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ORIGINAL ARTICLE
Year : 2020  |  Volume : 6  |  Issue : 2  |  Page : 145-151

Trucut biopsy in splenic lesions


1 Department of Radiodiagnosis and Imaging, Sarawathi Hospital, Hapur, Uttar Pradesh, India
2 Department of Radiodiagnosis and Imaging, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
3 Department of Radiodiagnosis and Imaging, GMC, Srinagar, Jammu and Kashmir, India

Correspondence Address:
Suhail Rafiq
Department of Radiodiagnosis and Imaging, GMC, Srinagar, Jammu and Kashmir
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcrsm.jcrsm_27_20

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Background: There are currently six techniques for the acquisition of splenic tissue specimens for pathologic evaluation. Less invasive percutaneous techniques, performed by an interventional radiologist using ultrasonography guidance or computed tomography are fine-needle aspiration biopsy and tissue core biopsy. These are associated with lesser complications and high accuracy. Materials and Methods: The study was prospective in nature done in SKIMS, Soura, from August 2016 to August 2018. Aims and Objectives: (1) The aim is to determine the diagnostic accuracy of percutaneous image-guided tru-cut biopsy of the spleen. (2) To determine the complication rate of percutaneous image-guided tru-cut biopsy of the spleen using coaxial biopsy needle system. Results: A total of 18 patients underwent percutaneous tru-cut biopsy of the spleen. All patients underwent a single time biopsy. In this study, 17 (94.4%) patients had splenic lesions, and 1 patient (5.6%) had splenomegaly under evaluation. Our study had a sensitivity of 93.7%, the specificity of 100%, positive predictive value of 100%, negative predictive valve of 50%, accuracy of 94.1% and diagnostic yield = 94.4%. Conclusion: Percutaneous image-guided tru-cut biopsy of the spleen with an 18G core biopsy needle has high diagnostic accuracy and minimal complications. We conclude that percutaneous image-guided tru-cut biopsy of the spleen is an effective alternative procedure to splenectomy in patients with splenic lesions.


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