[The needle biopsy in suspected pelvic recurrence].
The Silverman needle biopsy for the diagnosis of suspicious palpatory findings in the pelvis in cancer patients is recommended. Occasional trauma cannot be avoided but is of secondary importance in the light of the diagnostic value of the procedure. The risk of treatment of a recurrence is much higher. Only 1 trauma necessitated long term antibiotic treatment because of a parametritis. Perforation or biopsy of the bladder or the rectum usually remained asymptomatic. The needle biopsy confirmed the diagnosis of recurrent tumor in 47 out of 74 patients with the first try. In 6 out of 10 patients the tumor diagnosis was confirmed by a second needle biopsy 2 to 3 months later. Two patients had a third negative biopsy. A total of 11 patients were saved from the fate of treatment of a clinically suspected cancer recurrence as confirmed by the subsequent clinical course over the next 1 to 6 years.
D001707:Biopsy, Needle / Q000009:adverse effects / Q000379:methods; D001859:Bone Neoplasms / Q000175:diagnosis / Q000473:pathology; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000473:pathology; D005260:Female; D005350:Fibroma / Q000175:diagnosis; D006801:Humans; D008080:Liposarcoma / Q000175:diagnosis; D009442:Neurilemmoma / Q000175:diagnosis; D010249:Parametritis / Q000209:etiology; D010384:Pelvic Bones / Q000293:injuries; D010386:Pelvic Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D012007:Rectum / Q000293:injuries; D012008:Recurrence; D001743:Urinary Bladder / Q000293:injuries
Die Nadelbiopsie bei Beckenrezidivverdacht