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ASPIRATION FOR REMOVAL OF BIOPSY MATERIAL FROM THE LIVER: REPORT OF THIRTY-FIVE CASES

ASPIRATION FOR REMOVAL OF BIOPSY MATERIAL FROM THE LIVER: REPORT OF THIRTY-FIVE CASES Abstract The clinical diagnosis and prognosis of hepatic disease are frequently beset with considerable uncertainty and inaccuracy, despite the aid of numerous tests of hepatic function and recent improvements in the technic of roentgen examination. As a result, patients with hepatomegaly are often subjected needlessly to exploratory laparotomy, the liver being found to be studded with metastatic carcinoma. On one recent occasion, diagnostic aspiration of the liver was performed in a case in which hepatic suppuration was suspected (case 1). Aspiration yielded a few fragments of tissue which on histologic examination showed carcinoma. This work was subsequently extended, and forty-seven additional aspirations of tissue for biopsy were performed in thirty-four cases. It was observed that, as a procedure for patients in the wards, the diagnosis of obscure hepatic disease often could be made by this method with a reasonable degree of safety. The danger of hemorrhage, which has deterred surgeons from References 1. Roberts: Abscess of the Liver, with Hydatids; Operation , Lancet 1: 189-190, 1833. 2. Biett: Hydatides du foie, avec développement considerable de cet organe; ponction explorative; incision; sortie d'une grande quantité d'acéphalocystes; guérison , Gaz. d. hôp. 7:383, 1833. 3. Bingel, A.: Ueber der Parenchympunction der Leber , Verhandl. d. deutsch. Gesellsch. f. inn. Med. 35:210-212, 1923. 4. Olivet, J.: Die diagnostische Leberparenchympunction , Med. Klin. 22: 1440-1443, 1926. 5. Huard, P.; May, J. M., and Joyeux, B.: La ponction biopsie du foie , Ann. d'anat. path. 12:1118-1124, 1935. 6. Sims, J. M.: Treatment of Hepatic Abscess by Aspiration , Tr. M. Soc. Virginia 3:106-111, 1879. 7. Hammond, W. A.: Some Points in the Pathology and Treatment of Hepatic Abscesses , St. Louis M. & S. J. 35:72-76, 1878. 8. Bingel.3 9. Olivet.4 10. Toullec, F., and Huard, P.: La ponction exploratrice du foie , Monde méd., Paris 45:990-999, 1935. 11. Dieulafoy, G.: Kystes hydatiques , Gaz. d. hôp. 45:586, 595, 603, 614, 621, 644, 691 and 780, 1872. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

ASPIRATION FOR REMOVAL OF BIOPSY MATERIAL FROM THE LIVER: REPORT OF THIRTY-FIVE CASES

BARON, EDGAR
Archives of Internal Medicine , Volume 63 (2) – Feb 1, 1939
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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1939 American Medical Association. All Rights Reserved.
ISSN
0730-188X
DOI
10.1001/archinte.1939.00180190078005
Publisher site
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Abstract

Abstract The clinical diagnosis and prognosis of hepatic disease are frequently beset with considerable uncertainty and inaccuracy, despite the aid of numerous tests of hepatic function and recent improvements in the technic of roentgen examination. As a result, patients with hepatomegaly are often subjected needlessly to exploratory laparotomy, the liver being found to be studded with metastatic carcinoma. On one recent occasion, diagnostic aspiration of the liver was performed in a case in which hepatic suppuration was suspected (case 1). Aspiration yielded a few fragments of tissue which on histologic examination showed carcinoma. This work was subsequently extended, and forty-seven additional aspirations of tissue for biopsy were performed in thirty-four cases. It was observed that, as a procedure for patients in the wards, the diagnosis of obscure hepatic disease often could be made by this method with a reasonable degree of safety. The danger of hemorrhage, which has deterred surgeons from References 1. Roberts: Abscess of the Liver, with Hydatids; Operation , Lancet 1: 189-190, 1833. 2. Biett: Hydatides du foie, avec développement considerable de cet organe; ponction explorative; incision; sortie d'une grande quantité d'acéphalocystes; guérison , Gaz. d. hôp. 7:383, 1833. 3. Bingel, A.: Ueber der Parenchympunction der Leber , Verhandl. d. deutsch. Gesellsch. f. inn. Med. 35:210-212, 1923. 4. Olivet, J.: Die diagnostische Leberparenchympunction , Med. Klin. 22: 1440-1443, 1926. 5. Huard, P.; May, J. M., and Joyeux, B.: La ponction biopsie du foie , Ann. d'anat. path. 12:1118-1124, 1935. 6. Sims, J. M.: Treatment of Hepatic Abscess by Aspiration , Tr. M. Soc. Virginia 3:106-111, 1879. 7. Hammond, W. A.: Some Points in the Pathology and Treatment of Hepatic Abscesses , St. Louis M. & S. J. 35:72-76, 1878. 8. Bingel.3 9. Olivet.4 10. Toullec, F., and Huard, P.: La ponction exploratrice du foie , Monde méd., Paris 45:990-999, 1935. 11. Dieulafoy, G.: Kystes hydatiques , Gaz. d. hôp. 45:586, 595, 603, 614, 621, 644, 691 and 780, 1872.

Journal

Archives of Internal Medicine – American Medical Association

Published: Feb 1, 1939

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