Biopsia quirúrgica o con aguja central guiada por imágenes para el diagnóstico de neuroblastoma en niños
Topic overview
Revisión sistemática y metaanálisis de IPSO compara biopsia quirúrgica abierta versus biopsia con aguja gruesa guiada por imágenes para diagnóstico de neuroblastoma pediátrico. Ambas técnicas muestran adecuación diagnóstica similar (98% vs 90%), pero la biopsia guiada por imagen reduce significativamente transfusiones intraoperatorias (6% vs 22%).
Key takeaways
- Image-guided core needle biopsy (IGCNB) provides adequate tissue for neuroblastoma diagnosis in 90% of cases vs 98% for surgical biopsy.
- IGCNB has significantly lower complication rates (6%) compared to open surgical biopsy (21%) in pediatric neuroblastoma patients.
- Intraoperative transfusion rates are 3.7× higher with surgical biopsy (22%) vs image-guided biopsy (6%).
- Both biopsy techniques provide similar adequacy for biological characterization (IGCNB 89% vs surgical 95%, p=0.15).
- IGCNB should be preferred over surgical biopsy for neuroblastoma diagnosis when feasible due to superior safety profile.
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