Accuracy and Safety of Percutaneous Core Biopsy in Management of Renal Masses: An Initial Single-Center Experience
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.24915/aup.35.1-2.48 |
Resumo: | Introduction: The characterization of renal masses by biopsy before a surgical procedure is currently an option. Without this prior characterization, patients with benign renal masses may be likely to undergo unnecessary surgeries. The purpose was to determine the diagnostic accuracy and safety of renal mass biopsy. Material and Methods: Prospective uni-institutional study of 38 patients submitted to renal mass biopsy in the period from July 2014 to May 2016. Results: The biopsy was diagnostic in 76.3% (n = 29) of the cases. In 21.7 %% (n = 6) of the diagnostic biopsies, histology showed benign lesions, namely oncocitoma. In patients undergoing surgery, there was a 100% overall agreement between the biopsy result and the pathological outcome of the surgical specimen. The complication rate was 5.3% (n = 2), classified as Clavien-Dindo I. Conclusion: Renal mass biopsy showed high diagnostic acuity and safety, which may prevent unnecessary surgeries. This procedure may be part of the evaluation prior to the decision to treat patients with renal masses. |
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Accuracy and Safety of Percutaneous Core Biopsy in Management of Renal Masses: An Initial Single-Center ExperienceSegurança e Acuidade Diagnóstica da Biópsia Percutânea de Massas Renais: Uma Experiência Inicial de um Único CentroBiopsy, NeedleKidney NeoplasmsNephrectomyBiópsia por AgulhaNefrectomiaNeoplasias do RimIntroduction: The characterization of renal masses by biopsy before a surgical procedure is currently an option. Without this prior characterization, patients with benign renal masses may be likely to undergo unnecessary surgeries. The purpose was to determine the diagnostic accuracy and safety of renal mass biopsy. Material and Methods: Prospective uni-institutional study of 38 patients submitted to renal mass biopsy in the period from July 2014 to May 2016. Results: The biopsy was diagnostic in 76.3% (n = 29) of the cases. In 21.7 %% (n = 6) of the diagnostic biopsies, histology showed benign lesions, namely oncocitoma. In patients undergoing surgery, there was a 100% overall agreement between the biopsy result and the pathological outcome of the surgical specimen. The complication rate was 5.3% (n = 2), classified as Clavien-Dindo I. Conclusion: Renal mass biopsy showed high diagnostic acuity and safety, which may prevent unnecessary surgeries. This procedure may be part of the evaluation prior to the decision to treat patients with renal masses.Introdução: A caracterização de massas renais através da realização de biópsia antes do tratamento cirúrgico é atualmente uma opção. Sem esta caracterização prévia doentes com massas renais benignas podem ser submetidos a cirurgias desnecessárias. O objetivo foi determinar a acuidade diagnóstica e a segurança da biópsia de massas renais. Material e Métodos: Estudo prospetivo uni-institucional de 38 doentes submetidos a biópsia de massa renal no período compreendido entre julho de 2014 e maio de 2016. Resultados: A biópsia foi diagnóstica em 76,3% (n = 29) dos casos. Em 21,7% (n = 6) das biópsias diagnósticas, a análise histológica demonstrou lesões benignas. Nos doentes submetidos a cirurgia verificou-se uma concordância global de 100% entre o resultado da biópsia e o resultado patológico da peça cirúrgica. A taxa de complicações foi de 5,3% (n = 2), ambas classificadas como grau I na escala Clavien-Dindo. Conclusão: A biópsia de massas renais mostrou elevada acuidade diagnóstica e segurança, podendo evitar a realização de cirurgias desnecessárias. Este procedimento poderá vir a fazer parte da avaliação prévia à decisão de tratamento em doentes com massas renais.Associação Portuguesa de Urologia2018-07-24T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.24915/aup.35.1-2.48oai:oai.actaurologicaportuguesa.com:article/48Acta Urológica Portuguesa; Vol. 35 No. 1-2 (2018): January-March; April-June; 14-19Acta Urológica Portuguesa; v. 35 n. 1-2 (2018): janeiro-março; abril-junho; 14-192387-04192341-4022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttp://www.actaurologicaportuguesa.com/index.php/aup/article/view/48https://doi.org/10.24915/aup.35.1-2.48http://www.actaurologicaportuguesa.com/index.php/aup/article/view/48/31Copyright (c) 2018 Portuguese Association of Urologyinfo:eu-repo/semantics/openAccessMota, PauloTorres, JoãoMorais, NunoCordeiro, AgostinhoCarvalho-Dias, EmanuelBotelho, FranciscoOliveira, CarlosCerqueira-Alves, MárioLima, Estevão2022-09-21T09:04:46Zoai:oai.actaurologicaportuguesa.com:article/48Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:55:53.138662Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Accuracy and Safety of Percutaneous Core Biopsy in Management of Renal Masses: An Initial Single-Center Experience Segurança e Acuidade Diagnóstica da Biópsia Percutânea de Massas Renais: Uma Experiência Inicial de um Único Centro |
