Needle Biopsy of Bone
Report of Three Representative Cases
- J. Ted Hartman, MD;
- George S. Phalen, MD
Abstract
We have reviewed a series of 146 biopsies of bone performed with the Craig needle by closed technique since 1961. This method has proved superior to previous methods of needle biopsy and has been particularly helpful in establishing a correct diagnosis in patients with neoplasm metastatic to bone. We believe a proved pathologic diagnosis in these patients is of more than academic interest since it has allowed us, in many instances, to initiate an appropriate therapeutic program without delay. Furthermore, these needle biopsies have changed our preoperative diagnosis in some cases from neoplasm to sepsis, or vice versa. The determination of the etiologic agent in cases of sepsis has also proved of great therapeutic value. A needle biopsy, especially in a patient with vertebral involvement, may effectively exclude a suspected disease process.
Footnotes
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Read before the Section on Orthopedic Surgery at the 115th annual convention of the American Medical Association, Chicago, June 28, 1966. Reprint requests to 2020 E 93rd St, Cleveland 44106 (Dr. Hartman).
