000			nab a22 7a 4500
999			_c16385 _d16385
003			PC16385
005			20210520123922.0
008			210510b xxu||||| |||| 00| 0 eng d
040			_cH12O
041			_aspa, eng
100			_9485 _aVillacampa Aubá, Felipe _eUrología
100			_92827 _aGarcía Muñoz, H _eAnatomía Patológica
100			_9484 _aTejido Sánchez, Ángel _eUrología
100			_91930 _aRomero Otero, Javier _eUrología
100			_91795 _aRosa Kehrman, Federico de la _eUrología
245	0	0	_aEnseñanzas derivadas del estudio comparativo entre biopsia de masa renal y el análisis del espécimen quirúrgico. _h[artículo]
260			_bActas urológicas españolas, _c2014
300			_a38(10):655-61.
500			_aFormato Vancouver: Domínguez-Esteban M, Villacampa-Aubá F, Garcia-Muñóz H, Tejido Sánchez A, Romero Otero J, de la Rosa Kehrmann F. Enseñanzas derivadas del estudio comparativo entre biopsia de masa renal y el análisis del espécimen quirúrgico. Actas Urol Esp. 2014 Dec;38(10):655-61.
501			_aPMID: 24704129
504			_aContiene 30 referencias
520			_aIntroduction: The role of renal mass (RM) biopsy is currently under discussion. As a result of the progressive increase in the incidental diagnosis of RMs (which have a higher percentage of benignity and well-differentiated cancers), new approaches have emerged such as observation, especially with elderly patients or those with significant comorbidity. RM biopsy (RMB) should provide sufficient information for making this decision, but so far this has not been the case. We examine our prospective series of in-bench RMBs after surgery and compare them with the anatomy of the removed specimen. Material and methods: We obtained (prospectively, in-bench and with a 16-gauge needle) 4 biopsies of RMs operated on in our department from October 2008 to December 2009. These RMs were analyzed by 2 uropathologists and compared with the results of the specimen. Results: We analyzed 188 biopsies (47 RMs); 12.75% were "not valid". The ability of biopsy to diagnose malignancy or benignity was 100%, and the coincidence in the histological type was 95%. The success in determining the tumor grade was 100% when the cancer was low-grade and 62% when high-grade. None of the analyzed data (necrosis, size, etc.) influenced the results in a statistically significant manner. Conclusion: RMB with a 16-G needle enables the differentiation between malignancy and benignity in 100% of cases, with a very similar diagnostic accuracy in the tumor type. Tumor grade is still the pending issue with renal mass biopsy.
710			_9220 _aServicio de Urología
710			_9330 _aServicio de Anatomía Patológica
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc16385.pdf _ySolicitar documento
942			_2ddc _cART _n0