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April 6, 1963, Vol 184, No. 1 >
ARTICLE | April 6, 1963

Application of the Trephine for Bone Biopsy: Title and subTitle BreakResults in 635 Cases FREE

Wolfgang Ackermann, MD
[+] Author Affiliations

New York

From the Surgical Service of the Francis Delafield Hospital, and Columbia University.


JAMA. 1963;184(1):11-17. doi:10.1001/jama.1963.03700140067009
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References

The purpose of this study was to determine operability in malignant cases by proving the presence or absence of skeletal metastases. Radiographic findings have frequently led to error. Benign bone lesions sometimes resemble metastases, or extensive metastases may be present in bones which appear radiographically normal. The most frequent sites of bone metastases are the vertebral bodies. They are involved in from 50% to 75% of cases of carcinoma of the breast, lungs, and prostate. New instruments for biopsy of vertebral bodies were invented. Their use is described. In this study on the living, metastases were found in 20%. The fact that in the majority of cases bone biopsy was done before the metastatic spread was far advanced explains this low incidence.

REFERENCES

1 +
Willis, R.A.: Spread of Tumors in Human Body , London: Butterworth & Co., 1952;, pp 232-233.
2 +
Willis, R.A.: Pathology of Tumors , St. Louis, Mo.: C.V. Mosby Co., 1948;, p 374.
3 +
Ackermann, W., and Schwarz, G.S.:  Non-Neoplastic Sclerosis in Vertebral Bodies , Cancer 1:703, 1958;.
4 +
Schackman, R., and Harrison, C.V.: Brit J Surg 35:385, 1948;.
5 +
Bachman, A.L., and Sproul, E.E.:  Correlation of Radiographic and Autopsy Findings in Suspected Metastases in Spine , Bull NY Acad Med 31:146, 1955;.
6 +
Haagensen, C.D., and Stout, A.P.:  Carcinoma of Breast, Criteria of Operability , Ann Surg 118:859, 1032, 1943;.
7 +
Siffert, R., and Arkin, A.M.:  Trephine Biopsy of Bone with Special Reference to Lumbar Vertebral Bodies , J Bone Joint Surg 31-A:146, 1949;.
8 +
Ackermann, W.:  Vertebral Trephine Biopsy , Ann Surg 143:373, 1956;.
9 +
Kendall, P.H.:  Needle Biopsy of Vertebral Bodies , Ann Phys Med 5:236-242, 1960;.
10 +
Valls, J., et al:  Aspiration Biopsy in Diagnosis of Lesions of Vertebral Bodies , JAMA 136:376-382, 1948;.
11 +
Ottolenghi, C.E.:  Diagnosis of Orthopedic Lesions by Aspiration Biopsy , J Bone Joint Surg 37-A:443-464 ( (June) ) 1955;.
12 +
Sproul, E.E.: Unpublished data.
13 +
Haagensen, C.D.: Diseases of Breast , Philadelphia: W.B. Saunders Co., 1956;, pp 575-583.
14 +
Hoffman, W.J.:  New Technic and Instrument for Obtaining Biopsy Specimens , Amer J Cancer 15:212-220, 1931;.
15 +
Hyman, G.:  Comparison of Bone-Marrow Aspiration and Skeletal Roentgenograms in Diagnosis of Metastatic Carcinoma , Cancer 8:576, 1955;.
16 +
Martin, H.E., and Stewart, R.W.:  Advantages and Limitations of Aspiration Biopsy , Amer J Roentgenol 35:245-247, 1936;.
17 +
Robertson, R.C., and Ball, R.P.:  Destructive Spine Lesions: Diagnosis by Needle Biopsy , J Bone Joint Surg 17:749-758, 1935;.
18 +
Turkel, H., and Bethell, F.H.:  Biopsy of Bone Marrow Performed by New and Simple Instrument , J Lab Clin Med 28:1246-1251, 1943;.
19 +
Urban, J.H.:  Radical Excision of Chest Wall for Mammary Cancer , Cancer 4:1263, 1951;.

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1 +
Willis, R.A.: Spread of Tumors in Human Body , London: Butterworth & Co., 1952;, pp 232-233.
2 +
Willis, R.A.: Pathology of Tumors , St. Louis, Mo.: C.V. Mosby Co., 1948;, p 374.
3 +
Ackermann, W., and Schwarz, G.S.:  Non-Neoplastic Sclerosis in Vertebral Bodies , Cancer 1:703, 1958;.
4 +
Schackman, R., and Harrison, C.V.: Brit J Surg 35:385, 1948;.
5 +
Bachman, A.L., and Sproul, E.E.:  Correlation of Radiographic and Autopsy Findings in Suspected Metastases in Spine , Bull NY Acad Med 31:146, 1955;.
6 +
Haagensen, C.D., and Stout, A.P.:  Carcinoma of Breast, Criteria of Operability , Ann Surg 118:859, 1032, 1943;.
7 +
Siffert, R., and Arkin, A.M.:  Trephine Biopsy of Bone with Special Reference to Lumbar Vertebral Bodies , J Bone Joint Surg 31-A:146, 1949;.
8 +
Ackermann, W.:  Vertebral Trephine Biopsy , Ann Surg 143:373, 1956;.
9 +
Kendall, P.H.:  Needle Biopsy of Vertebral Bodies , Ann Phys Med 5:236-242, 1960;.
10 +
Valls, J., et al:  Aspiration Biopsy in Diagnosis of Lesions of Vertebral Bodies , JAMA 136:376-382, 1948;.
11 +
Ottolenghi, C.E.:  Diagnosis of Orthopedic Lesions by Aspiration Biopsy , J Bone Joint Surg 37-A:443-464 ( (June) ) 1955;.
12 +
Sproul, E.E.: Unpublished data.
13 +
Haagensen, C.D.: Diseases of Breast , Philadelphia: W.B. Saunders Co., 1956;, pp 575-583.
14 +
Hoffman, W.J.:  New Technic and Instrument for Obtaining Biopsy Specimens , Amer J Cancer 15:212-220, 1931;.
15 +
Hyman, G.:  Comparison of Bone-Marrow Aspiration and Skeletal Roentgenograms in Diagnosis of Metastatic Carcinoma , Cancer 8:576, 1955;.
16 +
Martin, H.E., and Stewart, R.W.:  Advantages and Limitations of Aspiration Biopsy , Amer J Roentgenol 35:245-247, 1936;.
17 +
Robertson, R.C., and Ball, R.P.:  Destructive Spine Lesions: Diagnosis by Needle Biopsy , J Bone Joint Surg 17:749-758, 1935;.
18 +
Turkel, H., and Bethell, F.H.:  Biopsy of Bone Marrow Performed by New and Simple Instrument , J Lab Clin Med 28:1246-1251, 1943;.
19 +
Urban, J.H.:  Radical Excision of Chest Wall for Mammary Cancer , Cancer 4:1263, 1951;.

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