Transthoracic needle biopsy of small pulmonary nodules.

Westcott, Jack L.; Rao, Nagarjun; Colley, David P.

doi:10.1148/radiology.202.1.8988197

Cited by 171 publications

(81 citation statements)

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“…Difficulties in diagnosing benign lesions and the unavailability of a cytopathologist in the radiology department have mandated the need to perform biopsies that could supply material for histological analysis. Several successful experiences with core biopsy using automated cutting needles in several solid organs 3 encouraged the use of the same method in lung lesions [5][6][7][8] . Previous studies reported sensitivity, specificity, and complication rate of this procedure [5][6][7][8] .…”

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confidence: 99%

Computed tomography-guided cutting needle biopsy of pulmonary lesions

Yu¹,

Deheinzelin²,

Younes³

et al. 2002

Rev. Hosp. Clin.

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PURPOSE:To report the experience of a radiology department in the use of computed tomography -guided cutting needle biopsy of pulmonary nodules, by evaluating diagnostic yield and incidence of complications.METHODS: This is a retrospective analysis of 52 consecutive patients who underwent lung lesion biopsy guided by computed tomography, performed between May 1997 and May 2000. Thirty-five patients were male and 17 were female, with ages ranging from 5 to 85 years (median, 62 years). The size of the lesions ranged from 1.8 to 15 cm (median, 5.4 cm).RESULTS: In a total of 52 biopsies of lung lesions, 51 biopsies (98.1%) supplied appropriate material for histopathological diagnosis, with 9 diagnosed (17.3%) as benign and 42 (80.8%) as malignant lesions. Specific diagnosis was obtained in 44 (84.6%) biopsies: 4 benign (9.1%) and 40 (90.9%) malignant lesions. The sensitivity, specificity, and accuracy of the cutting needle biopsies for determining presence of malignancy were 96.8%, 100%, and 97.2%, respectively. Complications occurred in 9 cases (17.3%), including 6 cases (11.5%) of small pneumothorax, 1 (1.9%) of hemoptysis, 1 (1.9%) of pulmonary hematoma, and 1 (1.9%) of thoracic wall hematoma. All had spontaneous resolution. There were no complications requiring subsequent intervention. CONCLUSION:The high sensitivity and specificity of the method and the low rate of complications have established cutting needle biopsy as an efficient and safe tool for the diagnosis of lung lesions. In our hospital, cutting needle biopsy is considered a reliable procedure for the evaluation of indeterminate pulmonary nodules.

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confidence: 99%

Computed tomography-guided cutting needle biopsy of pulmonary lesions

Yu¹,

Deheinzelin²,

Younes³

et al. 2002

Rev. Hosp. Clin.

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“…O exame é realizado com o auxílio da fluoroscopia, da ultrasonografia ou da tomografia computadorizada, sob anestesia local e com praticamente nenhum desconforto para o paciente (38) . Sua sensibilidade varia de 70 a 100% e depende da localização e do tamanho da lesão, sendo mais intensa nos tumores maiores do que 3cm (39) . O pneumotórax é a maior complicação do exame, mas somente um pequeno número de casos necessita de drenagem toráci-ca.…”

Section: Broncofibroscopiaunclassified

Diagnóstico e estadiamento do câncer de pulmão

Fernandez

Jatene

Zamboni³

2002

J. Pneumologia

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O câncer do pulmão pode apresentar-se sob diversas formas e vários são os meios de diagnosticá-lo. A escolha do melhor método para o seu diagnóstico depende de diferentes aspectos relacionados ao tumor, ao paciente e à habilidade da equipe médica. Dentre os métodos mais comumente utilizados para o diagnóstico do câncer do pulmão, podemos contar, além dos exames radiológicos, que não serão abordados neste artigo, a citologia do escarro, a broncofibroscopia, a punção aspirativa transtorácica e a toracoscopia, entre outros. O estadiamento reflete a extensão anatômica do câncer.As

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“…FNA with fluoroscopic or CT guidance is a well-established and safe method for diagnosing malignant and benign pulmonary nodules. The sensitivity and specificity of FNA in small pulmonary nodules of ¡15 mm has been reported at between 85%-93% and 100%, respectively [79][80][81]. However, the dependence on cytological examination remains a limitation.…”

Section: Management Of Early Detected Lung Cancermentioning

confidence: 99%

Lung cancer screening by low-dose spiral computed tomography

Klaveren

Habbema²,

Pedersen³

et al. 2001

European Respiratory Journal

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The poor prognosis of lung cancer has barely changed in the last decades, but the prognosis is better when the disease is detected earlier. Lung cancer screening by chest radiography did not lead to a decrease in lung cancer mortality, presumably because the chest radiograph is a poor screening tool with low sensitivity.With the advent of the low-dose spiral computed tomography (CT) scan it has become feasible to detect early invasive stage I lung cancer in 80-90% of cases. This technique could possibly decrease lung cancer mortality, but the extent of this effect is as yet unknown, and whether lung cancer screening will be cost-effective is yet to be determined. These questions can only be resolved in a randomized controlled trial with lung cancer mortality as an unbiased end-point.In this review, the initiatives to evaluate low dose spiral CT screening for lung cancer in Japan, USA and Europe are presented. In the USA and Japan, evaluation is in onearmed studies, whereas in many European countries randomized trials are now being planned and several one-armed studies have been initiated. A formal collaboration among these countries has now been set up.It is strongly recommended that lung cancer screening be evaluated in randomized trials in order to allow evidence-based health policy decisions to be made on this subject.

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Transthoracic needle biopsy of small pulmonary nodules.

Abstract: Transthoracic needle biopsy of small pulmonary nodules can produce diagnostic yields comparable with published results of transthoracic needle biopsy of larger lesions.

Cited by 171 publications

References 0 publications

Computed tomography-guided cutting needle biopsy of pulmonary lesions

Computed tomography-guided cutting needle biopsy of pulmonary lesions

Diagnóstico e estadiamento do câncer de pulmão

Lung cancer screening by low-dose spiral computed tomography

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