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Article Abstract
Background: Pelvic masses present diagnostic challenges due to their complex origins and non-specific imaging characteristics. The accurate preoperative evaluation of pelvic masses plays a crucial role in guiding clinical decision making. This study sought to compare the efficacy and safety of ultrasound (US)-guided transluminal (transvaginal/transrectal) and transabdominal core needle biopsy (CNB) in the diagnosis of pelvic masses.
Methods: A retrospective cohort study was conducted of 305 patients with pelvic masses, who were divided into the following two groups based on the biopsy approach: the US-guided transabdominal CNB group (the transabdominal group) and the transvaginal/transrectal CNB group (the transluminal group). The biopsy time, intraoperative blood loss, diagnostic accuracy, incidence of complications, and postoperative pain levels were evaluated and compared between the two groups.
Results: US-guided biopsy was successfully performed in 305 patients. There were no significant differences between the two groups in terms of accuracy (98.7% . 99.3%), biopsy time (98.2±28.7 . 94.5±27.7 s, P=0.25), number of puncture needles (2.8±0.7 . 2.7±0.8, P=0.61), blood loss (4.3±1.7 . 4.6±1.4 mL, P=0.21), or post-puncture visual analogue scale (VAS) score after puncture (2.8±1.2 . 2.9±1.2, P=0.52). The long and short diameters of the masses were greater in the transabdominal group (107.5±36.1 mm; 74.7±26.6 mm) than the transluminal group (65.6±37.6 mm; 45.0±23.0 mm; both P<0.001). The diagnostic ability of the transluminal (transvaginal/transrectal) CNB in deep pelvic lesions was better than that of the transabdominal CNB (P<0.001).
Conclusions: US-guided transluminal (transvaginal/transrectal) and transabdominal CNB have comparable diagnostic efficacy and safety for pelvic masses. Transvaginal or transrectal biopsy has substantial clinical value in the evaluation of deep pelvic masses.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12209644 | PMC |
| http://dx.doi.org/10.21037/qims-2024-2585 | DOI Listing |
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