Percutaneous image-guided biopsy for non-mass-forming isolated splenomegaly and suspected malignant lymphoma.
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.Between 2001 and 2013, 137 biopsies were performed under computed tomography (CT) fluoroscopic guidance in...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2014-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC4218790?pdf=render |
| _version_ | 1819264059146502144 |
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| author | Hiroyuki Tokue Satoshi Hirasawa Hideo Morita Yoshinori Koyma Masaya Miyazaki Kei Shibuya Azusa Tokue Sachiko Nakano Yoshito Tsushima |
| author_facet | Hiroyuki Tokue Satoshi Hirasawa Hideo Morita Yoshinori Koyma Masaya Miyazaki Kei Shibuya Azusa Tokue Sachiko Nakano Yoshito Tsushima |
| author_sort | Hiroyuki Tokue |
| collection | DOAJ |
| description | 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.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.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.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. |
| first_indexed | 2024-12-23T20:23:27Z |
| format | Article |
| id | doaj.art-51328b45472e4cacaf498a93f5b3bc0b |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-23T20:23:27Z |
| publishDate | 2014-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-51328b45472e4cacaf498a93f5b3bc0b2022-12-21T17:32:28ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01911e11165710.1371/journal.pone.0111657Percutaneous image-guided biopsy for non-mass-forming isolated splenomegaly and suspected malignant lymphoma.Hiroyuki TokueSatoshi HirasawaHideo MoritaYoshinori KoymaMasaya MiyazakiKei ShibuyaAzusa TokueSachiko NakanoYoshito TsushimaThe 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.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.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.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.http://europepmc.org/articles/PMC4218790?pdf=render |
| spellingShingle | Hiroyuki Tokue Satoshi Hirasawa Hideo Morita Yoshinori Koyma Masaya Miyazaki Kei Shibuya Azusa Tokue Sachiko Nakano Yoshito Tsushima Percutaneous image-guided biopsy for non-mass-forming isolated splenomegaly and suspected malignant lymphoma. PLoS ONE |
| title | Percutaneous image-guided biopsy for non-mass-forming isolated splenomegaly and suspected malignant lymphoma. |
| title_full | Percutaneous image-guided biopsy for non-mass-forming isolated splenomegaly and suspected malignant lymphoma. |
| title_fullStr | Percutaneous image-guided biopsy for non-mass-forming isolated splenomegaly and suspected malignant lymphoma. |
| title_full_unstemmed | Percutaneous image-guided biopsy for non-mass-forming isolated splenomegaly and suspected malignant lymphoma. |
| title_short | Percutaneous image-guided biopsy for non-mass-forming isolated splenomegaly and suspected malignant lymphoma. |
| title_sort | percutaneous image guided biopsy for non mass forming isolated splenomegaly and suspected malignant lymphoma |
| url | http://europepmc.org/articles/PMC4218790?pdf=render |
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