Tóm tắt

Objectives: To evaluate the histological diagnostic results using stereotactic biopsy of supratentorial tumors at Military Hospital 103. Subjects and methods: A retrospective cross-sectional study on 9 stereotactic biopsies of supratentorial tumors at Military Hospital 103 from 6/2021 - 9/2022. Results: 9 patients in the study included 5 men and 4 women, aged from 29 to 79 years old. The clinical features were dominated by headache (77%), hemiplegia (22.2%), and epilepsy (11.1%). The deep lesions (capsula interna lesions and thalamic lesions) were 44.4%. The histological diagnostic accuracy rate was 88.9%. Histological types include low-grade astrocytoma (44.4%), high-grade astrocytoma (11.1%), oligodendroglioma (11.1%), lymphoma (22.2%), metastatic carcinomas (0%), and brain tissue (11.1%). The mortality rate was 0%. Conclusion: Stereotactic biopsy of supratentorial tumors is a safe procedure that provides a very accurate histological diagnostic result with a low incidence of complications and mortality rate.

Từ khóa

#Sinh thiết #Sinh thiết có định vị #U não #Trên lều

Tài liệu tham khảo

Sciortino T., Fernandes B., Conti Nibali M., Gay L.G., Rossi M., Lopci E., Colombo A.E., Elefante M.G., Pessina F., Bello L., et al. (2019). Frameless stereotactic biopsy for precision neurosurgery: Diagnostic value, safety, and accuracy. Acta neurochirurgica; 161(5): 967-974. Æbelø A.M., Noer V.R., Schulz M.K., Kristensen B.W., Pedersen C.B., Poulsen F.R. (2019). Frameless stereotactic neuronavigated biopsy: A retrospective study of morbidity, diagnostic yield, and the potential of fluorescence: A single-center clinical investigation. Clinical neurology and neurosurgery; 181: 28-32. Grossman R., Sadetzki S., Spiegelmann R., Ram Z. (2005). Haemorrhagic complications and the incidence of asymptomatic bleeding associated with stereotactic brain biopsies. Acta neurochirurgica; 147(6):627-631; discussion 631. Hall W.A. (1998). The safety and efficacy of stereotactic biopsy for intracranial lesions. Cancer; 82(9): 1749-1755. Khatab S., Spliet W., Woerdeman P.A. (2014). Frameless image-guided stereotactic brain biopsies: emphasis on diagnostic yield. Acta neurochirurgica; 156(8): 1441-1450.