TY - JOUR
T1 - Sonographically guided fine-needle aspiration biopsy of lytic lesions of the spine
T2 - Technique and indications
AU - Gupta, Sanjay
AU - Takhtani, Deepak
AU - Gulati, Madhu
AU - Khandelwal, Niranjan
AU - Gupta, Deepali
AU - Rajwanshi, Arvind
AU - Gupta, Subhash
AU - Suri, Sudha
PY - 1999/3
Y1 - 1999/3
N2 - Purpose. We report the use of sonography to guide fine-needle aspiration biopsies (FNABs) of lytic lesions of the spine. Methods. Twenty-nine patients with lytic vertebral lesions with or without associated extraosseous soft- tissue extension underwent sonographically guided FNAB. Twelve cervical, 7 thoracic, 7 lumbar, and 3 sacral lesions were biopsied. Tissue samples were taken from either the bony lesion through a break in the cortex (n = 9) or the associated soft-tissue extension (n = 20). Results. Adequate diagnostic material obtained in 27 cases (93%) revealed an inflammatory (n = 13) or malignant process (n = 14). Of the 2 patients with inconclusive FNAB findings, 1 patient was lost to follow-up, and the other underwent surgery, which revealed tuberculosis. No complications of FNAB were encountered. Conclusions. We conclude that sonography is a safe and effective guidance modality for FNAB of lytic lesions of the spine, especially for lesions in the cervical region. In the thoracic, lumbar, and sacral regions, however, the role of sonographically guided FNAB is limited to lesions affecting the posterior elements.
AB - Purpose. We report the use of sonography to guide fine-needle aspiration biopsies (FNABs) of lytic lesions of the spine. Methods. Twenty-nine patients with lytic vertebral lesions with or without associated extraosseous soft- tissue extension underwent sonographically guided FNAB. Twelve cervical, 7 thoracic, 7 lumbar, and 3 sacral lesions were biopsied. Tissue samples were taken from either the bony lesion through a break in the cortex (n = 9) or the associated soft-tissue extension (n = 20). Results. Adequate diagnostic material obtained in 27 cases (93%) revealed an inflammatory (n = 13) or malignant process (n = 14). Of the 2 patients with inconclusive FNAB findings, 1 patient was lost to follow-up, and the other underwent surgery, which revealed tuberculosis. No complications of FNAB were encountered. Conclusions. We conclude that sonography is a safe and effective guidance modality for FNAB of lytic lesions of the spine, especially for lesions in the cervical region. In the thoracic, lumbar, and sacral regions, however, the role of sonographically guided FNAB is limited to lesions affecting the posterior elements.
KW - Bone
KW - Spine, biopsy
KW - Ultrasonography
KW - Ultrasonography, guidance
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U2 - 10.1002/(SICI)1097-0096(199903/04)27:3<123::AID-JCU4>3.0.CO;2-1
DO - 10.1002/(SICI)1097-0096(199903/04)27:3<123::AID-JCU4>3.0.CO;2-1
M3 - Article
C2 - 10064409
AN - SCOPUS:0032972545
SN - 0091-2751
VL - 27
SP - 123
EP - 129
JO - Journal of Clinical Ultrasound
JF - Journal of Clinical Ultrasound
IS - 3
ER -