The risk of local recurrence along the core-needle biopsy tract in patients with bone sarcomas

Said Saghieh; Karim Z Masrouha; Khaled M Musallam; Rami Mahfouz; Miguel Abboud; Nabil J Khoury; Rachid Haidar

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The risk of local recurrence along the core-needle biopsy tract in patients with bone sarcomas

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The risk of local recurrence along the core-needle biopsy tract in patients with bone sarcomas

Said Saghieh, Karim Z Masrouha, Khaled M Musallam, Rami Mahfouz, Miguel Abboud, Nabil J Khoury and Rachid Haidar

The Iowa orthopaedic journal, Vol.30, pp.80-83

01/01/2010

PMCID: PMC2958275

PMID: 21045976

Appears in Diamond Open Access

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2958275/View

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Abstract

Introduction We evaluated the local recurrence rate (LRR) of bone sarcoma along the core-needle biopsy (CNB) tract in patients who underwent limb Salvage Surgery (LSS) following a diagnostic CNB performed irrespective of the planned surgical incision site and for which surgery did not involve any biopsy tract removal. Methods A retrospective review of 10 pediatric patients diagnosed with bone sarcoma using a computed tomography-guided core-needle biopsy, with evaluation of medical records, pathological specimens and radiological films from the date of diagnosis until the most recent follow-up. Results None of the patients experienced local recurrence during their follow up, despite the lack of biopsy site resection. CT scans of the involved extremities were negative for any suspicious lesions in all patients up until the most recent follow-up. Conclusions Our study and review of the literature suggest that the incidence of tumor seeding the CNB tract in bone sarcoma patients is apparently low, and possibly negligible. CNB should be performed through the most direct approach to the tumor, and LSS can be performed safely through the standard approaches without excision of the biopsy tract.

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Title: Subtitle: The risk of local recurrence along the core-needle biopsy tract in patients with bone sarcomas
Creators: Said Saghieh - American University of Beirut Medical Center
Karim Z Masrouha - American University of Beirut Medical Center
Khaled M Musallam - American University of Beirut Medical Center
Rami Mahfouz - American University of Beirut Medical Center
Miguel Abboud - American University of Beirut Medical Center
Nabil J Khoury - American University of Beirut Medical Center
Rachid Haidar - American University of Beirut Medical Center
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.30, pp.80-83
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
PMID: 21045976
PMCID: PMC2958275
ISSN: 1541-5457
eISSN: 1555-1377
Language: English
Date published: 01/01/2010
Academic Unit: Radiology
Record Identifier: 9984697627102771

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