Year 2019, Volume 58, Issue 1, Pages 8 - 12 2019-03-14

Comparison of the results of ultrasonography-guided percutaneous liver mass biopsy performed with 18 and 20 gauge needles
Ultrasonografi kılavuzluğunda 18 ve 20 gauge kesici iğneler ile yapılan perkütan karaciğer kitle biyopsisi sonuçlarının karşılaştırılması

Cenk Eraslan [1] , Ömer Faruk Kutsi Köseoğlu [2] , Nezih Meydan [3] , Nil Çulhacı [4] , Aylin Oral [5]

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Aim: To evaluate the role of using 18 Gauge (G) and 20G sharp needles in ultrasonography (US)-guided percutaneous liver mass biopsy regarding diagnostic success and efficacy is aimed.

Materials and Methods: Sixty patients who underwent US-guided liver mass biopsy using 18G and 20G cutting needles were included in the study. Definite diagnosis was established based on results of histopathological examinations of the biopsied lesions, follow-up clinical and imaging findings and for performed patients the results of repeated biopsy. In addition, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and diagnostic accuracy were calculated for 18G and 20G needles.

Results: Among 60 liver masses, definite diagnosis was malignant in 54 (90%) masses and benign in 6 (10%) masses. Sensitivity, specificity, PPV, NPV, and diagnostic accuracy were 90.7%, 100.0%, 100.0%, 75.0%, and 91.6%, respectively, for the liver mass biopsies performed with 18G needles. These values were 87.0%, 100.0%, 100.0%, 66.7%, and 88.3%, respectively, for the liver mass biopsies performed with 20G needles. No significant difference was determined between the results found for the use of 18G needle and 20G needle in US-guided cutting needle biopsy performed in hepatic masses (p=0.540)

Conclusion: The present study demonstrated that 18G and 20G sharp needles had similar diagnostic success and efficacy in US-guided percutaneous biopsy of liver mass lesions. Owing to its fine calibration, 20G sharp needle can be preferred in high-risk patient groups, particularly in those with bleeding disorder.

Amaç: Çalışmamızda, ultrasonografi (US) kılavuzluğunda perkütan karaciğer kitle biyopsisinde kullanılan 18 Gauge (G) ve 20G kalınlıktaki kesici iğnelerin tanısal başarılarının ve etkinliklerinin karşılaştırılması amaçlanmıştır.
Gereç ve Yöntem: Çalışmaya karaciğer kitlesi sebebiyle 18G (18G-Kİ) ve 20G kalınlıkta kesici iğnelerle (20G-Kİ) US kılavuzluğunda biyopsisi gerçekleştirilen 60 hasta dahil edildi. Biyopsi yapılan lezyonun histopatolojik değerlendirme sonuçları, takip, klinik ve görüntüleme bulgularıyla, tekrar biyopsi yapılan hastalarda biyopsi sonuçları incelenerek lezyonun kesin tanısı belirlendi. 18G-Kİ ve 20G-Kİ için duyarlılık, özgüllük, pozitif öngörü değeri, negatif öngörü değeri ve tanısal doğruluk oranları hesaplandı.
Bulgular: Değerlendirilen 60 karaciğer kitlesinin 54’ünün (%90) kesin tanısı malign iken altısının (%10) benign idi. 18G-Kİ’nin karaciğer kitle biyopsisi için duyarlılığı %90.7; özgüllüğü ve pozitif öngörü değeri %100.0; negatif öngörü değeri %75.0 ve tanısal doğruluk oranı %91.6 bulundu. 20G-Kİ’nin karaciğer kitle biyopsisi için duyarlılığı %87.0; özgüllüğü ve pozitif öngörü değeri %100.0; negatif öngörü değeri %66.7 ve tanısal doğruluk oranı %88.3 olarak hesaplandı. US kılavuzluğunda karaciğer kitlelerine yönelik yapılan kesici iğne biyopsisinde 18G-Kİ ve 20G-Kİ’nin kullanımıyla elde edilen sonuçlar arasında istatistiksel anlamlı fark bulunmadı (p=0.540).
Sonuç: Çalışmamızda karaciğer kitle lezyonlarının US kılavuzluğunda perkutan biyopsisinde; 18G-Kİ ve 20G-Kİ’nin benzer tanısal başarı ve etkinliğe sahip olduğu saptandı. İnce kalibrasyonu nedeniyle özellikle kanama bozukluğu varlığı gibi yüksek riskli hasta grubunda 20G-Kİ tercih edilebilir.
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Research Articles
Authors

