Role of Ultrasound Guided Core Needle Biopsy in Diagnosis of Pediatric Renal and suprarenal Tumors | ||
Iraqi Postgraduate Medical Journal | ||
Article 3, Volume 21, Issue 3, July 2022, Pages 269-273 PDF (490.38 K) | ||
Document Type: Research Paper | ||
DOI: 10.52573/ipmj.2021.175759 | ||
Authors | ||
Yasir Qahtan Noman Alkhatib1; Ahmed. A. Khalaf2 | ||
1Specialist Pediatric Surgeon, Pediatric Surgery Unit, Al-Ramadi Maternity and Children Teaching Hospital, Anbar, Iraq. | ||
2Assistant Professor in Pediatric Surgery, Surgery Department, College of Medicine, University of Baghdad, Baghdad, Iraq. | ||
Abstract | ||
BACKGROUND: Core Needle Biopsy involves introducing large hollow needle through the skin to collect a tissue for investigation. It’s become a well-established method as the standard sampling procedure. It’s a relatively safe, minimal invasive procedure with diagnostic accuracy comparable to open surgical biopsy. AIM OF STUDY: Assess the accuracy and safety of core needle biopsy in diagnosis of renal and suprarenal tumors. METHODS: This is a prospective interventional study. Core needle biopsy was done for 42 patients; 38 patients were included. Biopsy done by activation of needle biopsy device that introduced into the tumor under ultrasound guidance and collection of sample. RESULTS: Wilms tumor was positive in 71.1 % (n=27), 23.6 % (n=9) were neuroblastoma and 5.3 % (n=2) were non-conclusive. Only 18.4% (n=7) developed hematuria while intra-abdominal bleeding was not observed in any patient. For Wilms tumor the sensitivity is 93.1 % and the specificity is 100 % and diagnostic accuracy is 94.7 %. The sensitivity, specificity and diagnostic accuracy for neuroblastoma are 100 %. CONCLUSION: It is a simple, safe and efficient method for diagnosing renal and suprarenal tumors, complications occur infrequent, and most are easily treated or self-limiting. | ||
Keywords | ||
Core biopsy; diagnosis; renal tumors | ||
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