From
StayCurrentMD
Pediatric and Young Adult Image-Guided Percutaneous Bone Biopsy-A New Standard of Care?
hosted by Dr. Sophia Schermerhorn
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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What the experts said
The study evaluated 169 biopsies in 141 patients over a 10-year period at a single institution.
Nearly 90% of the biopsies were core-needle biopsies.
All biopsies were performed with image guidance, most commonly CT, sometimes combined with fluoroscopy and ultrasound.
All biopsies were performed by interventional radiologists.
97.9% of biopsies were diagnostic.
Only 3 patients required repeat biopsy.
There was one patient with transient sciatic nerve paresis, which resolved.
The complication rate was 0.7%.
The approach provided sufficient tissue for histology, immunostains, and molecular studies.
Immunostains and molecular studies are increasingly essential for modern risk stratification and targeted therapy.
Image-guided percutaneous biopsy should be strongly considered the diagnostic modality of choice for pediatric bone and soft tissue tumors.