OPEN VS PERCUTANEOUS CORE NEEDLE BIOPSY (CNB) FOR MUSCULOSKELETAL MALIGNANCIES
Main Article Content
Keywords
musculoskeletal lesions, open biopsy, percutaneous core needle biopsy (CNB), diagnostic accuracy, healthcare costs, comparative analysis, musculoskeletal malignancies
Abstract
Background: Musculoskeletal lesions pose diagnostic challenges, requiring histopathologic verification for precise characterization. This study compares open biopsy and percutaneous core needle biopsy (CNB) for musculoskeletal malignancies.
Methods: The study was conducted at National Institute of Rehabilitation Medicine Islamabad during the period from January 2021 to July 2023. A retrospective analysis of medical records and diagnostic reports included patients undergoing either open biopsy or percutaneous CNB. Diagnostic accuracy, complication rates, hospitalization duration, and healthcare costs were assessed.
Results: Percutaneous CNB demonstrated superior diagnostic accuracy (46%) compared to open biopsy (42%), aligning with existing literature. Complication rates favored CNB (16%) over open biopsy (24%). CNB led to a significantly shorter hospitalization duration (1.5 days) compared to open biopsy (4 days). Cost analysis revealed a compelling advantage for CNB, with an average cost per case of PKR 825,000, contrasting with PKR 1,200,000 for open biopsy.
Conclusion: Percutaneous CNB emerges as a preferred option for musculoskeletal malignancy diagnosis, offering enhanced diagnostic accuracy, lower complication rates, shorter hospitalization, and cost-effectiveness. Economic considerations play a pivotal role in healthcare decision-making, emphasizing the need for a balanced approach considering both clinical and financial dimensions.
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Qaisar Alam
Orthopaedic Surgeon, National Institute of Rehabilitation Medicine, Islamabad - Pakistan
Naeem Ullah
Orthopaedic Surgeon, Saidu Group of Teaching Hospital, Swat - Pakistan
Muhammad Salman
Orthopaedic Surgeon, Zia Darman General Hospital, Mardan, Pakistan
Zulfiqar Ullah
Orthopaedic Surgeon, Khyber Teaching Hospital, Peshawar - Pakistan
Sajjad Haider
Orthopaedic Surgeon, Muhammad Teaching Hospital, Peshawar - Pakistan