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Peripheral compressing artifacts in brain tissue from stereotactic biopsy with sidecutting biopsy needle: a pitfall for adequate glioma grading.

 S.H. Kim  ;  W.S. Chang  ;  J.P. Kim  ;  Y.K. Minn  ;  J. Choi  ;  J.W. Chang  ;  T.S. Kim  ;  Y.G. Park  ;  J.H. Chang 
 Clinical Neuropathology, Vol.30(6) : 328-332, 2011 
Journal Title
 Clinical Neuropathology 
Issue Date
Aims: The stereotactic brain biopsy is an essential diagnostic procedure in modern neurologic patient management. A side-cutting biopsy needle is one of the most widely used needle types. Recently we found a characteristic tissue artifact named "peripheral compressing artifact" in the brain tissues biopsied using a side-cutting needle of Leksell's system. We investigate prevalence, possible cause and its clinical implication of this type of artifact. Materials and methods: We examined the biopsies from 80 patients (44 cases of gliomas, 13 lymphomas, 7 germ cell tumors, 2 other tumors, 1 metastatic carcinoma, 4 non-tumorous conditions such as demyelinating disease and 8 non-diagnostic) in the stereotactic biopsy group with a suspected brain tumor, who underwent a stereotactic brain biopsy using side-cutting needle of Leksell's system. We also evaluated 16 cases of open brain biopsies without Leksell's system as a control group. Results: The artifact is a semi-circular or band-like tissue compression in the periphery of the biopsied tissue. This artifact was found in 30 (37.5%) out of 80 cases and 57 (11.9%) out of 477 biopsied pieces. It might be produced during rotating of the inner cannula of the biopsy needle. Histologically, it might be misinterpreted as "hypercellular", "spindle", "well circumscribed", or rarely as "pseudopalisading" especially in glioma. Conclusions: Awareness of this artifact would help making the appropriate pathological diagnosis for glioma.
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1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실)
Yonsei Authors
김세훈(Kim, Se Hoon) ORCID logo https://orcid.org/0000-0001-7516-7372
김주평(Kim, Joo Pyung)
김태승(Kim, Tai Seung)
박용구(Park, Yong Gou)
장원석(Chang, Won Seok)
장종희(Chang, Jong Hee)
장진우(Chang, Jin Woo) ORCID logo https://orcid.org/0000-0002-2717-0101
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