title: Percutaneous image-guided biopsy for non-mass-forming isolated splenomegaly and suspected malignant lymphoma.
abstract: BACKGROUND
  The aim of this study was to evaluate the accuracy, safety, and role of splenic biopsy in the management of patients with non-mass-forming isolated splenomegaly and suspected malignant lymphoma.
  
  
  METHODS
  Between 2001 and 2013, 137 biopsies were performed under computed tomography (CT) fluoroscopic guidance in 39 patients. All patients had splenomegaly based on the CT findings and a suspected diagnosis of malignant lymphoma based on their clinical symptoms. The spleen was the only accessible site to perform a biopsy, and no mass lesions could be identified in the spleen.
  
  
  RESULTS
  The overall sensitivity, specificity, and diagnostic accuracy of image-guided biopsy for malignant lymphoma were 88%, 100% and 92%, respectively. Major complications occurred in 3 patients. In 1 patient, transcatheter arterial embolization was performed due to hemorrhage, and two patients needed blood transfusion because of hematoma development, without the need for further treatment.
  
  
  CONCLUSIONS
  Image-guided splenic core-needle biopsy is a safe and accurate technique with a high diagnostic accuracy in most patients who with non-mass-forming isolated splenomegaly and suspected underlying malignant lymphoma.
authors.affiliation: Department of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, Japan; Department of Radiology, Maebashi Red Cross Hospital, Gunma, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tokue
authors.affiliation: Department of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Hirasawa
authors.affiliation: Department of Radiology, Maebashi Red Cross Hospital, Gunma, Japan.
authors.forename: Hideo
authors.initials: H
authors.lastname: Morita
authors.affiliation: Department of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, Japan.
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Koyma
authors.affiliation: Department of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, Japan.
authors.forename: Masaya
authors.initials: M
authors.lastname: Miyazaki
authors.affiliation: Department of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, Japan.
authors.forename: Kei
authors.initials: K
authors.lastname: Shibuya
authors.affiliation: Department of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, Japan.
authors.forename: Azusa
authors.initials: A
authors.lastname: Tokue
authors.affiliation: Department of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, Japan.
authors.forename: Sachiko
authors.initials: S
authors.lastname: Nakano
authors.affiliation: Department of Diagnostic and Interventional Radiology, Gunma University Hospital, Gunma, Japan.
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Tsushima
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D061705:Image-Guided Biopsy / Q000009:adverse effects / Q000379:methods; D008223:Lymphoma / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D013163:Splenomegaly / Q000473:pathology*