title |
Accuracy and Safety of Percutaneous Core Biopsy in Management of Renal Masses: An Initial Single-Center Experience |
spellingShingle |
Accuracy and Safety of Percutaneous Core Biopsy in Management of Renal Masses: An Initial Single-Center Experience Mota, Paulo Biopsy, Needle Kidney Neoplasms Nephrectomy Biópsia por Agulha Nefrectomia Neoplasias do Rim |
title_short |
Accuracy and Safety of Percutaneous Core Biopsy in Management of Renal Masses: An Initial Single-Center Experience |
title_full |
Accuracy and Safety of Percutaneous Core Biopsy in Management of Renal Masses: An Initial Single-Center Experience |
title_fullStr |
Accuracy and Safety of Percutaneous Core Biopsy in Management of Renal Masses: An Initial Single-Center Experience |
title_full_unstemmed |
Accuracy and Safety of Percutaneous Core Biopsy in Management of Renal Masses: An Initial Single-Center Experience |
title_sort |
Accuracy and Safety of Percutaneous Core Biopsy in Management of Renal Masses: An Initial Single-Center Experience |
author |
Mota, Paulo |
author_facet |
Mota, Paulo Torres, João Morais, Nuno Cordeiro, Agostinho Carvalho-Dias, Emanuel Botelho, Francisco Oliveira, Carlos Cerqueira-Alves, Mário Lima, Estevão |
author_role |
author |
author2 |
Torres, João Morais, Nuno Cordeiro, Agostinho Carvalho-Dias, Emanuel Botelho, Francisco Oliveira, Carlos Cerqueira-Alves, Mário Lima, Estevão |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Mota, Paulo Torres, João Morais, Nuno Cordeiro, Agostinho Carvalho-Dias, Emanuel Botelho, Francisco Oliveira, Carlos Cerqueira-Alves, Mário Lima, Estevão |
dc.subject.por.fl_str_mv |
Biopsy, Needle Kidney Neoplasms Nephrectomy Biópsia por Agulha Nefrectomia Neoplasias do Rim |
topic |
Biopsy, Needle Kidney Neoplasms Nephrectomy Biópsia por Agulha Nefrectomia Neoplasias do Rim |
description |
Introduction: The characterization of renal masses by biopsy before a surgical procedure is currently an option. Without this prior characterization, patients with benign renal masses may be likely to undergo unnecessary surgeries. The purpose was to determine the diagnostic accuracy and safety of renal mass biopsy. Material and Methods: Prospective uni-institutional study of 38 patients submitted to renal mass biopsy in the period from July 2014 to May 2016. Results: The biopsy was diagnostic in 76.3% (n = 29) of the cases. In 21.7 %% (n = 6) of the diagnostic biopsies, histology showed benign lesions, namely oncocitoma. In patients undergoing surgery, there was a 100% overall agreement between the biopsy result and the pathological outcome of the surgical specimen. The complication rate was 5.3% (n = 2), classified as Clavien-Dindo I. Conclusion: Renal mass biopsy showed high diagnostic acuity and safety, which may prevent unnecessary surgeries. This procedure may be part of the evaluation prior to the decision to treat patients with renal masses. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-07-24T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.24915/aup.35.1-2.48 oai:oai.actaurologicaportuguesa.com:article/48 |
url |
https://doi.org/10.24915/aup.35.1-2.48 |
identifier_str_mv |
oai:oai.actaurologicaportuguesa.com:article/48 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
http://www.actaurologicaportuguesa.com/index.php/aup/article/view/48 https://doi.org/10.24915/aup.35.1-2.48 http://www.actaurologicaportuguesa.com/index.php/aup/article/view/48/31 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Portuguese Association of Urology info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Portuguese Association of Urology |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Associação Portuguesa de Urologia |
publisher.none.fl_str_mv |
Associação Portuguesa de Urologia |
dc.source.none.fl_str_mv |
Acta Urológica Portuguesa; Vol. 35 No. 1-2 (2018): January-March; April-June; 14-19 Acta Urológica Portuguesa; v. 35 n. 1-2 (2018): janeiro-março; abril-junho; 14-19 2387-0419 2341-4022 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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