CT-guided biopsy of the mediastinal masses. Can anatomical relationships predict complications?

Dvorák, P; Hoffmann, Petr; Kočová, Eva; Habal, Petr; Nová, Markéta

doi:10.5507/bp.2018.058

Cited by 7 publications

(3 citation statements)

References 18 publications

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“…FGTNB has proven to be a real-time imaging modality and is associated with low radiation dose to the patient and operator. With the use of a multiplanar fluoroscopic unit, it is usually possible to document the correct placement of the needle tip within the lesion, including small lesions (5).…”

Section: Discussionmentioning

confidence: 99%

Optimization of Lung and Mediastinal Tumor Diagnosis Using Fluoroscopic-Guided Transthoracic Puncture-Biopsy

Mînzătean,

Chirilă,

Ciuciureanu

et al. 2023

JMRO

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"Introduction: Pathological confirmation of a newly identified tumor is mandatory to create an adequate treatment plan. Patients may have multiple health comorbidities, making them unsuitable for traditional invasive diagnostic procedures. The percutaneous transthoracic biopsy is a minimally invasive alternative method that can provide tissue samples to identify, diagnose, and classify lung or mediastinal tumors. Materials and methods: Data from patients who underwent fluoroscopic-guided transthoracic needle biopsy (FGTNB) in a tertiary cancer center in the Republic of Moldova from 2019 to 2021 were collected retrospectively. Results: We identified 54 patients with lung and 12 with mediastinal tumors. In the lung tumor group, the median age was 57 years; in the mediastinal tumor group, the median was 27.5 years. Most lung tumors were situated in the superior lobes (79.6%) and were found to be less than 5 cm in diameter (70.4%). Most mediastinal tumors were anteriorly located (66.7%) and were found to be more than 10 cm in diameter (58.3%). The sensitivity of transthoracic percutaneous biopsy was 79.6% in lung tumors and 83.3% in mediastinal tumors. The patients we biopsied were identified with either malignancy, infectious pathology, or pulmonary fibrosis. Transthoracic needle biopsy of the lung showed a low rate of pneumothorax (5.6%) and a low rate of bleeding (3.7%). Mediastinal tumor biopsy had a rate of pneumothorax of 16.7%, significantly higher than lung biopsy. Conclusion: Transthoracic needle biopsy performed under fluoroscopic guidance is a safe and efficient alternative diagnostic procedure for comorbid patients with lung or mediastinal tumors."

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Section: Discussionmentioning

confidence: 99%

Optimization of Lung and Mediastinal Tumor Diagnosis Using Fluoroscopic-Guided Transthoracic Puncture-Biopsy

Mînzătean,

Chirilă,

Ciuciureanu

et al. 2023

JMRO

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“…Durch die kurze Eingriffszeit (ca. 30 min) ist die Prozedur für nahezu alle Patienten tolerabel [36].…”

Section: Computertomografiegestützte Interventionenunclassified

Bildgebung bei Mediastinaltumoren

Ley

Ley‐Zaporozhan

2020

Zentralbl Chir

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ZusammenfassungDie Einteilung des Mediastinums erfolgt anhand computertomografischer Aufnahmen in ein ventrales prävaskuläres, mittleres viszerales und dorsales paravertebrales Kompartiment. In den einzelnen Kompartimenten kommen verschiedene Tumorentitäten besonders häufig vor, die entsprechend kurz vorgestellt werden. Im Folgenden werden die typischen bildmorphologischen Zeichen in Röntgen, Sonografie, CT und MRT vorgestellt. Mithilfe der morphologischen Kriterien lassen sich oftmals einzelne Läsionstypen bzw. deren Malignitätsgrad nicht ausreichend abgrenzen. Daher spielen vor allem die funktionellen Informationen im PET und der MRT eine wichtige Rolle zur nicht invasiven Klassifikation. Zur Sicherung einer histologischen Diagnose steht mit den CT-gesteuerten Biopsiemöglichkeiten eine ambulant durchzuführende Option mit hoher diagnostischer Genauigkeit und geringen Komplikationen zur Verfügung.

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“…Several options exist for diagnostic pathologic sampling of mediastinal neoplasms. Among these are the surgical approaches of thoracoscopy (including video-assisted thoracoscopic surgery, VATS), mediastinoscopy, and mediastinotomy, and the less invasive endobronchial ultrasound-guided (EBUS) biopsy, transesophageal endoscopic ultrasound-guided (EUS) biopsy, and percutaneous CT-guided biopsy ( 1 , 2 ). Location within the mediastinum (anterior, middle, posterior) often dictates which interventional approach is used.…”

Section: Introductionmentioning

confidence: 99%

Mediastinal sarcomas: experience using fine needle aspiration cytopathology

Lott-Limbach¹,

Wakely²

2020

Mediastinum

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Fine needle aspiration (FNA) cytology is a sparsely used diagnostic method in the evaluation of mediastinal sarcomas in most medical centers worldwide with most literature citations regarding this category of malignancies consisting of small series and individual case reports. Most of these published studies highlight vascular sarcomas such as epithelioid hemangioendothelioma, and angiosarcoma, various subtypes of liposarcoma including well-differentiated liposarcoma, myxoid liposarcoma, and pleomorphic liposarcoma, malignant peripheral nerve sheath tumor, and sarcomas of uncertain differentiation, primary synovial sarcoma and the Ewing sarcoma family of tumors. This paucity of cytopathology reports regarding mediastinal sarcomas is in marked contrast to the almost daily application of endobronchial ultrasound (EBUS)-guided FNA biopsy for sampling mediastinal lymph nodes and mediastinal masses for primary and metastatic carcinomas which, of course, are considerably more common that any type of sarcoma in this location. EBUS, endoscopic ultrasound-guided (EUS) needle biopsy, and percutaneous image-guided biopsy using either core needle, fine-needle, or both can serve a potentially useful role for diagnostic sampling of mediastinal sarcomas, be they primary or metastatic. This review catalogues much of the published data regarding FNA cytopathology and its application to mediastinal sarcomas. An attempt is made to primarily highlight case series rather than individual case reports; however, due to the paucity of these, case reports are cited and discussed where appropriate.

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CT-guided biopsy of the mediastinal masses. Can anatomical relationships predict complications?

Cited by 7 publications

References 18 publications

Optimization of Lung and Mediastinal Tumor Diagnosis Using Fluoroscopic-Guided Transthoracic Puncture-Biopsy

Optimization of Lung and Mediastinal Tumor Diagnosis Using Fluoroscopic-Guided Transthoracic Puncture-Biopsy

Bildgebung bei Mediastinaltumoren

Mediastinal sarcomas: experience using fine needle aspiration cytopathology

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