Reliability and safety of puncture biopsy in the diagnosis of maxillofacial tumors in children and adolescents

doi:10.19438/j.cjoms.2020.02.015

Abstract

Abstract: PURPOSE： To evaluate the accuracy and safety of puncture biopsy in the diagnosis of maxillofacial tumors in children and adolescents. METHODS: From January 2017 to July 2018, 10 cases of maxillofacial tumors under 18 years old were collected from the outpatient Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University, including 6 males and 4 females, with an average age of 12 years old (8-18 years old). In core needle biopsy, three to five pieces of tissues were taken with 16G needle. In fine needle aspiration, a 10 mL syringe was used to extract tissue. Puncture pathology and postoperative pathological diagnosis was compared. Complications were recorded. RESULTS: Core needle biopsy was performed in 4 cases and 3 cases received surgical treatment. One case was fibroblast/myofibroblast tumor. Two cases were rhabdomyosarcoma and one was diagnosed as non-neoplastic lesion. There were 6 cases of fine needle aspiration, and 5 cases received surgical treatment. One patient showed Langerhan's cell istiocytosis or giant cell granuloma. Large amount of blood was observed in 1 case. One case was small round cell tumor. One case showed a large number of inflammatory cells in the left submandibular lymph node. One case was epithelial malignant tumor. One case was rhabdomyosarcoma. The pathological diagnosis of resection specimens of the patients undergoing surgery after core needle biopsy and fine needle aspiration was consistent with the pathological diagnosis of puncture. No complications such as bleeding, wound infection, needle tract recurrence occurred after puncture. CONCLUSIONS: Core needle biopsy and fine needle aspiration are both safe and reliable in the diagnosis of suspected maxillofacial tumors in children and adolescents.

Key words: Core needle biopsy, Fine needle aspiration, Maxillofacial tumors, Children and adolescents

CLC Number:

R739.8

HAN Jing, TIAN Zhen, ZHANG Chun-ye, LIU Jian-nan. Reliability and safety of puncture biopsy in the diagnosis of maxillofacial tumors in children and adolescents[J]. China Journal of Oral and Maxillofacial Surgery, 2020, 18(2): 160-164.

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