A study on core cut biopsy in bone lesions
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 1
Abstract
To study the histopathology of bone lesion received as core cut biopsy and the adequacy of core cut biopsy in diagnosis of bone lesion. Between June 2012 to May 2013, 90 core cut bone biopsy for histopathology were included in this study. Clinical and radiological findings were obtained from patient records. Core cut biopsy for suspected lesions were obtained by trephine biopsy needle and formalin fixed. Not more than two cores were taken. Except in young all biopsy was under local anesthesia. Deep seated lesions were sampled under CT guidance. Specimens were decalcified, paraffin embedded, haematoxylin, eosin stained and studied. All age group were included, youngest being one year and oldest being 92 year old. Males were 55% and females were 45%. 80% of bone biopsies could be diagnosed in closed biopsy specimens. 20% were inconclusive needed open surgical biopsy. Out of 80% diagnosed cases only 44% went for open surgical biopsy. In 92% (out of 44%) the diagnosis matched the core cut biopsy. The remaining cases which were not operated either were mainly metastasis or tuberculosis which was treated conservatively. Some were lost to follow up as some were referred to oncology centres for limb salvage options. Core cut bone biopsy is a convenient and cost effective method for diagnosis of bone lesions. It can be done for early diagnosis of bone lesions. It needs a closed association between the orthopaedician, radiologist and pathologist.
Authors and Affiliations
Nijith O Govindan, Jyothi Prasanth, Gopakumar TS, Akhil R Nambiar, Manjunath DS, Prathap Kumar, Biju M Nair, Christeena Jose
Keywords
Related Articles
- EP ID EP497926
- DOI 10.22271/ortho.2017.v3.i1a.03
- Views 106
- Downloads 0
Functional outcome of Medial patellofemoral ligament injury (MPFL) reconstruction in recurrent patellar dislocation
Introduction: Patella dislocation is defined as interposition of patella out of the trochlear groove. Patella dislocation is typically lateral and most often traumatic. Surgical treatment for patellar dislocation has evo...
An undiagnosed chronic back pain may come out with severe morbidity in young patient, needs to be evaluated adequately: A case report and review of literature
Introduction: there are various possible etiology for chronic back pain and malignancy is one of them. Extraskeletal Ewing’s Sarcoma usually involves sacrum while dorsolumbar junction involvement is uncommon. We are repo...
Treatment of ganglion by “needling”: By transfixation suture, an effective and cosmetic way
Ganglion is commonly encountered problem across all age groups. It is one of the most common soft tissue tumors. Most commonly, patients seek treatment for cosmetic reason. Though there are variety of treatment options a...
A clinical study of various management techniques in distal end radius fractures in adults
Objectives: The present study was conducted to evaluate the functional outcome of distal radial fractures in adults with surgical treatment using closed reduction and K-wire fixation, external fixation with or without K-...
Efficacy of mesenchymal stem cells in healing of meniscus tear
Background: The meniscus is a semilunar fibro-cartilaginous tissue performing various function including knee joint stability, shock absorption, load distribution, joint lubrication, and joint congruity. Menisectomy ofte...