Beware of hemopneumothorax following core needle breast biopsy

Schizas, Nikolaos; Lazopoulos, Achilleas; Krimiotis, D.; Rallis, Thomas; Paliouras, Dimitrios; Gogakos, Apostolos; Chatzinikolaou, Fotis; Sarafis, Pavlos; Domeyer, Philip; Tsiouda, Theodora; Sardeli, Chrysanthi; Laskou, Styliani; Koulouris, Charilaos; Pavlidis, Efstathios T; Mantalobas, Stylianos; Giannakidis, Dimitris; Κεσίσογλου, Ισαάκ; Sapalidis, Konstantinos; Barbetakis, Nikos

doi:10.1016/j.rmcr.2018.06.008

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…Again abscess formation has been observed in a previous case series due to high PD-L1 expression and it is common in large NSCLC lesions [161]. There are two more studies that support that local aerosol administration of immunotherapy has a favorable effect and could be used alternatively in NSCLC for selected patients [162,163].…”

Section: Immunotherapymentioning

confidence: 74%

Airway local endoscopic pharmacological treatment; current applications and future concepts

Kosmıdis¹,

Sapalidis²,

Hohenforst-Schmidt³

et al. 2022

Front. Biosci. (Landmark Ed)

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Introduction:Local treatment of the airways and lung parenchyma has been used in clinical practice for several years for a variety of diseases. Methods: A variety of endoscopic tools for local treatment exist, especially for treating malignancies. Using these endoscopic tools, one can administer drugs specifically designed for the airways. Discussion: This article presents all locally administered treatment options and provides useful insights for future local endoscopically applied treatments.

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Section: Immunotherapymentioning

confidence: 74%

Airway local endoscopic pharmacological treatment; current applications and future concepts

Kosmıdis¹,

Sapalidis²,

Hohenforst-Schmidt³

et al. 2022

Front. Biosci. (Landmark Ed)

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“…Percutaneous CNB is a useful diagnostic tool for diagnosing soft tissue lesions, especially breast lesions, and surgical excision biopsies can be avoided with its use. 26,27 CNB has also been Values are numbers or percentages (95% confidence intervals). In Criteria 1, "benign" was considered as test-negative, and "SUSP" and "malignancy" were considered as test-positive.…”

Section: Discussionmentioning

confidence: 99%

Core-Needle Biopsy Does Not Show Superior Diagnostic Performance to Fine-Needle Aspiration for Diagnosing Thyroid Nodules

et al. 2020

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Purpose: To compare the diagnostic performances of fine-needle aspiration (FNA) and core-needle biopsy (CNB) for thyroid nodules according to nodule size. Materials and Methods: This retrospective study included 320 thyroid nodules from 320 patients who underwent both FNA and CNB at outside clinics and proceeded with surgery in our institution between July 2012 and May 2019. According to nodule size, the diagnostic performances of FNA and CNB were calculated using various combinations of test-negatives and test-positives defined by the Bethesda categories and were compared using the generalized estimated equation and the Delong method. Results: There were 279 malignant nodules in 279 patients and 41 benign nodules in 41 patients. The diagnostic performance of FNA was mostly not different from CNB regardless of nodule size, except for negative predictive value, which was better for FNA than CNB when applying Criteria 1 and 2. When applying Criteria 3, the specificity and positive predictive value of FNA were superior to CNB regardless of size. When applying Criteria 4, diagnostic performance did not differ between FNA and CNB regardless of size. After applying Criteria 5, diagnostic performance did not differ between FNA and CNB in nodules ≥2 cm. However, in nodules ≥1 cm and all nodules, the sensitivity, accuracy, and negative predictive value of CNB were better than those of FNA. Conclusion: CNB did not show superior diagnostic performance to FNA for diagnosing thyroid nodules.

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“…To master the technique, a biopsy operator needs to undergo a certain learning curve [ 13 ]. Therefore, the requirement of operation level of biopsy operators is high, the operator’s experience is closely associated to the reliability of the diagnostic results [ 14 ], and improper operation can easily cause secondary damages, such as pneumothorax [ 15 ]. The operation stability of vacuum-assisted biopsy is significantly higher than that of core needle biopsy, the secondary damage is less, and the amount of acquired tissue is large.…”

Section: Discussionmentioning

confidence: 99%

A comparative study on ultrasound-guided elite, Mammotome, and core needle biopsy for diagnosing malignant breast masses

et al. 2019

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Introduction: The present study aims to clarify the advantages and disadvantages of elite biopsy, to provide a reference for selecting the puncture method. Material and methods: A total of 802 patients with a BI-RADS grade ≥ 4, as evaluated by the molybdenum target, and measurable lesions revealed by colour Doppler ultrasound, who were admitted at our department from January 2017 to January 2018, were enrolled in the present study. These patients were randomly divided into three groups: elite, Mammotome and core needle biopsy groups. The pathological underestimation rate, diagnostic accordance rate, haematoma incidence rate, and costs of these three biopsy methods were compared. Results: The difference in diagnostic accordance rates between the elite biopsy group and core needle biopsy group was statistically significant (98.9% vs. 94.7%, p = 0.003), as well as between the Mammotome biopsy group and core needle biopsy group (99.6% vs. 94.7%, p < 0.001). The difference in pathological underestimation rates between the elite biopsy group and core needle biopsy group was statistically significant (7.2% vs. 37.3%, p < 0.001), as well as between the Mammotome biopsy group and core needle biopsy group (1.6% vs. 7.2%, p < 0.001). The difference between the Mammotome biopsy group and elite biopsy group was not statistically significant. The incidence of haematoma in the Mommotome, elite, and core needle groups was 15.9%, 13%, and 21.7%, respectively (13% vs. 21.7%, p = 0.021). Conclusions: Elite biopsy has a low rate of pathological underestimation and low incidence of haematoma, can improve the breast conserving rate, and has an affordable cost. As a biopsy method with high accuracy, safety, and economy, elite biopsy can be widely used in clinics.

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Beware of hemopneumothorax following core needle breast biopsy

Cited by 4 publications

References 20 publications

Airway local endoscopic pharmacological treatment; current applications and future concepts

Airway local endoscopic pharmacological treatment; current applications and future concepts

Core-Needle Biopsy Does Not Show Superior Diagnostic Performance to Fine-Needle Aspiration for Diagnosing Thyroid Nodules

A comparative study on ultrasound-guided elite, Mammotome, and core needle biopsy for diagnosing malignant breast masses

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