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Role of transvaginal ultrasound-guided biopsy in gynecology

International journal of gynecological cancer, 2020-01, Vol.30 (1), p.128-132 [Peer Reviewed Journal]

IGCS and ESGO 2020. No commercial re-use. See rights and permissions. Published by BMJ. ;2020 by the International Gynecologic Cancer Society and the European Society of Gynaecological Oncology. ;2019 by the International Gynecologic Cancer Society and the European Society of Gynaecological Oncology. ;2020 IGCS and ESGO 2020. No commercial re-use. See rights and permissions. Published by BMJ. ;ISSN: 1048-891X ;EISSN: 1525-1438 ;DOI: 10.1136/ijgc-2019-000734 ;PMID: 31645428

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  • Title:
    Role of transvaginal ultrasound-guided biopsy in gynecology
  • Author: Mascilini, Floriana ; Quagliozzi, Lorena ; Moro, Francesca ; Moruzzi, Maria Cristina ; De Blasis, Ilaria ; Paris, Valentina ; Scambia, Giovanni ; Fagotti, Anna ; Testa, Antonia Carla
  • Subjects: Abdomen ; Adult ; Aged ; Aged, 80 and over ; Biopsy ; Blood transfusions ; Female ; Genital Neoplasms, Female - diagnostic imaging ; Genital Neoplasms, Female - pathology ; Genital Neoplasms, Female - surgery ; Gynecology ; Histology ; Humans ; Image-Guided Biopsy - methods ; Laparoscopy ; Lung cancer ; Medical imaging ; Middle Aged ; Oncology ; Ovarian cancer ; Patient safety ; Retrospective Studies ; Surgery ; Tumors ; Ultrasonic imaging ; Ultrasonography, Interventional - methods ; Vagina
  • Is Part Of: International journal of gynecological cancer, 2020-01, Vol.30 (1), p.128-132
  • Description: BackgroundUltrasound-guided biopsy is an easy technique for obtaining tissue samples. It is commonly used for different types of tumors, such as breast and prostate cancers, in order to plan early and adequate treatment.ObjectiveTo evaluate the indications, adequacy, and safety of transvaginal ultrasound-guided biopsy in women with pelvic lesions suspected of gynecologic malignancy.MethodsA retrospective study including all patients who had undergone transvaginal ultrasound-guided biopsy between April 2015 and May 2018 was carried out at the division of gynecologic oncology. Inclusion criteria were the presence at imaging of abdominal or pelvic tumors in patients considered not ideal candidates for primary gynecological surgery, or the origin and/or nature of the tumor was unclear and further management required histological verification. Patients with planned surgery were excluded from the study. Transvaginal biopsies were performed with a 18 G/25 cm core-cut biopsy needle and histology was obtained. Tru-cut biopsies were performed using an automatic bioptic gun with a 18 G/25 cm core-cut biopsy needle. Results are presented as absolute frequency (percentage) for nominal variables and as median (range) for continuous variables.ResultsA total of 62 women were analyzed. An adequate sample for histological analysis was obtained in all cases. Histopathological examinations showed 24 (38.7%) benign lesions (fibrosis, inflammation, uterine or ovarian myoma) and 38 (61.3%) malignant tumors, distributed as follows: 34 (89.5%) malignant gynecological lesions and 4 (10.5%) non-gynecological malignant tumors. Among the malignant lesions, there were 12/38 (31.6%) primary tumors, 24/38 (63.2%) recurrent tumors, and 2/38 (5.3%) metastases from non-genital cancer. Ten patients eventually underwent surgery. Final histology was not in agreement with the results from transvaginal ultrasound-guided biopsy in 2 of 10 patients (20%); in particular, benign disease at transvaginal ultrasound-guided biopsy was malignant at final histology (two cases of recurrence of cervical cancer). Three patients (4.8%) had pain during the procedure, which was controlled by oral analgesic therapy and lasted for no longer than 10 min. No major complications were registered.ConclusionsTransvaginal ultrasound-guided biopsy is a minimally invasive method to obtain adequate material for histological diagnosis and could avoid unnecessary surgical procedures, costly CT-guided procedures, or prolonged waiting times.
  • Publisher: England: by the International Gynecologic Cancer Society and the European Society of Gynaecological Oncology
  • Language: English
  • Identifier: ISSN: 1048-891X
    EISSN: 1525-1438
    DOI: 10.1136/ijgc-2019-000734
    PMID: 31645428
  • Source: MEDLINE
    ProQuest Central
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