How often do our liver core biopsies reach current definitions of adequacy?
نویسندگان
چکیده
Needle core biopsy is a key tool in diagnosis and assessment of many medical liver diseases, but there is evidence that the combination of small size of the specimen obtained and the patchy nature of many of these diseases can result in misdiagnosis or incorrect staging. The Royal College of Pathologists has therefore published guidelines for assessment of adequacy. To assess whether these guidelines were being observed, we reviewed cases reported in our department over a 15-year period. Results showed that only 19.8% of cores would be considered adequate, 56.4% were suboptimal and 23.8% were inadequate. We discuss the issues around recommendations on the minimum size of liver biopsies, potential factors limiting biopsy size and whether further refinement of the guidelines for adequacy is required.
منابع مشابه
بررسی نمونههای آسیبشناسی حاصل از بیوپسی سوزنی با هدایت سیتیاسکن در ضایعات قفسه سینه بیماران مراجعهکننده به بخش پاتولوژی بیمارستان شهید صدوقی یزد
Introduction: Despite the popularity of needle biopsy for obtaining tissue samples in several solid organs, its use in thoracic lesions has been very restricted in some hospitals. This study intended to investigate the CT-Guided transthoracic core needle biopsy specimens in Yazd Shahid Sadoughi hospital during 2001- 2010. Methods: This is a retrospective cross- sectional study conducted on pat...
متن کاملHow Do Scientists Reach Their Target Audience? Academic and Popular Science Articles in Nutrition
The aim of the current study was to investigate frequencies of interactional metadiscourse markers in English academic research and popular science articles in nutrition. A total of 60 English articles published in three popular databases and four academic journals were analyzed for interactional metadiscourse markers, including hedges, boosters, attitude markers, engagement markers and self-me...
متن کاملSurgeon performed ultrasound-guided fine-needle aspirates of the thyroid: 1067 biopsies and learning curve in a teaching center.
BACKGROUND Surgeon performed ultrasound-guided fine-needle aspirates (UG-FNAs) reduce delay in diagnosis and allow for surgeon surveillance. We present the first report on a learning curve and impact of head and neck surgical trainees on adequacy rates. METHODS Thyroid UG-FNA biopsies from 2009 to 2013 were reviewed retrospectively. Specimen adequacy, cytologic diagnosis, and surgical patholo...
متن کاملImpact of steatosis and inflammation definitions on the performance of NASH tests
BACKGROUND AND AIM One of the unmet needs in subjects with metabolic risks is the prediction of metabolic liver disease by noninvasive tests. The construction of performant tests is dependent on the appropriateness of the histological reference definition. The aim of this study was to analyze the limitations of similar European (Fatty Liver Inhibition of Progression) and USA (Clinical-Research-...
متن کاملیافتن الگوهای مکرّر در قرآن کریم بهکمک روشهای متنکاوی
Quran’s Text differs from any other texts in terms of its exceptional concepts, ideas and subjects. To recognize the valuable implicit patterns through a vast amount of data has lately captured the attention of so many researchers. Text Mining provides the grounds to extract information from texts and it can help us reach our objective in this regard. In recent years, Text Mining on Quran and e...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of clinical pathology
دوره 66 12 شماره
صفحات -
تاریخ انتشار 2013