Results from small renal mass biopsies in the Department of Urology University Hospital Ostrava
Authors:
Kateřina Kouřilová 1; Martin Fabišovský 1; Jana Dvořáčková 2; Tomáš Jonszta 3; Daniel Czerný 3; Jan Krhut 1
Authors place of work:
Urologické oddělení, FN Ostrava
1; Ústava patologie, FN Ostrava
2; Ústava radiodiagnostický, FN Ostrava
3
Published in the journal:
Ces Urol 2013; 17(3): 199-203
Category:
Original article
Summary
Aim:
We evaluated the histological outcomes of small renal mass biopsy at the Department of Urology University Hospital Ostrava.
Methods:
Over the course of one year we have performed 42 intraoperative biopsies and 14 computed tomography-guided percutaneous biopsies. In collaboration with the pathologist, we compared the biopsy results with the histological findings following nephrectomy.
Results:
In intraoperative biopsies, the accurate histological diagnosis was achieved in 83% of patients compared to evaluation of the whole nephrectomy specimen. In CT-guided biopsies, the accurate diagnosis was obtained in 85%.
Conclusion:
This is a small sample size, but according to the results, we suggest that small renal mass biopsy may be beneficial.
Key words:
tumor biopsy, renal tumor, renal cell carcinoma therapy.
Zdroje
1. Vyzula R, a kol. Modrá kniha České onkologické společnosti. Brno 2012.
2. Maury J, Holt S. Increased incidence of serendipitously discovered renal cell carcinoma. Urology 1998; 51: 203–205.
3. Huang WC, Levey AS, Serio AM, et al. Chronic kidney disease after nephrectomy in patients with renal cortical tumours: a retrospective cohort study. Lancet Oncol 2006; 7(9): 735–740.
4. Shuch B, Linehan WM, Bratslavsky G, et al. Repeat partial nephrectomy: surgical, functional and oncological outcomes. Curr Opin Urol 2011; 21(5): 368–375.
5. Rothman J, Egleston B, Wong Y-N, et al. Histolopathological characteristics of localized renal cell carcinoma correlate with tumor size: A SEER Analysis. J Urol 2009; 181: 29–34.
6. Frank I, Blute ML, Cheville JC, et al. Solid renal tumors: an analysis of pathological features related to tumor size. J Urol 2003; 170: 2217–2220.
7. Gill IS, Matin SF, Desai MM, et al. Comparative analysis of laparoscopic versus open partial nephrectomy for renal tumors in 200 patients. J Urol 2003; 170: 64–68.
8. Remzi M, Katzenbeisser D, Waldert M, et al. Renal tumour size measured radiologically before surgery is an unreliable variable for predicting histopathological features: benign tumours are not necessarily small. BJU Int 2007; 99(5): 1002–1006.
9. Mally AD, Gayed B, Averch T, Davies B, et al. The current role of percutaneous biopsy of renal masses. Can J Urol 2012; 19: 6243–6249.
10. Schmidbauer J, Remzi M, Memarsadeghi M, et al. Diagnostic accuracy of computed tomography-guided percutaneous biopsy of renal masses. Eur Urol 2008; 53: 1003–1012.
11. Waldert M, Klatte T, Haitel A, Ozsoy M, et al. Hybrid renal cell carcinomas containing histopathologic features of chromophobe renal cell carcinomas and oncocytomas have excellent oncologic outcomes. Eur Urol 2010; 57: 661–666.
12. Ficarra V, Brunelli M, Cheng L, et al. Prognostic and therapeutic impact of the histopathologic definition of parenchymal epithelial renal tumors. Eur Urol 2010; 58: 655–668.
13. Harisinghani M, Maher MM, Gervais DA, et al. Incidence of malignancy in complex cystic renal masses (Bosniak category III): Should imaging-guided biopsy precede surgery? AJR Am J Roentgenol 2003; 180: 755–758.
14. Volpe A, Finelli A, Gill IS, et al. Rationale for percutaneous biopsy and histologic characterisation of renal tumours. Eur Urol 2012; 62(3): 491–504.
15. Jacobs BL, Tan HJ, Montgomery JS, et al. Understanding criteria for survaillance of patients with a small renal mass. Urology 2012; 79: 1027–1032.
16. Lane BR, Abouassaly R, Gao T, et al. Active treatment of localized renal tumors may not impact overall survival in patients aged 75 years or older. Cancer 2010; 116: 3119–3126.
17. Leveridge MJ, Finelli A, Kachura JR, et al. Outcomes of small renal mass needle core biopsy, nondiagnostic percutaneous biopsy, and the role of repeat biopsy. Eur Urol 2011; 60: 578–584.
Štítky
Paediatric urologist Nephrology UrologyČlánok vyšiel v časopise
Czech Urology
2013 Číslo 3
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