Computed Tomography-Guided Core Needle Biopsy of The Thoracic Lesions: A One Year Observational Study
Journal Title: International Journal of Anatomy Radiology and Surgery - Year 2018, Vol 7, Issue 4
Abstract
Introduction: The evaluation and diagnosis of the thoracic lesions by conventional methods leads to increased morbidity. Computed tomography (CT)-guided core biopsy is minimally invasive, accurate for needle puncture localization with less post-procedural complications. Aim: The aim was to evaluate the safety, diagnostic accuracy, and the complications of CT-guided core needle biopsy of thoracic lesions. Materials and Methods: All the 60 patients with varied diagnosis of thoracic lesions underwent CT-guided core needle biopsy of the thoraces to procure tissue. The tissue samples were analyzed histopathologically for diagnosing benign and malignant lesions. Patients underwent preliminary investigations and the lung biopsy was performed by automated Cook’s biopsy gun with an 18-gauge needle of length 15 cm and a throw of 2 cm. The vitals were monitored and postprocedural CT of the thorax was performed to identify any complications. Results: Thoracic lesions were predominantly observed in men (40), with most of the patients in the age-group of 51–60 years. Among the 60 patients with thoracic lesions, 59 had malignant lesions, whereas one patient had benign lesion. Most of the lesions were located in the lung parenchyma (52). Adenocarcinoma was the most frequent (44) type of malignant lesion followed by squamous cell carcinoma (7). Thoracic lesions were predominantly in the right upper lobe (15). However, minimal pneumothorax was observed as a postprocedural complication in three patients. The sensitivity and specificity of the procedure were 100%. Conclusion: CT-guided core needle biopsy is a safe and effective method with high sensitivity and specificity. It is a highly accurate technique in the diagnosis and evaluation of benign and malignant thoracic lesions.
Authors and Affiliations
Pradeep S Goudar, Ashwin S Patil, Virupaxi V Hattiholi, Adarsh Sanikop
Keywords
Related Articles
- EP ID EP534831
- DOI 10.7860/IJARS/2018/37363:2430
- Views 101
- Downloads 0
Role of Quantitative Diffusion MRI in Categorisation of Early Changes in Children with Viral Encephalitis
ABSTRACT Introduction: Viral encephalitis is quite common in this part of world. Magnetic Resonance Imaging (MRI) is the first line investigation modality for the accurate detection and diagnosis of encephalitis. Diffusi...
Giant Thymoma from Ectopic Thymic Tissue in Children: A Case Report and Review of Literature
ABSTRACT Thymoma is a rare tumor in paediatric age group. It is a locally invasive slow growing tumor with occasional occurrence of extra thoracic metastasis. The report of incidence of thymoma from ectopic thymic tissue...
Anatomical Variation of Celiac Axis Artery in Karaikal Population: MDCT Angiographic Findings
ABSTRACT Introduction: The first branch of the abdominal aorta, the celiac axis is the main arterial supply to the foregut structures. Anatomical variations in such important arteries are very important for the surgeons...
A Rare Case of Huge Renal Leiomyosarcoma and Imaging Diagnostic Dilemma
Soft tissue sarcomas are rare mesenchymal tumours. Leiomyosarcoma is a rare malignant tumour of smooth muscle origin that generally arises from soft tissues and uterine tissue. On occasions, they may arise from smooth mu...
Laparoscopic Repair of Peptic Ulcer Perforation - Single Centre Experience
ABSTRACT Introduction: Laparotomy with peritoneal lavage and perforation repair is the standard management of perforated peptic ulcer. But the open surgery is associated with increased morbidity and delay in returning to...