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01-02-2018 | General Gynecology

Ultrasound guided core needle biopsy prior to thermo ablative treatment of uterine tumors: first results

Authors: Christina B. Walter, Andreas D. Hartkopf, Dorit Schoeller, Bernhard Kraemer, Felix Neis, Florin-Andrei Taran, Keith B. Isaacson, Sara Y. Brucker, Markus Hahn

Published in: Archives of Gynecology and Obstetrics | Issue 2/2018

Abstract

Purpose

This study aimed at evaluating the diagnostic yield for core needle biopsies of uterine fibroids before laparoscopic radiofrequency volumetric thermal ablation (RFVTA) with the aim of sonographic imaging. This study was in the context of a randomized, prospective, single-center, longitudinal comparative study in which RFVTA and laparoscopic myomectomy for symptomatic uterine fibroids were compared.

Methods

All patients of the RFVTA-arm received a core needle biopsy under the guidance of an intraoperative laparoscopic ultrasound system. The Tissue samples were observed histologically.

Results

24 patients were included and received in the median 3.17 biopsies (range 2–7). 45.8% of the fibroids were intramural. In 92% uterine leiomyoma was detected, in 4% a cell rich leiomyoma and in 4% a smooth muscle tumor with uncertain malignant potential (STUMP). There were no complications caused by core needle biopsy.

Conclusions

Ultrasound guided core needle biopsy can be used to receive a histological result before treating uterine fibroids with thermo surgical methods like RFVTA.

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Title: Ultrasound guided core needle biopsy prior to thermo ablative treatment of uterine tumors: first results
Authors: Christina B. Walter
Andreas D. Hartkopf
Dorit Schoeller
Bernhard Kraemer
Felix Neis
Florin-Andrei Taran
Keith B. Isaacson
Sara Y. Brucker
Markus Hahn
Publication date: 01-02-2018
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 2/2018
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-017-4590-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Ultrasound guided core needle biopsy prior to thermo ablative treatment of uterine tumors: first results

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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