The Influence of Corticosteroids on Diagnostic Accuracy of Biopsy for Primary Central Nervous System Lymphoma

Binnahil Mashary; Au Karolyn; Lu Jian-Qiang; Wheatley Blaise Matthew; Sankar Tejas

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The Influence of Corticosteroids on Diagnostic Accuracy of Biopsy for Primary Central Nervous System Lymphoma

机译：皮质类固醇对原发性神经系统淋巴瘤活检诊断准确性的影响

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Classical neurosurgical teaching suggests that corticosteroid administration reduces the diagnostic yield of stereotactic brain biopsy for primary central nervous system lymphoma (PCNSL). In a single-center series spanning 6 years, we reviewed 155 consecutive biopsy patients, 135 treated with prebiopsy corticosteroids. PCNSL was correctly diagnosed on initial biopsy in 15 of 16 steroid-treated patients; in the single nondiagnostic specimen, polymerase chain reaction reanalysis by an outside institution showed evidence of lymphoproliferative disease consistent with PCNSL. Our data challenge the notion that it is necessary to withhold corticosteroid therapy for cerebral edema in patients awaiting stereotactic biopsy for suspected PCNSL.

机译：典型神经外科教学表明皮质类固醇给药降低了对原发性中枢神经系统淋巴瘤（PCNSL）的立体定向脑活检的诊断产量。在6年的单中心系列中，我们审查了155名连续活检患者，135例用预生物皮质类固醇治疗。 PCNSL在16名类固醇治疗患者的15个中的初始活组织检查上被正确诊断出来; 在单一非诊断标本中，外部机构的聚合酶链反应再分析显示出与PCNSL一致的淋巴抑制性疾病的证据。我们的数据挑战了在等待疑似PCNSL的立体定向活组织检查的患者中扣除皮质类固醇治疗的观念。

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来源
《The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques》 |2016年第5期|共5页
作者
Binnahil Mashary; Au Karolyn; Lu Jian-Qiang; Wheatley Blaise Matthew; Sankar Tejas;
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作者单位

Univ Alberta Dept Surg Div Neurosurg Edmonton AB Canada;

Univ Toronto Dept Surg Div Neurosurg Toronto ON Canada;

Univ Alberta Dept Pathol Div Neuropathol Edmonton AB Canada;

Univ Alberta Dept Surg Div Neurosurg Edmonton AB Canada;

Univ Alberta Dept Surg Div Neurosurg Edmonton AB Canada;

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原文格式 PDF
正文语种 eng
中图分类神经病学与精神病学;
关键词
Lymphoma; Neuro-Oncology; Neuropathology; Neurosurgery;

机译：淋巴瘤;神经病理学;神经病理学;神经外科;

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1. The Influence of Corticosteroids on Diagnostic Accuracy of Biopsy for Primary Central Nervous System Lymphoma [J] . Binnahil Mashary, Au Karolyn, Lu Jian-Qiang, The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques . 2016,第5期

机译：皮质类固醇对原发性神经系统淋巴瘤活检诊断准确性的影响
2. Influence of preoperative corticosteroid treatment on rate of diagnostic surgeries in primary central nervous system lymphoma: a multicenter retrospective study [J] . Scheichel Florian, Marhold Franz, Pinggera Daniel, BMC Cancer . 2021,第1期

机译：术前皮质类固醇治疗对原发性神经系统淋巴瘤诊断手术率的影响：多中心回顾性研究
3. Molecular analysis in liquid biopsies for diagnostics of primary central nervous system lymphoma: Review of literature and future opportunities [J] . Hiemcke-Jiwa Laura S., Leguit Roos J., Snijders Tom J., Critical reviews in oncology/hematology . 2018,第期

机译：液中枢神经系统诊断液体活组织检查分子分析：文学与未来机遇综述
4. Of the application a vector-modeling and visual diagnostic images in the system of monitoring and diagnostics of pathology of the central nervous system at children [C] . Shvaikova Irina N., EUROCON International Conference on Computer as a Tool . 2007

机译：应用一种向量建模和视觉诊断图像在儿童中枢神经系统病理学系统监测与诊断系统中
5. Utility of apparent diffusion coefficients in the evaluation of primary central nervous system lymphoma. [D] . Gilbert, John Webster. 2012

机译：表观扩散系数在原发性中枢神经系统淋巴瘤评估中的应用。
6. Influence of preoperative corticosteroid treatment on rate of diagnostic surgeries in primary central nervous system lymphoma: a multicenter retrospective study [O] . Florian Scheichel, Franz Marhold, Daniel Pinggera, 2021

机译：术前皮质类固醇治疗对原发性中枢神经系统淋巴瘤诊断手术率的影响：多中心回顾性研究
7. Biópsia estereotáxica para linfomas primários do sistema nervoso central Stereotactic biopsy for primary lymphomas of the central nervous system [O] . Murilo S. Meneses, Brian P. O'Neill, Patrick J. Kelly 1992

机译：中枢神经系统原发性淋巴瘤的立体定向活检

The Influence of Corticosteroids on Diagnostic Accuracy of Biopsy for Primary Central Nervous System Lymphoma

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