CT-guided transsternal core biopsy of anterior mediastinal masses.

AIM:To describe various approaches of computed tomography (CT)-guided core biopsy and evaluate its ability to obtain adequate tissue for the assessment of mediastinal masses.MATERIALS AND METHODS:Between February 2004 and October 2006, 83 percutaneous CT-guided biopsies of mediastinal lesions were performed on 82 patients under local anesthesia. Coaxial needles were used and minimum of 3-4 cores were obtained. Post-biopsy CT scan was performed and patients observed for any complications. Tissue samples were taken to Pathology Department in formalin solution.RESULTS:From the 83 biopsies, adequate tissue for histological diagnosis was obtained in 80 (96%), and the biopsy was considered diagnostic. Of the 80 diagnostic biopsies, 74 biopsy samples were definitive for neoplastic pathology and 6 biopsy samples revealed no evidence of malignancy. There were no major complications. Minor complications were recorded in 5 patients.CONCLUSION:Percutaneous image-guided core biopsy of mediastinal lesions is an accurate, safe and cost-effective tool for the initial assessment of patients with mediastinal masses.

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“…Different techniques for CT-guided percutaneous needle biopsy of mediastinal lesions have been advocated. [5–8]…”

Section: Introductionmentioning

confidence: 99%

Percutaneous computed tomography-guided core biopsy for the diagnosis of mediastinal masses

Kulkarni

Roy

et al. 2008

Ann Thorac Med

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“…Very few cases of CT-guided transsternal mediastinal lesion biopsy have been reported in the literature (1)(2)(3)(4) . Astrom et al (1) reported 10 transsternal biopsies in which he used a bone biopsy system to penetrate the sternum.…”

Section: Discussionmentioning

confidence: 99%

CT Scan Guided Trans-Sternal Approach for Anterior Mediastinal Mass Biopsy

Bakare

Pattnaik

2021

Int J Sci Healthcare Res

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Anterior mediastinal lesions which are directly posterior to the sternum and have no significant parasternal component are difficult to approach for biopsy. Very few cases of CT-guided trans-sternal mediastinal mass biopsy have been reported in the literature. We report two cases of CT guided trans-sternal mediastinal mass biopsy to highlight the importance of this technique. Keywords: CT scan, Mediastinal mass, Trans-sternal approach, Biopsy.

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“…Lezyonun tam lokalizasyonunu ve iğnenin hedef lezyona ulaştığını BT daha iyi gösterir. BT ile çok küçük lezyonlara biyopsi yapmak mümkündür ve vasküler yaralanma gibi komplikasyon olasılığı düşüktür (25)(26)(27)(28)(29)(30).…”

Section: Klinikunclassified