The Role of Biopsy and Clinical Imaging in the Management of Soft Tissue Tumor

  • Sagiyama Koji
    Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University
  • Kamitani Takeshi
    Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University
  • Yamasaki Yuzo
    Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University
  • Hida Tomoyuki
    Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University
  • Matsuura Yuko
    Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University
  • Yabuuchi Hidetake
    Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University
  • Ushijima Yasuhiro
    Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University
  • Ishigami Kousei
    Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University

Bibliographic Information

Other Title
  • 軟部腫瘍診療における生検と画像診断の役割

Description

The clinical diagnosis of soft tissue tumors, especially malignant sarcomas, is highly dependent on histopathological diagnosis by biopsy. However, the rarity of sarcomas makes it difficult to accumulate knowledge and improve techniques, and inappropriate biopsies are frequently performed. Inappropriate biopsy techniques can make surgery difficult and worsen the patient's prognosis, and so biopsies should be performed by experienced operators in appropriate facilities. The important thing to note during biopsy is that the tumor capsule is disrupted at biopsy, and the access route is invariably “contaminated” with tumor. Therefore, the technique and route of biopsy must consider that the access route must be removed along with the tumor during wide resection after biopsy. In addition, the target should be carefully defined to avoid necrosis and hemorrhage and to biopsy the components with high viability. Accordingly, it is important to examine the surrounding anatomy and internal structure of the tumor in detail preoperatively using appropriate imaging modalities in order to perform an effective and safe biopsy.

Journal

Details 詳細情報について

  • CRID
    1390573407594234880
  • DOI
    10.11407/ivr.36.119
  • ISSN
    21856451
    13404520
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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