Are Core Needle Biopsy Techniques Reliable in Diagnosis
of Musculoskeletal Tumors?
Associate Professor Ahmet Kaya
Izmir Tepecik Education and Research Hospital
35100 Yenisehir, Izmir, Turkey
Correct histologic diagnosis of musculoskeletal tumors,
as soon possible, is quite critic in point of
improvement in patients’ prognosis, and possibility and
success of the limb sparing interventions. To make an
accurate histologic diagnosis, adequate tissue sample is
required. Open incisional biopsy has traditionally been
used for that reason. However, open biopsies have
complication rate of 16 % and these complications affect
the treatment plan in 8 % of all patients undergoing
biopsy . In recent years, core needle biopsies were
started to be used instead of incisional biopsies .
Compared to open biopsy, core needle biopsies are less
invasive, cause fewer potential complications, and incur
less expense. The major concern regarding core needle
biopsy is that it provides a limited sample and small
tissue cores, in which the histolojic morphology may not
Both, it has reported that, to a large extent, the use
of needle biopsies has replaced open biopsy in
musculoskeletal oncology practice and it has also
reported that it remains controversial whether accurate
histological diagnosis can be made only with the
material obtained by needle biopsy of musculoskeletal
The aim of this study is to evaluate the accuracy of the
core needle biopsy techniques in musculuskeletal tumors.
Brief Biography of the Speaker:
I was born in Isparta, Turkey in 1968. I was graduated
from Aegean University Medical faculty on 1991. I
realised my compulsary service between 1991 and 1992.
After that I attended to orthopaedic residency program
in Tepecik Educational and Research Hospital – Izmir –
Turkey. I was named as Orthopaedic Surgeon in 1997 and
start to work as consultant oerthopaedic surgeon. I was
attended to post graduated education in Orthopaedic
Oncology. I was named as associate professor of
orthopaedics and traumatoloy in 2009. I am married and
have a son. I can speak Turkish and English.