The interpretation of image-guided core biopsies in gynaecological malignancies

[摘要] In the setting of gynaecological malignancies,there are three main approaches to obtainingimage-guided core biopsies (IGCB): core biopsyof the omentum or peritoneum, transvaginalbiopsies, and targeted biopsies. The mostcommon and most accessible is the omentumor peritoneum when there is the presence of alarge “omental cake” (Figure 1). On occasion,the omental route is not feasible to access theneoplasm seen on imaging. Ovarian massespresent may however be accessible by thetransvaginal route. Targeted biopsies may berequired to establish the nature of metastases,such as in cervical lymph nodes wheregynaecological malignancies may metastasizeand may be one of the differential diagnoses.There are three main clinico-radiologicalindications to perform IGCB in women whopresent with a clinical and radiological pictureof disseminated peritoneal carcinomatosissuggestive of ovarian carcinomatosis.

[学科分类] 生理学与病理学