Orcid: 0000-0002-5762-6149
Author: Cenk Eraslan (Primary Author)
Institution: Ege University Faculty of Medicine, Department of Radiodiagnostics, İzmir,
Country: Turkey


Orcid: 0000-0001-7615-4266
Author: Ömer Faruk Kutsi Köseoğlu
Institution: Adnan Menderes University Faculty of Medicine, Department of Radiodiagnostics, Aydın
Country: Turkey


Orcid: 0000-0003-4100-5804
Author: Nezih Meydan
Institution: Adnan Menderes University Faculty of Medicine, Department of Medical Oncology, Aydın
Country: Turkey


Orcid: 0000-0001-7181-4675
Author: Nil Çulhacı
Institution: Adnan Menderes University Faculty of Medicine, Department of Pathology, Aydın
Country: Turkey


Orcid: 0000-0001-8014-4327
Author: Aylin Oral
Institution: Ege University Faculty of Medicine, Department of Nuclear Medicine, İzmir
Country: Turkey


Bibtex @research article { etd418122, journal = {Ege Tıp Dergisi}, issn = {1016-9113}, eissn = {2147-6500}, address = {Ege University}, year = {2019}, volume = {58}, pages = {8 - 12}, doi = {10.19161/etd.418122}, title = {Comparison of the results of ultrasonography-guided percutaneous liver mass biopsy performed with 18 and 20 gauge needles}, key = {cite}, author = {Eraslan, Cenk and Köseoğlu, Ömer Faruk Kutsi and Meydan, Nezih and Çulhacı, Nil and Oral, Aylin} }
APA Eraslan, C , Köseoğlu, Ö , Meydan, N , Çulhacı, N , Oral, A . (2019). Comparison of the results of ultrasonography-guided percutaneous liver mass biopsy performed with 18 and 20 gauge needles. Ege Tıp Dergisi, 58 (1), 8-12. DOI: 10.19161/etd.418122
MLA Eraslan, C , Köseoğlu, Ö , Meydan, N , Çulhacı, N , Oral, A . "Comparison of the results of ultrasonography-guided percutaneous liver mass biopsy performed with 18 and 20 gauge needles". Ege Tıp Dergisi 58 (2019): 8-12 <http://dergipark.gov.tr/etd/issue/43429/418122>
Chicago Eraslan, C , Köseoğlu, Ö , Meydan, N , Çulhacı, N , Oral, A . "Comparison of the results of ultrasonography-guided percutaneous liver mass biopsy performed with 18 and 20 gauge needles". Ege Tıp Dergisi 58 (2019): 8-12
RIS TY - JOUR T1 - Comparison of the results of ultrasonography-guided percutaneous liver mass biopsy performed with 18 and 20 gauge needles AU - Cenk Eraslan , Ömer Faruk Kutsi Köseoğlu , Nezih Meydan , Nil Çulhacı , Aylin Oral Y1 - 2019 PY - 2019 N1 - doi: 10.19161/etd.418122 DO - 10.19161/etd.418122 T2 - Ege Tıp Dergisi JF - Journal JO - JOR SP - 8 EP - 12 VL - 58 IS - 1 SN - 1016-9113-2147-6500 M3 - doi: 10.19161/etd.418122 UR - https://doi.org/10.19161/etd.418122 Y2 - 2018 ER -
EndNote %0 Ege Journal of Medicine Comparison of the results of ultrasonography-guided percutaneous liver mass biopsy performed with 18 and 20 gauge needles %A Cenk Eraslan , Ömer Faruk Kutsi Köseoğlu , Nezih Meydan , Nil Çulhacı , Aylin Oral %T Comparison of the results of ultrasonography-guided percutaneous liver mass biopsy performed with 18 and 20 gauge needles %D 2019 %J Ege Tıp Dergisi %P 1016-9113-2147-6500 %V 58 %N 1 %R doi: 10.19161/etd.418122 %U 10.19161/etd.418122
ISNAD Eraslan, Cenk , Köseoğlu, Ömer Faruk Kutsi , Meydan, Nezih , Çulhacı, Nil , Oral, Aylin . "Comparison of the results of ultrasonography-guided percutaneous liver mass biopsy performed with 18 and 20 gauge needles". Ege Tıp Dergisi 58 / 1 (March 2019): 8-12. https://doi.org/10.19161/etd.418122