| Autor: |
Calati Angelo, Pepe Giuseppe, Sampietro Cecilia, Sorino Claudio |
| Rok vydání: |
2022 |
| Předmět: |
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| DOI: |
10.1016/b978-0-323-79541-8.00020-5 |
| Popis: |
A 79-year-old man, who was a smoker and had a history of lower left lobectomy for lung cancer and transurethral resection of bladder carcinoma, presented with upper right opacity demonstrated by chest radiography. Subsequent imaging revealed a pulmonary lesion in the right upper lobe with necrotic-colliquative features and high glucose metabolism. The patient underwent computed tomography (CT)–guided transthoracic needle biopsy (TTNB). The patient was on warfarin therapy for recurrent venous thromboembolism (VTE). It was decided to suspend the drug and to wait until the international normalized ratio (INR) decreased to acceptable values. The TTNB procedure was complicated by right pneumothorax, which significantly increased in the subsequent hours despite the patient being kept at rest. The thoracic surgeon placed a small-bore chest tube and obtained good lung expansion. The histology of the lesion was lepidic-predominant adenocarcinoma (LPA) of the lung. This chapter deals with transthoracic needle aspiration (TTNA) and TTNB and their complications. It also discusses the techniques for chest tube insertion. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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