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정위적 생검으로 확진이 되지 않았던 예의 분석

DC Field Value Language
dc.contributor.author김경현-
dc.contributor.author정현호-
dc.contributor.author장종희-
dc.contributor.author장진우-
dc.contributor.author박용구-
dc.date.accessioned2020-04-16T05:53:49Z-
dc.date.available2020-04-16T05:53:49Z-
dc.date.issued2005-
dc.identifier.issn1738-6217-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/175693-
dc.description.abstractObjective: Although stereotactic brain biopsy has played an important role in the diagnosis and management of brain lesions, there is a significant number of patients in whom a histologic diagnosis is not achieved. The non-diagnostic result of stereotactic biopsy poses a management dilemma. The goal of this study was to analyze the non-diagnostic results after stereotactic biopsy, subsequent management, progress and final diagnosis. Methods: The authors reviewed the clinical and radiological records of 158 patients who underwent stereotactic brain biopsies using Leksell stereotactic frame. We included 138 patients who were followed more than 6 months in this study. Results: The results were diagnostic in 118 cases and the overall diagnostic yield of the procedure was 85.6%. A definite histological diagnosis was not made in 20 patients: gliosis in 10, normal white matter in 5, necrosis in 2, infiltration of inflammatory cell in 2, and insufficient material in 1. The subsequent managements, progress and their final diagnoses were described. Conclusion: Stereotactic biopsy has evolved as a powerful and safe tool to provide tissue diagnoses with minimal disruption of normal functioning brain. Multiple serial biopsy, intraoperative histological diagnosis, and updated imaging-guided biopsy should be tried to minimize the sampling error. Clinical and radiological follow-up are essential for further diagnosis and management in non-diagnostic cases.-
dc.description.statementOfResponsibilityopen-
dc.languageKorean-
dc.publisher대한정위기능신경외과학회-
dc.relation.isPartOfJournal of the Korean Society of Stereotactic and Functional Neurosurgery (대한정위기능신경외과학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.title정위적 생검으로 확진이 되지 않았던 예의 분석-
dc.title.alternativeAnalysis of the Non-diagnostic Results after Stereotactic Biopsy-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학교실)-
dc.contributor.googleauthor김경현-
dc.contributor.googleauthor박용숙-
dc.contributor.googleauthor정현호-
dc.contributor.googleauthor장종희-
dc.contributor.googleauthor징진우-
dc.contributor.googleauthor박용구-
dc.contributor.googleauthor정상섭-
dc.contributor.localIdA00308-
dc.contributor.localIdA03775-
dc.contributor.localIdA03775-
dc.contributor.localIdA03470-
dc.contributor.localIdA03470-
dc.contributor.localIdA03484-
dc.contributor.localIdA03484-
dc.contributor.localIdA01578-
dc.contributor.localIdA01578-
dc.relation.journalcodeJ01891-
dc.subject.keywordDiagnostic accuracy-
dc.subject.keywordDiagnostic yield-
dc.subject.keywordIntracranial lesion-
dc.subject.keywordNon-diagnostic result-
dc.subject.keywordStereotactic biopsy-
dc.contributor.alternativeNameKim, Kyung Hyun-
dc.contributor.affiliatedAuthor김경현-
dc.contributor.affiliatedAuthor정현호-
dc.contributor.affiliatedAuthor정현호-
dc.contributor.affiliatedAuthor장종희-
dc.contributor.affiliatedAuthor장종희-
dc.contributor.affiliatedAuthor장진우-
dc.contributor.affiliatedAuthor장진우-
dc.contributor.affiliatedAuthor박용구-
dc.contributor.affiliatedAuthor박용구-
dc.citation.volume1-
dc.citation.number2-
dc.citation.startPage172-
dc.citation.endPage178-
dc.identifier.bibliographicCitationJournal of the Korean Society of Stereotactic and Functional Neurosurgery (대한정위기능신경외과학회지), Vol.1(2) : 172-178, 2005-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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