CT-guided transthoracic biopsy: histopathologic results and complication rates
| Autor: | Bumin Degirmenci, Hakan Demirtas, Aykut Recep Aktaş, Mustafa Kayan, Emel Gozlek, Mustafa Kara, Ömer Yilmaz, Nisa Ünlü |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Image-Guided Biopsy Male medicine.medical_specialty Percutaneous Biopsy Fine-Needle Hemorrhage Radiography Interventional Transthoracic biopsy Interventional Radiology Biopsy Humans Medicine Radiology Nuclear Medicine and imaging Medical diagnosis Lung Transthoracic needle biopsy Aged Retrospective Studies Aged 80 and over Suspicious for Malignancy medicine.diagnostic_test business.industry Liver Neoplasms Pneumothorax Middle Aged medicine.disease Female Radiography Thoracic Radiology Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Complication |
| Zdroj: | Diagnostic and Interventional Radiology. 21:67-70 |
| ISSN: | 1305-3612 1305-3825 |
| Popis: | PURPOSE We aimed to investigate the effectiveness and complications of transthoracic CT-guided biopsy techniques. METHODS A total of 94 CT-guided percutaneous transthoracic biopsy procedures performed in 85 patients were retrospectively evaluated. Core biopsy technique was used in 87 procedures and transthoracic fine-needle aspiration biopsy was used in seven procedures. RESULTS Diagnostic results were achieved in 79 of 94 biopsy procedures. Pathology results were malignant in 54 patients, suspicious for malignancy in three patients, benign in five patients, and benign nonspecific in 17 patients. Specific diagnoses were obtained in 59 patients (62.8%) using core biopsy, but no specific diagnosis could be reached with transthoracic fine-needle aspiration biopsy. Complications included pneumothorax in 27 patients (28.7%) and parenchymal hemorrhage during and after the procedure in eight patients (8.5%). CONCLUSIONS CT-guided percutaneous transthoracic needle biopsy is a highly accurate procedure for histopathological diagnosis of thoracic masses. In addition, percutaneous transthoracic biopsy has an acceptably low complication rate and it reduces the need for more invasive surgical procedures. |
| Databáze: | OpenAIRE |
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