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Transtubular excisional biopsy as a rescue for a non-diagnostic stereotactic needle biopsy-case report and literature review.

TitleTranstubular excisional biopsy as a rescue for a non-diagnostic stereotactic needle biopsy-case report and literature review.
Publication TypeJournal Article
Year of Publication2017
AuthorsChen Y-N, Omay SBulent, Shetty SR, Liang B, Almeida JPaulo, Ruiz-Treviño AS, Lavi E, Schwartz TH
JournalActa Neurochir (Wien)
Volume159
Issue9
Pagination1589-1595
Date Published2017 09
ISSN0942-0940
KeywordsAged, Antineoplastic Agents, Basal Ganglia Diseases, Biopsy, Biopsy, Needle, Female, Humans, Imaging, Three-Dimensional, Immunocompromised Host, Leukemia, Lymphocytic, Chronic, B-Cell, Magnetic Resonance Imaging, Mycetoma, Neurosurgical Procedures, Purines, Quinazolinones, Stereotaxic Techniques
Abstract

Stereotactic needle biopsy, a standard of care for acquiring deep-seated pathology, has limitations and risks in some situations. We present an uncommon case with basal ganglia dematiaceous mycetoma. Due to the firm consistency of the lesion, the initial stereotactic needle biopsy failed to provide a diagnosis. In a second operation, transtubular excisional biopsy was successfully performed to remove the entire mycetoma. We reviewed recent case series of transtubular approaches to deep-seated brain lesions and suggest this method could be a rescue for a non-diagnostic stereotactic needle biopsy and even may be the approach of choice in some cases.

DOI10.1007/s00701-017-3260-7
Alternate JournalActa Neurochir (Wien)
PubMed ID28688051