Percutaneous needle biopsy of the mediastinum: review of 94 procedures.

Morrissey, Brendan; Adams, Herbert D.; Gibbs, A R; Crane, Michael

doi:10.1136/thx.48.6.632

Cited by 115 publications

(56 citation statements)

References 10 publications

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“…With the sample obtained by FNA, a pathologist may suspect these diagnoses but may not be able to differentiate among them. Recent reports describe the higher accuracy of cutting-needle biopsy for the diagnosis of lymphoma 14,15 , with the possibility of also concurs with reports from the literature 10 . The absence of complications in our series also can be associated with the low number of punctures through the lung parenchyma or pleura, which can be avoided in most cases by using CT guidance.…”

Section: Discussionsupporting

confidence: 59%

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Computed tomography-guided biopsy of mediastinal lesions: fine versus cutting needles

et al. 2003

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PURPOSE:To report the experience of a radiology department in the use of computed tomography guided biopsies of mediastinal lesions with fine and cutting needles, describing the differences between them. The results of adequacy of the sample and histologic diagnoses are presented according to the type of needle used.METHODS: We present a retrospective study of mediastinal biopsies guided by computed tomography performed from January 1993 to December 1999. Eighty-six patients underwent mediastinal biopsy in this period, 37 with cutting needles, 38 with fine needles, and 11 with both types (total of 97 biopsies).RESULTS: In most cases, it was possible to obtain an adequate sample (82.5%) and specific diagnosis (67.0%). Cutting-needle biopsy produced a higher percentage of adequate samples (89.6% versus 75.5%, P = 0.068) and of specific diagnosis (81.3% versus 53.1%, P = 0.003) than fine-needle biopsy. There were no complications that required intervention in either group.CONCLUSION: Because they are practical, safe, and can provide accurate diagnoses, image-guided biopsies should be considered the procedure of choice in the initial exploration of patients with mediastinal masses. In our experience, cutting needles gave higher quality samples and diagnostic rates. We recommend the use of cutting needles as the preferred procedure.

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Section: Discussionsupporting

confidence: 59%

“…Fine-needle biopsy has a high sensitivity and specificity for metastatic disease 11,12 . Morrisey et al 10 reported a slightly higher sensitivity of cuttingneedle biopsy (96%) for diagnosis of metastatic carcinoma comparing to the 90% sensitivity of FNA. Fine-needle biopsy is also useful for cystic masses 13 and germ cell tumors 8 .…”

Section: Discussionmentioning

confidence: 99%

Computed tomography-guided biopsy of mediastinal lesions: fine versus cutting needles

et al. 2003

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“…Reported accuracy rates of CT guided percutaneous needle aspiration/biopsy ranges from 64%-97% with a small risk of complications, and these results were observed by B Morrissey et al [1], Westcott JL et al [3]. Our study produced a better diagnostic yield as compared to other similar study conducted by Kulkarni et al who had reported a diagnostic yield of 96% [5].…”

Section: Discussioncontrasting

confidence: 53%

“…Some of the commonly used techniques include percutaneous image-guided trans-thoracic needle biopsy; surgical techniques like cervical mediastinoscopy, thoracoscopy, and anterior mediastinotomy and then the needle biopsy techniques such as endoscopic ultrasound-guided fine needle aspiration biopsy and trans-bronchial needle biopsy are also used. For the assessment of thoracic lesions, especially for mediastinal lesions, an image-guided percutaneous needle biopsy is a safe and reliable technique [1].…”

Section: Discussionmentioning

confidence: 99%

Incidence of Malignancy in Mediastinal Lymphadenopathy in Indian Population Using Ct Guided Biopsy as an Evaluating Tool

Vasanthraj¹,

Dev²,

Santosham³

et al. 2018

Int J Surg Med

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Causes of mediastinal lymphadenopathy are many, ranging from reactive lymphadenopathy to malignancy. With the high incidence of tuberculosis in India, we aimed to determine the incidence of malignancy in mediastinal nodes with no primary lung lesion using computed tomography (CT)-guided biopsy as an evaluating tool and highlighting the superiority of this procedure over others described in the literature.

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“…Morrisey et al [12] performed study with 94 cases with mediastinal mass lesion, and demonstrated advantages of USguided TTFNAB relative to CT-guided TTFNAB of ability to perform the former within a shorter time, and on realtime basis. However, they noted that for US-guided biopsy procedure, mediastinal mass should be large enough and localized on the chest wall, without interposition of aerated lung tissue.…”

Section: Discussionmentioning

confidence: 99%

The Role of Thoracic Ultrasonography in the Diagnosis of Anterior Mediastinal Lesions

Doğan¹

2017

South Clin Ist Euras

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Percutaneous needle biopsy of the mediastinum: review of 94 procedures.

Cited by 115 publications

References 10 publications

Computed tomography-guided biopsy of mediastinal lesions: fine versus cutting needles

Computed tomography-guided biopsy of mediastinal lesions: fine versus cutting needles

Incidence of Malignancy in Mediastinal Lymphadenopathy in Indian Population Using Ct Guided Biopsy as an Evaluating Tool

The Role of Thoracic Ultrasonography in the Diagnosis of Anterior Mediastinal Lesions

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