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.

Basic information

Original name

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

Authors

VLASÁK, Pavel (203 Czech Republic), Jiří BOUDA (203 Czech Republic), Jan KOSTUN (203 Czech Republic), Denis BEREZOVSKIY (203 Czech Republic), Michal ZIKÁN (203 Czech Republic), Vít WEINBERGER (203 Czech Republic, belonging to the institution), Ondrej ONDIC (203 Czech Republic), Zdeněk RUŠAVÝ (203 Czech Republic), Radek KUČERA (203 Czech Republic), Ondřej TOPOLČAN (203 Czech Republic), Zdeněk NOVOTNÝ (203 Czech Republic) and Jiří PRESL (203 Czech Republic, guarantor)

Edition

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

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30204 Oncology

Country of publisher

Greece

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 2.480

RIV identification code

RIV/00216224:14110/20:00115742

Organization unit

Faculty of Medicine

UT WoS

000538104800060

Keywords in English

Tru-Cut biopsy; ovarian cancer; ascites; puncture

Tags

International impact, Reviewed
Změněno: 1/4/2021 14:08, Mgr. Tereza Miškechová

Abstract

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.