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Lytic bone lesions suspected for metastasis: Ultrasonically guided fine‐needle aspiration biopsy
Author(s) -
Civardi Giuseppe,
Livraghi Tito,
Colombo Paolo,
Fornari Fabio,
Cavanna Luigi,
Buscarini Luigi
Publication year - 1994
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.1870220504
Subject(s) - medicine , fine needle aspiration , biopsy , radiology , rib cage , malignancy , lesion , metastasis , ultrasound , radiological weapon , sternum , pathology , surgery , cancer , anatomy
Ultrasonically guided fine‐needle aspiration biopsy (US‐FNAB) was performed in 30 patients with a lytic bone lesion suspected for metastasis detected by conventional radiological examinations. The patients were selected for US‐FNAB on the basis of the ability of the ultrasound examination to clearly visualize the lesion. The cytological diagnosis was confirmed at surgery in 3 cases, and at clinical and radiological follow‐up after more than 6 months in the remaining cases. The lesions were located mostly in the thoracic skeleton (ribs and sternum) and pelvic bone. We diagnosed malignancy in 26 cases and benign lesions in 2 cases. An inadequate sample was obtained in 1 case, and 1 case yielded a false‐negative result. According to these results, we obtained a sensitivity of 93%. We conclude that ultrasonically guided fine‐needle aspiration biopsy is a useful technique to obtain a pathological diagnosis in cases of lytic bone lesions that can be visualized with this imaging technique. © 1994 John Wiley & Sons, Inc.