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




Links relacionados


Revista chilena de cirugía

versión On-line ISSN 0718-4026


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.

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     · Español ( pdf )