[The needle biopsy in suspected pelvic recurrence]

Area of Science:

• Oncology
• Surgical Pathology

Context:

• Pelvic examinations in cancer patients often reveal suspicious findings requiring accurate diagnosis.
• Distinguishing between benign conditions and cancer recurrence is critical for appropriate patient management.

Purpose:

• To evaluate the diagnostic utility and safety of the Silverman needle biopsy for pelvic masses in cancer patients.
• To assess the procedure's effectiveness in confirming or excluding cancer recurrence.

Summary:

• The Silverman needle biopsy demonstrated significant diagnostic value in identifying suspected pelvic cancer recurrence.
• The procedure confirmed recurrent tumor in 47 of 74 patients on the first attempt, with additional diagnoses made on subsequent biopsies.
• While occasional trauma occurred, most complications were minor and asymptomatic, with only one case requiring prolonged antibiotic treatment.

Impact:

• The needle biopsy successfully averted unnecessary treatment for suspected cancer recurrence in 11 patients.
• Accurate diagnosis via needle biopsy allows for timely and appropriate management of cancer recurrence.
• The procedure's diagnostic yield supports its recommendation for suspicious pelvic findings in oncology.