SHI Kexin, LI Ao, HANG Jing, HU Yu. Analysis of consistency between core needle biopsy of musculoskeletal or soft tissue mass under guidance of ultrasound and postoperative pathological examination results[J]. Journal of Clinical Medicine in Practice, 2019, 23(24): 1-4. DOI: 10.7619/jcmp.201924001
Citation: SHI Kexin, LI Ao, HANG Jing, HU Yu. Analysis of consistency between core needle biopsy of musculoskeletal or soft tissue mass under guidance of ultrasound and postoperative pathological examination results[J]. Journal of Clinical Medicine in Practice, 2019, 23(24): 1-4. DOI: 10.7619/jcmp.201924001

Analysis of consistency between core needle biopsy of musculoskeletal or soft tissue mass under guidance of ultrasound and postoperative pathological examination results

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  • Received Date: October 09, 2019
  • Accepted Date: November 19, 2019
  • Available Online: February 28, 2021
  • Published Date: December 27, 2019
  •   Objective  To investigate the consistency and clinical significance of ultrasound-guided core needle biopsy(CNB) for patients with musculoskeletal or soft tissue masses and postoperative pathological examination results.
      Methods  A total of 66 patients with musculoskeletal or soft tissue masses who underwent CNB and surgical resection of the lesions were collected. The consistency of CNB and surgical pathological examination was determined using Kappa test.
      Results  The success rate of puncture in all 66 patients was 100.0%. The pathological accuracy rate, support rate, negative rate and total effective rate of CNB under ultrasound guidance were 72.7%(48/66), 19.7%(13/66), 7.6%(5/66) and 92.4%(61/66), respectively. There was a strong consistency between CNB pathology and surgical pathology (κ=0.909, P < 0.001). CNB pathological results showed that 89.2%(33/37)benign patients and 96.6%(28/29) patients confirmed as malignant tumors were almost in accordance with surgical pathological results.
      Conclusion  The ultrasound-guided CNB pathological diagnosis for muscle, bone and soft tissue masses has better agreement with the pathological diagnosis of surgical specimens, and provides a good basis for the preparation and choice of operation modes.
  • [1]
    Wu C L, Lai Y C, Wang H K, et al. Correlation between histological and ultrasonographic findings of soft tissue tumors: To verify the possibility of cell-like resolution in ultrasonography[J]. J Chin Med Assoc, 2017, 80(11): 721-728. doi: 10.1016/j.jcma.2017.04.008
    [2]
    Loeffelbein D J, Souvatzoglou M, Wankerl V, et al. PET-MRI fusion in head-and-neck oncology: current status and implications for hybrid PET/MRI[J]. J Oral Maxillofac Surg, 2012, 70(2): 473-483. doi: 10.1016/j.joms.2011.02.120
    [3]
    宋战强, 吕国义, 张树桐, 等. 对比分析多层螺旋CT与MRI扩散加权成像诊断四肢软组织肿瘤的价值[J]. 实用医学杂志, 2014, 30(5): 741-744. doi: 10.3969/j.issn.1006-5725.2014.05.021
    [4]
    Marzi S, Stefanetti L, Sperati F, et al. Relationship between diffusion parameters derived from intravoxel incoherent motion MRI and perfusion measured by dynamic contrast-enhanced MRI of soft tissue tumors[J]. NMR Biomed, 2016, 29(1): 6-14. doi: 10.1002/nbm.3446
    [5]
    蔡善保. 骨与软组织肿瘤穿刺活检临床价值研究[J]. 中华解剖与临床杂志, 2017, 22(4): 317-320. doi: 10.3760/cma.j.issn.2095-7041.2017.04.012
    [6]
    邓琳, 谢飞来, 柯法永, 等. 超声引导下空芯针穿刺快速冰冻病理检查在乳腺肿块诊断中的应用价值[J]. 中华乳腺病杂志: 电子版, 2018, 12(6): 335-339. doi: 10.3877/cma.j.issn.1674-0807.2018.06.004
    [7]
    尹莉, 梁晓宁, 于泽兴, 等. 超声引导下穿刺活检鉴别病灶良恶性的价值探讨[J]. 临床超声医学杂志, 2018, 20(3): 191-194. doi: 10.3969/j.issn.1008-6978.2018.03.017
    [8]
    王坚, 范钦和. 软组织肿瘤病理诊断中的问题和挑战[J]. 中华病理学杂志, 2016, 45(1): 6-9. doi: 10.3760/cma.j.issn.0529-5807.2016.01.003
    [9]
    Datir A, Pechon P, Saifuddin A. Imaging-guided percutaneous biopsy of pathologic fractures: a retrospective analysis of 129 cases[J]. AJR Am J Roentgenol, 2009, 193(2): 504-508. doi: 10.2214/AJR.08.1823
    [10]
    Sung K S, Seo S W, Shon M S. The diagnostic value of needle biopsy for musculoskeletal lesions[J]. Int Orthop, 2009, 33(6): 1701-1706. doi: 10.1007/s00264-009-0835-9
    [11]
    Shimada S, Tsuzuki T, Kuroda M, et al. Nestin expression as a new marker in malignant peripheral nerve sheath tumors[J]. Pathol Int, 2007, 57(2): 60-67. doi: 10.1111/j.1440-1827.2006.02059.x
    [12]
    Miettinen M. Immunohistochemistry of soft tissue tumours - review with emphasis on 10 markers[J]. Histopathology, 2014, 64(1): 101-118. doi: 10.1111/his.12298
    [13]
    郭建华, 李霞, 吴玉竹, 等. 穿刺细胞学检查对淋巴结核早期诊断的价值[J]. 现代检验医学杂志, 2010, 25(6): 163-163.
    [14]
    张文智, 杨高怡, 徐建平, 等. 超声造影后颈部淋巴结粗针与细针穿刺活检的结果比较[J]. 中华耳鼻咽喉头颈外科杂志, 2016, 51(8): 615-617. doi: 10.3760/cma.j.issn.1673-0860.2016.08.011
    [15]
    Stramare R, Gazzola M, Coran A, et al. Contrast-enhanced ultrasound findings in soft-tissue lesions: preliminary results[J]. J Ultrasound, 2013, 16(1): 21-27. doi: 10.1007/s40477-013-0005-1
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