Abstract
Percutaneous needle biopsy of musculoskeletal tumors is a safe and accurate technique, but it can be associated with a risk of malignant seeding of the biopsy tract, especially in patients with sarcomas. The biopsy tract is generally resected en bloc during definitive tumor surgery. Needle-tract seeding in uninvolved compartments or major neurovascular structures may necessitate more radical resection or preclude limb-sparing surgery. Hence, it is important to plan the needle path along the proposed surgical incision and to avoid traversing uninvolved compartments and major neurovascular structures. Interventional radiologists who perform needle biopsies of musculoskeletal tumors should have a thorough understanding of the cross-sectional compartmental anatomy and location of neurovascular structures in the upper and lower extremities. The radiologist should discuss the potential biopsy with the orthopedic surgeon who will be the primary operator for definitive resection.
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Sendos, S.N., Gupta, S. (2014). Anatomic Guidelines and Approaches for Biopsy of the Long Bones. In: Ahrar, K., Gupta, S. (eds) Percutaneous Image-Guided Biopsy. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8217-8_23
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DOI: https://doi.org/10.1007/978-1-4614-8217-8_23
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