J 2020

Diagnostic Reliability, Accuracy and Safety of Ultrasound-guided Biopsy and Ascites Puncture in Primarily Inoperable Ovarian Tumours

VLASÁK, Pavel; Jiří BOUDA; Jan KOSTUN; Denis BEREZOVSKIY; Michal ZIKÁN et al.

Základní údaje

Originální název

Diagnostic Reliability, Accuracy and Safety of Ultrasound-guided Biopsy and Ascites Puncture in Primarily Inoperable Ovarian Tumours

Autoři

VLASÁK, Pavel; Jiří BOUDA; Jan KOSTUN; Denis BEREZOVSKIY; Michal ZIKÁN; Vít WEINBERGER; Ondrej ONDIC; Zdeněk RUŠAVÝ; Radek KUČERA; Ondřej TOPOLČAN; Zdeněk NOVOTNÝ a Jiří PRESL

Vydání

Anticancer Research, Athens, Greece, 2020, 0250-7005

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30204 Oncology

Stát vydavatele

Řecko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 2.480

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/20:00115742

Organizační jednotka

Lékařská fakulta

EID Scopus

Klíčová slova anglicky

Tru-Cut biopsy; ovarian cancer; ascites; puncture

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 1. 4. 2021 14:08, Mgr. Tereza Miškechová

Anotace

V originále

Background/Aim: To compare the diagnostic reliability, accuracy and safety of ultrasound-guided biopsy (Tru-Cut biopsy) and ascites puncture in patients with a primarily inoperable malignant ovarian tumor. Patients and Methods: This is a retrospective analysis of the studied methods in consecutively examined patients and a prospective validation of these methods. 79 women with a suspected primarily inoperable ovarian tumor underwent Tru-Cut biopsies and were included in the ultrasound-guided biopsy group. In addition, 55 patients after ascites puncture were enrolled in the comparison group. Both procedures were performed in 48 patients for the prospective validation. Results: Significant differences in favour of ultrasound-guided biopsy were found in all studied variables (malignancy confirmation 72.9% vs. 95.8%, tumor origin 52.1% vs. 89.6%, histologic subtype 43.8% vs. 85.4% and accuracy, i.e. agreement of preoperative and definitive diagnosis 43.7% vs. 95.4%). Conclusion: Ultrasound-guided biopsy is an accurate, reliable, safe and minimally invasive method. Owing to the high reliability and accuracy, it has the capacity to replace ascites puncture with cytologic examination or a more invasive method (laparoscopy, laparotomy) for adequate tumor sampling.