Kun-yu YANG ; Gang WU
Journal of Huazhong University of Science and Technology (Medical Sciences) 2015;35(2):278-282
The factors influencing the incidence of common complications (pneumothorax and pulmonary hemorrhage) of CT-guided percutaneous needle biopsy of lumps near pulmonary hilum were investigated. CT-guided percutaneous needle biopsy of lumps near pulmonary hilum was performed on 48 patients. The complications of pneumothorax and pneumorrhagia as well as the contributing factors were analyzed statistically. The major complications associated with CT-guided needle biopsy included pneumothorax (13 cases, 27.1%) and pulmonary hemorrhage (14 cases, 20.24%). χ(2) test revealed that pneumothorax was associated with the lesion size and depth of needle penetration, and pulmonary hemorrhage with the depth of needle penetration and needle retention time with a significant P value. Pneumothorax was observed in 7 cases (17.5%) out of 40 cases with diameter of mass greater than 3 cm, and in 6 cases (60%) out of 10 cases with depth of needle penetration greater than 4 cm. Additionally, pulmonary hemorrhage was identified in 12 cases (41.4%) out of 29 cases with needle retention time longer than 15 min, and pulmonary hemorrhage in 7 cases (70%) out of 10 cases with depth of needle penetration greater than 4 cm. CT-guided percutaneous needle biopsy of lumps near pulmonary hilum is safe and effective. The key factors to prevent the complications include correct evaluation of lesion size, depth of needle penetration and the needle retention time before the operation.
Biopsy, Needle
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adverse effects
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methods
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Female
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Humans
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Lung Neoplasms
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pathology
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Male
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Middle Aged
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Risk Factors
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Tomography, X-Ray Computed
9.Four regions 12-core systemic prostate biopsy for diagnosis of prostate cancer.
Rongpei WU ; Keli ZHENG ; Xiaofei LI ; Wanmei ZHONG
National Journal of Andrology 2004;10(7):493-495
OBJECTIVETo evaluate the clinical value of the four regions 12-core systemic prostate biopsy.
METHODSNinety-one patients suspected of prostate cancer received four regions 12-core systemic prostate biopsy, and the detection rate and complications were compared with those of the sextant method.
RESULTSMore positive results were obtained in detecting prostate cancer with the four regions 12-core method, and the complications were similar to those of the sextant biopsy.
CONCLUSIONThe four regions 12-core biopsy was suggested for patients suspected of prostate cancer with enlarged prostate gland above 40 ml.
Aged ; Aged, 80 and over ; Biopsy, Needle ; adverse effects ; Humans ; Male ; Middle Aged ; Prostate ; pathology ; Prostatic Neoplasms ; diagnosis ; pathology
10.EUS-FNA of the left adrenal gland is safe and useful.
Tiing Leong ANG ; Tju Siang CHUA ; Kwong Ming FOCK ; Augustine K H TEE ; Eng Kiong TEO ; Kent MANCER
Annals of the Academy of Medicine, Singapore 2007;36(11):954-957
INTRODUCTIONThere are limited data on the use of endosonography-guided fine-needle aspiration (EUS-FNA) to determine the nature of left adrenal lesions. We described our experience in performing EUS-FNA of left adrenal lesions.
CLINICAL PICTUREDuring a 20-week period, data on consecutive patients who underwent EUS with or without EUS-FNA were prospectively captured. Patients with a left adrenal mass and who underwent EUS-FNA formed our study population.
TREATMENTEUS-FNA.
OUTCOMEA total of 119 consecutive patients underwent diagnostic EUS +/- FNA, during which the left adrenal gland was routinely examined. Twelve of these patients underwent EUS as part of lung cancer staging and among these 12 lung cancer patients, 2 had left adrenal masses detected by computed tomography (CT). EUS detected left adrenal nodules in 2 other patients which were not visualised by CT. The overall prevalence of a left adrenal mass was 3.4%; in the subgroup with confirmed lung cancer, the prevalence was 33.3%. All 4 patients were male, with a mean age of 76.3 years (range, 67 to 87). The mean size of the left adrenal lesion was 30.4 mm (range, 9 to 84.8). EUS-FNA of the left adrenal lesions was performed under Doppler guidance. The mean number of needle passes was 2 (range, 1 to 4). A cellular aspirate was obtained in all patients. No procedural complications occurred. Metastatic non-small cell lung cancer was diagnosed in 2 patients, including a lesion missed on CT. For the other 2 cases, EUS-FNA revealed benign adrenal cells.
CONCLUSIONSEUS-FNA appears safe and useful for the evaluation of left adrenal masses.
Adrenal Gland Neoplasms ; diagnostic imaging ; pathology ; Aged ; Aged, 80 and over ; Biopsy, Fine-Needle ; adverse effects ; methods ; Endosonography ; adverse effects ; Humans ; Prospective Studies ; Singapore