New: NCI-funded clinical trial search
Mednet Logo

Is there risk for local recurrence if thymoma received CT guided biopsy transgressing the capsule prior to surgery?

1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Thomas Jefferson University Hospital
Answered on

I polled two board-certified thoracic surgeons in our institution and here is the compilation of their responses:

"The data associating tumor spread with biopsy are, in general, anecdotal and outdated. Pleural spread is a common route of metastasis but there are no clear data to link it to biopsy. We generally do not recommend biopsy for tumors suspicious for thymoma on imaging as it does not usually change treatment plans. In cases where the diagnosis is unclear or resectability is not obvious, performing an FNA is reasonable. Finally, many large volume centers (Indiana University) routinely biopsy anterior mediastinal masses and have not reported any problems."

Join for free or sign in to see the full answer