ASSESSMENT OF ACCURACY OF INCISIONAL AND NEEDLE BIOPSY IN SOFT-TISSUE TUMORS IN A BRAZILIAN CENTER OF REFERENCE.

IF 0.6 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2025-09-08 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220253304e290125

Bruna Canteri Delocco, Bruno de Oliveira Fiorelli, Igor Borges Abrantes, Eliane Dos Santos Luz, Ana Cristina de Sá Lopes, Walter Meohas

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Abstract

Objectives: To assess the accuracy of incisional biopsies (IB) and needle biopsies (NB) in soft-tissue tumors treated at a Brazilian center of reference, as well as the variables related to the demographic profile and treatment established.

Methods: A retrospective, descriptive and observational study was conducted with patients with malignant soft tissue tumoral lesions, of indeterminate and intermediary malignancy, subjected to IB or NB at the institution from January 2010 to December 2019.

Results: 114 biopsies were performed in soft-tissue tumors of malignant lesions, of indeterminate and intermediary malignancy; of these 90 biopsies, 61 (67.7%) were IB and 29 (25.4%) were NB. It was necessary to perform a new collection in 5 cases among the NB (17.2%) and 1 case among the IB (1.6%). The IB accuracy was 83.6, while NB was 62.1. Of the 18 patients subjected to surgical treatment with radical margin, 7 were initially subjected to NB (36.8%) and 9 to IB (17.3%).

Conclusion: Despite the advantages inherent to the percutaneous procedure of NB, IB must still be considered a diagnostic option in soft tissue tumors with high heterogeneity and degree of necrosis. Level of Evidence III; Diagnostic Studies - Investigating a Diagnostic Test .

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在巴西一个参考中心评估软组织肿瘤的切口和穿刺活检的准确性。

目的：评估在巴西参考中心治疗的软组织肿瘤的切口活检（IB）和针活检（NB）的准确性，以及与人口统计资料和治疗方法相关的变量。方法：对2010年1月至2019年12月在该机构接受IB或NB治疗的不确定和中间恶性软组织肿瘤病变患者进行回顾性、描述性和观察性研究。结果：软组织肿瘤恶性病变、不确定恶性和中间恶性114例；90例活检中，IB 61例（67.7%），NB 29例（25.4%）。NB组5例（17.2%），IB组1例（1.6%）需要重新采集。IB准确率为83.6，NB准确率为62.1。在18例接受根治性切缘手术治疗的患者中，7例最初接受NB(36.8%)， 9例最初接受IB（17.3%）。结论：尽管经皮NB手术具有固有的优势，但对于具有高度异质性和坏死程度的软组织肿瘤，IB仍然必须被视为一种诊断选择。证据等级III；诊断研究-调查诊断测试。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.