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Published in: BMC Medical Imaging 1/2020

Open Access 01-12-2020 | Peritonitis | Research article

Clinical value of CT-guided percutaneous fine-needle aspiration biopsy for peritoneal lesions

Authors: Hualong Yu, Chuanyu Zhang, Shihe Liu, Gang Jiang, Shaoke Li, Liang Zhang, Yongjie Wang, Wenjian Xu

Published in: BMC Medical Imaging | Issue 1/2020

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Abstract

Background

To investigate the clinical value of CT-guided percutaneous fine-needle aspiration biopsy for peritoneal lesions of unknown nature.

Methods

A retrospective analysis was conducted of 84 patients with peritoneal thickening for unknown reasons. There were 26 males and 58 females who underwent CT-guided percutaneous fine-needle aspiration biopsy for peritoneal lesions.

Result

Among these 84 patients, no definite pathologic diagnosis was made in 3 patients, who were lost to the follow-up. The accuracy rate of CT-guided percutaneous fine-needle aspiration biopsy was 95.1% (77/81). Sixty lesions were pathologically-diagnosed with malignancies (74.1%), including 55 with peritoneal metastases, 4 with malignant mesotheliomas, and 1 with a lymphoma. Twenty-four patients (33.8%) were diagnosed as benign lesions, including 11 with tuberculosis and 13 with inflammatory lesions. The complications of CT-guided percutaneous fine-needle aspiration biopsy included bleeding in 1 patient and ascites leakage in 2 patients.

