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Percutaneous fine needle biopsy in pediatrics
Pediatric Radiology
|January 1, 1985
Summary
Percutaneous fine needle biopsies (PFNB) are accurate and safe for diagnosing pediatric patients. This minimally invasive technique should be considered before open surgical procedures for biopsy alone.
Area of Science:
- Pediatric Radiology
- Interventional Radiology
- Oncology Diagnostics
Background:
- Percutaneous fine needle biopsy (PFNB) is a common diagnostic tool.
- Assessing the safety and accuracy of PFNB in pediatric populations is crucial.
Purpose of the Study:
- To evaluate the diagnostic accuracy and safety of percutaneous fine needle biopsies (PFNB) in pediatric patients.
- To compare the efficacy of PFNB with other biopsy methods in children.
Main Methods:
- A retrospective review of 25 percutaneous fine needle biopsies (PFNB) performed on pediatric patients over a 3-year period.
- Procedures were guided by ultrasound and/or fluoroscopy.
- Analysis of diagnostic yield in patients with malignancies and benign/inflammatory conditions.
Main Results:
- PFNB demonstrated high accuracy in diagnosing malignancies (16 true positives out of 17), with one false negative.
- In benign or inflammatory cases, there were 3 true positives and 6 false negatives.
- No complications were reported from PFNB or core biopsies; general anesthesia was rarely required.
Conclusions:
- Percutaneous fine needle biopsy (PFNB) is a safe and accurate diagnostic procedure for pediatric patients, comparable to adults.
- PFNB should be considered as a primary diagnostic tool before resorting to open surgical biopsies in pediatric cases.