biopsy of musculoskeletal tumors
DESCRIPTION
BIOPSY of MS tumorsTRANSCRIPT
Biopsy of musculoskeletal tumors
Waleed Awwad, MD, FRCSC
Introduction
Critical procedure. Influence on the outcome. Methodology. Physician performing the biopsy. Malignant soft tissue and bone tumors. Treatment of patients. Biopsy is performed.
Imaging
Most commonly used imaging. Information from imaging: - Anatomic localization. - Vital structures. - Area most appropriate for biopsy. - Choice of technique.
Principles of biopsy
Performed. Minimize contamination. - Deep lesions.
- Approaches. - Healthy skin. - Biopsy tract. - Meticulous hemostasis: closed biopsy, open soft tissue and
bone.
Incision orientation.
Principles of biopsy
Principles of biopsy
Principles of biopsy Biopsy types: > Closed. > Open.
Percutaneous technique
Imaging is needed or Not. Type and size of biopsy needle.
Percutaneous technique
Percutaneous technique
Fine needle aspiration (FNA): - Most appropriate. - Material aspirated. - Advantage. - Disadvantage. - Results.
Percutaneous technique
Core needle biopsy.
- Needle gauge. - Tissue sample and architecture. - Advantages. - Disadvantages. - Results.
Open techniques
Incisional biopsy:
- Gold standard. - Despite this fact. - Advantage. - Disadvantage. - Results.
Open techniques
Open techniques
Excisional biopsy:
- Used. - Advantages. - Disadvantages.
Summary
Biopsy has a big impact. Biopsy plane. Closed biopsy techniques. Radiologist and pathologist. Physician performing the definitive
treatment.
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