Conclusion

CT-guided percutaneous fine-needle aspiration biopsy is a safe and effective method for diagnosing peritoneal lesions.
Literature
1.
go back to reference WU CC, MAHER MM, SHEPARD JA. Complications of CT-guided percutaneous needle biopsy of the chest:prevention and management [J]. AJR. 2011;196(6):678–82.CrossRef WU CC, MAHER MM, SHEPARD JA. Complications of CT-guided percutaneous needle biopsy of the chest:prevention and management [J]. AJR. 2011;196(6):678–82.CrossRef
2.
go back to reference OLSON MC, ATWELL TD, HARMSEN WS, Konrad A, King RL, Lin Y, Wall DJ. Safety and accuracy of percutaneous image-guided core biopsy of the spleen. AJR. 2016;206(3):655–9.CrossRefPubMed OLSON MC, ATWELL TD, HARMSEN WS, Konrad A, King RL, Lin Y, Wall DJ. Safety and accuracy of percutaneous image-guided core biopsy of the spleen. AJR. 2016;206(3):655–9.CrossRefPubMed
3.
go back to reference ZHENG GQ, WEI SC, Yin WJ. Clinical analysis of percutaneous peritoneal biopsy in the diagnosis of 200 patients with unexplained ascites [J]. Chin J Med Imageol (Electronic Edition). 2011;1(1):29–32. ZHENG GQ, WEI SC, Yin WJ. Clinical analysis of percutaneous peritoneal biopsy in the diagnosis of 200 patients with unexplained ascites [J]. Chin J Med Imageol (Electronic Edition). 2011;1(1):29–32.
4.
go back to reference YANG YS, SUN G, LI W. An animal experiment of surgical technique using laparoscopy combined with natural orifice endoscopy [J]. Chin J Digest Endoscopy. 2008;25(5):225–9. YANG YS, SUN G, LI W. An animal experiment of surgical technique using laparoscopy combined with natural orifice endoscopy [J]. Chin J Digest Endoscopy. 2008;25(5):225–9.
5.
go back to reference Layfield LJ, Gopez EV. Percutaneous image-guided fine-needle aspiration of peritoneal lesions [J ]. Diagn Cytopathol. 2003;28(1):6–12.CrossRefPubMed Layfield LJ, Gopez EV. Percutaneous image-guided fine-needle aspiration of peritoneal lesions [J ]. Diagn Cytopathol. 2003;28(1):6–12.CrossRefPubMed
6.
go back to reference Zhang AT, Du YJ, Gao SL. Diagnostic value of laparoscopy for peritoneal lesions [J]. Chin J Dig Endosc. 2002(02):92–94. . Zhang AT, Du YJ, Gao SL. Diagnostic value of laparoscopy for peritoneal lesions [J]. Chin J Dig Endosc. 2002(02):92–94. .
7.
go back to reference Wang JH, Chen BJ, Han Y. Diagnostic value of ultrasound-guided percutaneous aspiration biopsy for omentum majus lesions. Chin J Ultrasonography. 2006;15(1):21–4. Wang JH, Chen BJ, Han Y. Diagnostic value of ultrasound-guided percutaneous aspiration biopsy for omentum majus lesions. Chin J Ultrasonography. 2006;15(1):21–4.
8.
go back to reference XING LX, SHI QS, JIA C. Clinical application value of ultrasound-guided needle-core biopsy for histopathological examination of space-occupying lesions in pancreas [J]. Chin J Med Ultrasound (Electronic Edition). 2014;11(5):429–33. XING LX, SHI QS, JIA C. Clinical application value of ultrasound-guided needle-core biopsy for histopathological examination of space-occupying lesions in pancreas [J]. Chin J Med Ultrasound (Electronic Edition). 2014;11(5):429–33.
9.
go back to reference WANG XM, LI P, LIU YJ. Clinical application of ultrasound-guided percutaneous biopsy of omentum majus. Chin J Ultrasound Med. 2007;23(9):693–5. WANG XM, LI P, LIU YJ. Clinical application of ultrasound-guided percutaneous biopsy of omentum majus. Chin J Ultrasound Med. 2007;23(9):693–5.
10.
go back to reference GUIMARÃES MD, MARCHIORI E, HOCHHEGGER B, Chojniak R, Gross JL. CT-guided biopsy of lung lesions:defining the best needle option for a specific diagnosis. Clinics (Sao Paulo). 2014;69(5):335–40.CrossRef GUIMARÃES MD, MARCHIORI E, HOCHHEGGER B, Chojniak R, Gross JL. CT-guided biopsy of lung lesions:defining the best needle option for a specific diagnosis. Clinics (Sao Paulo). 2014;69(5):335–40.CrossRef
11.
go back to reference YUAN MY, JIANG ZM, BAO XH. Differential diagnosis of tuberculous peritonitis with computer tomography: a comparative study. Radiol Pract. 2011;26(8):869–71. YUAN MY, JIANG ZM, BAO XH. Differential diagnosis of tuberculous peritonitis with computer tomography: a comparative study. Radiol Pract. 2011;26(8):869–71.
12.
go back to reference YANG J, XIA JD, WU JJ. Multi-slice spiral CT manifestations of tuberculous peritonitis [J]. J Pract Radiol. 2012;28(11):1717–20. YANG J, XIA JD, WU JJ. Multi-slice spiral CT manifestations of tuberculous peritonitis [J]. J Pract Radiol. 2012;28(11):1717–20.
13.
go back to reference XU XL, ZHANG XY. Analysis of 34 cases of misdiagnosis of tuberculous peritonitis. Chin J Celiopathy. 2005;5(8):571–2. XU XL, ZHANG XY. Analysis of 34 cases of misdiagnosis of tuberculous peritonitis. Chin J Celiopathy. 2005;5(8):571–2.
14.
go back to reference LI M, SHEN GH, LV QB. Clinical analysis of tuberculous peritonitis in elderly females resembling progressive ovarian cancer: a report of 3 cases [J]. Chinese Journal of Geriatrics. 2010;29(5):394–6. LI M, SHEN GH, LV QB. Clinical analysis of tuberculous peritonitis in elderly females resembling progressive ovarian cancer: a report of 3 cases [J]. Chinese Journal of Geriatrics. 2010;29(5):394–6.
15.
go back to reference SHEN J, CHEN L, NI CF. Application of CT-guided percutaneous coaxial needle biopsy in the diagnosis of pulmonary lesions. J Pract Radiol. 2014;30(1):108–10. SHEN J, CHEN L, NI CF. Application of CT-guided percutaneous coaxial needle biopsy in the diagnosis of pulmonary lesions. J Pract Radiol. 2014;30(1):108–10.
16.
go back to reference CHEN B, ZHUANG HH. New progress in nursing for exudation after abdominocentesis [J]. Chin J Modern Nurs. 2013;19(2):243–4. CHEN B, ZHUANG HH. New progress in nursing for exudation after abdominocentesis [J]. Chin J Modern Nurs. 2013;19(2):243–4.
Metadata
Title
Clinical value of CT-guided percutaneous fine-needle aspiration biopsy for peritoneal lesions
Authors
Hualong Yu
Chuanyu Zhang
Shihe Liu
Gang Jiang
Shaoke Li
Liang Zhang
Yongjie Wang
Wenjian Xu
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Medical Imaging / Issue 1/2020
Electronic ISSN: 1471-2342
DOI
https://doi.org/10.1186/s12880-020-00512-0

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