Percutaneous transthoracic needle biopsy of the lung : review of 612 lesions

作者: James L. Swischuk , Flavio Castaneda , Jitendra C. Patel , Ruizong Li , Kenneth W. Fraser

DOI: 10.1016/S1051-0443(98)70279-9

关键词: BiopsyPercutaneousPneumothoraxLung biopsyFine-needle aspirationMalignancyRadiographyRadiologyMedicineLung

摘要: Purpose The results and complications of 651 pulmonary fine-needle aspiration biopsies (FNABs) were reviewed. number needle passes size correlated to pneumothorax chest tube placement rates. Materials Methods FNAB the lung was performed on occasions in 612 patients with 18- 22-gauge Franseen needles. Diagnostic rates calculated. used evaluated for their association subsequent placement. Results accuracy 94% sensitivity malignancy 95%. Positive negative predictive values 99.5% 90%, respectively. Pneumothorax occurred 26.9% 9.2% requiring Increasing numbers larger sizes did not increase or Conclusions has excellent diagnostic remains procedure choice diagnosing lesions. This large study contradicts perceptions that decrease thinner needles fewer passes.

参考文章(28)
C Sanders, Transthoracic needle aspiration. Clinics in Chest Medicine. ,vol. 13, pp. 11- 16 ,(1992)
Bailey Pb, Miller We, Cortese Da, Berquist Th, Transthoracic needle biopsy: accuracy and complications in relation to location and type of lesion. Mayo Clinic proceedings. ,vol. 55, pp. 475- 481 ,(1980)
Jo-Anne Shepard, Complications of percutaneous needle aspiration biopsy of the chest: prevention and management Seminars in Interventional Radiology. ,vol. 11, pp. 181- 186 ,(1994) , 10.1055/S-2008-1074754
Adrian J. Williams, Silverio Santiago, Stuart Lehrman, Ronald Popper, Transcutaneous needle aspiration of solitary pulmonary masses: how many passes? The American review of respiratory disease. ,vol. 136, pp. 452- 454 ,(1987) , 10.1164/AJRCCM/136.2.452
J L Westcott, N Rao, D P Colley, Transthoracic needle biopsy of small pulmonary nodules. Radiology. ,vol. 202, pp. 97- 103 ,(1997) , 10.1148/RADIOLOGY.202.1.8988197
Stefano Gasparini, Maurizio Ferretti, Elisabetta Bichi Secchi, Stefano Baldelli, Lina Zuccatosta, Paolo Gusella, Integration of Transbronchial and Percutaneous Approach in the Diagnosis of Peripheral Pulmonary Nodules or Masses: Experience With 1,027 Consecutive Cases Chest. ,vol. 108, pp. 131- 137 ,(1995) , 10.1378/CHEST.108.1.131
Robert H. Poe, Michael C. Kallay, Charles M. Wicks, Charles L. Odoroff, Predicting Risk of Pneumothorax in Needle Biopsy of the Lung Chest. ,vol. 85, pp. 232- 235 ,(1984) , 10.1378/CHEST.85.2.232