SciELO - Scientific Electronic Library Online

 
vol.62 número3Gastrectomía subtotal en el cáncer gástrico antral mal diferenciado e indiferenciadoLesión diafragmática durante la laparoscopia urológica transperitoneal índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Articulo

Indicadores

Links relacionados

Compartir


Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

BESA C, CECILIA et al. Ultrasound guided needle biopsy of the spleen. Rev Chil Cir [online]. 2010, vol.62, n.3, pp. 246-250. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262010000300007.

Background: Needle biopsies of the spleen were avoided due to the fear of bleeding in a highly vas-cularized organ. However their safety, even using 18 gauge needles, has been demonstrated. Aim: To report the experience with ultrasound guided needle biopsies of the spleen. Material and Methods: Retrospective review of records of ultrasound guided biopsies of the spleen using Tru-cut™ needles, performed between 2005 and 2009. Results: Thirteen procedures performed in 12 patients were identified. A specific diagnosis was achieved in nine (69%) procedures (lymphoma in four, melanoma in 2, sarcoma in 1, extremedullary erythropoiesis in one and splenic cryptococcosis in one. Two patients with negative results were subjected to a new biopsy, which yielded the diagnosis of lymphoma. A third patient was studied elsewhere, finding a malignant tumor. Two patients had complications, one had a vagal reaction and other had a perisplenic hematoma without clinical repercussion. Conclusions: Ultrasound guided needle biopsy of the spleen is a safe and useful procedure.

Palabras clave : Spleen; needle biopsy; lymphoma.

        · resumen en Español     · texto en Español     · pdf en Español