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Fine Needle (fine + needle)
Terms modified by Fine Needle Selected AbstractsStereotactic-Guided Excisional Biopsy: A New Technique for Very Thin BreastsTHE BREAST JOURNAL, Issue 6 2006Maria L. Diaz MD Abstract:, Stereotactic biopsies are widely used for the diagnosis of breast lesions. Most biopsy devices require breast thickness of at least 25,30 mm with compression. We describe an alternative technique in order to perform excisional stereotactic-guided biopsies for very thin breasts using the prone stereotactic table. In the outpatient setting and with local anesthesia, this procedure can be performed by a radiologist, a surgeon, and a nurse. After conventional stereotactic localization, a fine needle is placed at the site of the lesion. Once the point is marked with a skin marker, a 25G × 16 mm needle is introduced. Then, a couple of stereotactic views are taken to confirm the correct position of the needle. Later, the surgeon excises the lesion guided by the needle. Additional radiographs of the specimen and the remaining breast tissue are obtained to ensure the accuracy of the procedure. [source] 1253: Technique and role of biopsies in intraocular tumoursACTA OPHTHALMOLOGICA, Issue 2010BE DAMATO Purpose To discuss the roles of various forms of biopsy of intraocular tumours, to describe the techniques and to highlight the main pitfalls and complications. Methods Intraocular tumours can be sampled by exo- or endo-biopsy. Exo-biopsy can consist of excisional biopsy (e.g., iridocyclectomy), trans-scleral incisional biopsy, or trans-scleral fine-needle aspiration biopsy. Endo-biopsy comprises vitreous biopsy and retinal or choroidal biopsy performed with a fine needle or vitreous cutter. In rare cases, enucleation is the most pragmatic method of establishing the diagnosis, especially if the eye is blind and painful. Results For many years, biopsy was performed mostly for diagnostic purposes the main reasons being to distinguish melanoma from metastasis and lymphoma from various forms of uveitis. Recently, prognostic biopsy has become more popular, the objective being to determine whether or not a uveal melanoma is likely to be life-threatening. Biopsy can profoundly influence the management of an individual patient but requires special expertise both in the operating theatre and in the laboratory. There are many possible complications, which include endophthalmitis, extraocular seeding of tumour, rhegmatogenous retinal detachment, cataract, haemorrhage, inconclusive result, and mis-diagnosis. Conclusion Biopsy of intraocular tumours is invaluable in the management of selected patients, but requires special expertise to ensure that good results are obtained without causing complications. [source] Diagnosis of ophthalmic tumoursACTA OPHTHALMOLOGICA, Issue 2009T KIVELÄ Purpose To summarise clinical methods used to diagnose ophthalmic tumours. Methods Personal experience of the author as a member of the European Ophthalmic Oncology Group. Results Conjunctival tumours are excised based on provisional clinical diagnosis or, if they are extensive, atypical or part of systemic disease such as lymphoma, first biopsied to obtain a histopathologic diagnosis. Useful methods to diagnose and stage conjunctival tumours are high frequency ultrasonography (US) or ultrasound biomicroscopy (UBM) to measure their thickness, in vivo confocal microscopy or impression cytology to chart their extent, and exfoliative cytology to get a provisional diagnosis. Ciliary body tumours are visualised by radical biomicroscopy, transillumination and indirect ophthalmoscopy with scleral indentation, supplemented with high frequency US or UBM. Binocular indirect ophthalmoscopy and US form the basis or diagnosing choroidal tumours. In addition to fluorescein and indocyanine green angiography in atypical cases, optical coherence tomography to detect subretinal fluid and autofluorescence to detect orange pigment are useful adjuncts in telling a small melanoma from a naevus. The mnemonic "To Find Small Ocular Melanomas" (from Thickness >2mm, subretinal Fluid, Symptoms, Orange pigment, Margin touching disc) is also useful in this respect. Clinical diagnosis of medium-sized to large melanomas is 99% accurate, whereas a fine needle or vitrectomy biopsy may be necessary to diagnose atypical tumours and is also used for cytogenetic analysis of uveal melanomas. Conclusion Conjunctival tumours are mostly diagnosed histopathologically, whereas diagnosis of uveal tumours is usually based on clinical examination. While clinical diagnosis is usually reliable, biopsy of uveal tumours is increasingly used for prognostic purposes. [source] Palaeomagnetism, rock magnetism and geochemistry of Jurassic dykes and correlative redbeds, Massachusetts, USAGEOPHYSICAL JOURNAL INTERNATIONAL, Issue 1 2000Suzanne A. McEnroe Jurassic diabase dykes, sills and sedimentary rocks in central Massachusetts were sampled for palaeomagnetic analysis. The intrusions fall into three of the chemical types for eastern North American diabases: high TiO2 quartz-normative (Holden); low TiO2 quartz-normative (Ware); and high Fe2O3 quartz-normative (Pelham,Loudville). The characteristic magnetizations in the majority of intrusive samples unblock between 550 °C and 580 °C, with Curie temperatures in a discrete interval between 556 °C and 580 °C. The dominant remanence in the diabases is carried by C1 to C3 oxidation-exsolved titanomagnetite occurring as euhedral grains, as fine needles or dust in the matrix, as devitrifed glass, and as fine magnetite-ilmenite-silicate symplectite. In some dykes, titanomagnetite was further modified by deuteric oxidation during post-magmatic cooling, creating titanomaghematite and/or a granulation of the magnetite. Palaeopoles for the three diabase groups are: Holden, 60.1°N, 80.5°E, A95 = 4.1°; Ware, 73.5°N, 85.8°E, A95 = 3.9°; and Pelham,Loudville, 65.3°N, 95.6°E, A95 = 4.1°. These data are combined with samples from two stratigraphic sections through the Early Jurassic part of the Sugarloaf Formation in the Deerfield Basin representing both fine-grained mudstones and coarser arkoses. These haematite-dominated rocks reveal several components of magnetization, a steep recent field direction, an intermediate secondary diagenetic overprint direction in both mudstones and arkoses, and a high-temperature shallow primary direction found only in the mudstones. Palaeopoles for the Sugarloaf Formation are: mudstones, 57.7°N, 81.3°E, A95 = 9.1°; and arkoses, 75.1°N, 131.6°E, A95 = 5.9°. Based on the new palaeomagnetic data reported here, the North American plate in the Middle Jurassic was at higher palaeolatitudes than indicated by the present North American apparent polar wander path. [source] |