Ultrasonographic detection and guided biopsy of thoracic osteolysis.
Eighty-six osteolytic lesions of the rib cage were examined by means of conventional radiography and ultrasonography. The ultrasonographic criteria of osteolysis are described. Only 1 rib metastasis was missed by ultrasonography while 13 lesions were not detected by x-ray film. Of 63 ultrasonographically guided biopsies, 62 resulted in the final diagnosis; complications were not observed. The results recommend ultrasonographic examination combined with guided biopsy as the first diagnostic step, if a metastasis of the rib cage is suspected after physical examination or after a pathologic bone scan.
Vogel
B
B
Klinik fuer Pneumologie, Krankenhaus Heidehaus, Hannover, Germany.
D001706:Biopsy / Q000379:methods; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology; D010014:Osteolysis / Q000000981:diagnostic imaging* / Q000473:pathology; D012272:Ribs / Q000000981:diagnostic imaging* / Q000473:pathology; D013249:Sternum / Q000000981:diagnostic imaging* / Q000473:pathology; D013899:Thoracic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000556:secondary*; D014463:Ultrasonography