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Musculoskeletal neoplasms: biopsy and intervention
Ambrose J Huang1, Susan V Kattapuram
1Department of Radiology, Harvard Medical School, Massachusetts General Hospital, 55 Fruit Street, Yawkey 6E, Boston, MA 02114, USA.
Radiologic Clinics of North America
|October 26, 2011
Summary
Percutaneous biopsy, including core needle biopsy and fine-needle aspiration, is a safe and cost-effective method for evaluating bone and soft tissue lesions. Collaboration with orthopedic oncologists and frozen section evaluation improve diagnostic accuracy and minimize rebiopsy needs.
Area of Science:
- Orthopedic Oncology
- Musculoskeletal Pathology
- Minimally Invasive Procedures
Background:
- Bone and soft tissue lesions require accurate diagnosis for appropriate management.
- Percutaneous biopsy techniques offer a less invasive approach compared to open biopsy.
- Effective workup is crucial for guiding surgical treatment decisions.
Purpose of the Study:
- To highlight the safety and cost-effectiveness of percutaneous biopsy methods.
- To emphasize the importance of multidisciplinary collaboration in lesion workup.
- To discuss the application of percutaneous techniques in minimally invasive therapy.
Main Methods:
- Review of percutaneous core needle biopsy and fine-needle aspiration procedures.
- Emphasis on collaboration with orthopedic oncologists.
- Utilization of frozen section evaluation during biopsy.
Main Results:
- Percutaneous biopsy is a safe and cost-effective diagnostic tool.
- Collaboration ensures comprehensive patient management.
- Frozen section evaluation reduces the likelihood of nondiagnostic specimens and rebiopsy.
Conclusions:
- Percutaneous core needle biopsy and fine-needle aspiration are vital for bone and soft tissue lesion workup.
- Adherence to compartmental anatomy and frozen section analysis optimizes diagnostic yield.
- The principles of percutaneous biopsy are transferable to minimally invasive therapeutic interventions.
