[Value of guided puncture and needle biopsy for the diagnosis of localized bone lesions].
The results of 20 puncture-biopsies and 43 needle-biopsies performed under local anaesthesia and guided towards a localized bone lesion under a fluoroscopic TV screen are reported. Malignancy was confirmed in 31 out of 36 cancerous bone lesions (83%). Metastases were demonstrated in 24/25 cases (96%) and malignant lymphocytic or plasmocytic lesions in 6/6 cases. There were no false-positive results with benign lesions. However, an accurate aetiological diagnosis was supplied by puncture- or needle-biopsy in only 1/5 cases of primary malignant tumour and in 1/6 cases of benign tumour. Guided puncture- or needle-biopsy seems to be particularly useful to distinguish between benign and malignant lesions, notably when bone metastasis is suspected. The technique can then be applied to those cases where puncture-biopsy of the posterior iliac crest is negative or even as first choice procedure if the bone lesion is not readily accessible.
Vinceneux
P
P
Kespite
R
R
Cramer
E
E
Grossin
M
M
Catherine
N
N
Barge
J
J
D000328:Adult; D000368:Aged; D001707:Biopsy, Needle; D001847:Bone Diseases / Q000175:diagnosis* / Q000473:pathology; D001859:Bone Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000556:secondary; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008223:Lymphoma / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010954:Plasmacytoma / Q000473:pathology; D011677:Punctures
Intérêt de la ponction et de la ponction-biopsie dirigées pour le diagnostic des lésions osseuses localisées.