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Article ; Online: Biopsia percutánea muscular mínimamente invasiva realizada por patólogo intervencionista en el estudio de miopatías. Veinte años de experiencia.

Torres Rivas, Héctor Enrique / Villar Zarra, Karen / Fernández Fernández, Luis Manuel / Posada Mesa, Luisa / Fernández Vega, Iván / González Gutiérrez, María de la Paz / Gómez Martín, Ángel / Astudillo González, Aurora

Revista espanola de patologia : publicacion oficial de la Sociedad Espanola de Anatomia Patologica y de la Sociedad Espanola de Citologia

2020  Volume 54, Issue 3, Page(s) 156–164

Abstract: Introduction: Muscle biopsy plays a major role in the final diagnosis of myopathies. Open muscle biopsy is the benchmark procedure, although minimally invasive percutaneous muscle biopsy (MIPMB) has demonstrated comparable diagnostic performance at a ... ...

Title translation Minimally invasive percutaneous musculoskeletal biopsy performed by Interventional Pathologist for myopathy study. Twenty years of experience.
Abstract Introduction: Muscle biopsy plays a major role in the final diagnosis of myopathies. Open muscle biopsy is the benchmark procedure, although minimally invasive percutaneous muscle biopsy (MIPMB) has demonstrated comparable diagnostic performance at a lower cost and can be carried out by interventional pathologists.
Materials and methods: Muscle biopsies performed from 1997 to 2017 were reviewed and classified according to the type of procedure, whether carried out by an interventional pathologist or another specialist, the diagnosis and the effectiveness of the procedure.
Results: 738 muscle biopsies were performed; 32% were open biopsies and 68% MIPMB carried out by pathologist. The muscle most often biopsied was the femoral quadriceps and the most frequent diagnosis was inflammatory myopathies. In only 39 cases (20 open biopsies and 19 MIPMB) was there insufficient tissue for diagnosis.
Conclusions: Muscle biopsy proved highly effective as a diagnostic tool as 90% yielded adequate tissue samples. The results obtained with MIPMB performed by interventionist pathologists were comparable to those of open muscle biopsy.
MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biopsy, Large-Core Needle/adverse effects ; Biopsy, Large-Core Needle/methods ; Child ; Child, Preschool ; Clinical Competence ; Female ; Humans ; Infant ; Male ; Middle Aged ; Muscle, Skeletal/pathology ; Muscular Diseases/pathology ; Pathologists/standards ; Quadriceps Muscle/pathology ; Time Factors ; Young Adult
Language Spanish
Publishing date 2020-12-13
Publishing country Spain
Document type Comparative Study ; Journal Article
ZDB-ID 2463888-2
ISSN 1988-561X ; 1988-561X
ISSN (online) 1988-561X
ISSN 1988-561X
DOI 10.1016/j.patol.2020.10.002
Database MEDical Literature Analysis and Retrieval System OnLINE

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