Computer tomography-guided core biopsies in a county hospital in Sweden: Complication rate and diagnostic yield

被引:13
|
作者
Branden, Eva [1 ,2 ,3 ]
Wallgren, Stig [4 ]
Hogberg, Hans [2 ,5 ]
Koyi, Hirsh [1 ,2 ,3 ]
机构
[1] Gavle Cent Hosp, Dept Resp Med, S-80187 Gavle, Sweden
[2] Uppsala Univ, Cty Council Gavleborg, Ctr Res & Dev, Uppsala, Sweden
[3] Karolinska Inst, Stockholm, Sweden
[4] Gavle Cent Hosp, Dept Radiol, S-80187 Gavle, Sweden
[5] Cty Council Gavleborg, Dept Publ Hlth Med, Gavle, Sweden
关键词
Core biopsies; emphysema; FEV1; hemorrhage; pneumothorax; CELL LUNG-CANCER; NEEDLE-BIOPSY; LESIONS; PNEUMOTHORAX; RISK;
D O I
10.4103/1817-1737.134069
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BACKGROUND: Core biopsies are valuable in obtaining sufficient tissue to ensure diagnosis of diseases in the thorax. OBJECTIVE: To evaluate the complication rate and the diagnostic yield in computer tomography (CT)-guided core biopsies performed in a county hospital in Sweden. METHODS: Medical journals, spirometry results, pathology reports and CT scans were reviewed in 463 consecutive cases, where a transthoracic core biopsy was performed between January 2005 and December 2010. Of these 380 (82%) were lung lesions, 48 (10%) were mediastinal lesions and 35 (8%) were pleural lesions. RESULTS: All patients underwent a chest X-ray 4 hours post-biopsy and pneumothorax was seen in 156/463 (34%) patients: 137 after lung biopsy and 17 after mediastinal biopsy. Chest tube insertion was required for 27 (17%) of these patients (6% of all core biopsies). Small intraparenchymal hemorrhages and hemoptysis were observed with subjective difficulty in one case. The diagnostic yield for the 463 patients was 212 (46%) cases of lung cancer, 188 (41%) benign lesions and 39 (8%) pulmonary metastases. CONCLUSIONS: A transthoracic core biopsy ensures diagnosis with a low complication rate and is suitable as an outpatient procedure. An increased risk for pneumothorax was observed when the biopsied lesion was small or when emphysema was in the path of the biopsy needle. Reduced lung function pre-biopsy or emphysema in the path of the biopsy needle increased the need for chest tube treatment of pneumothorax. A CT-guided core biopsy is safe and applicable in a county hospital.
引用
收藏
页码:149 / 153
页数:5
相关论文
共 50 条
  • [21] DIAGNOSTIC YIELD OF CT GUIDED THORACIC BIOPSIES AND COMPLICATIONS AT CHIANGRAI PRACHANUKOH HOSPITAL
    Sirijanchune, Piyaporn
    Imsanguan, Worarat
    RESPIROLOGY, 2014, 19 : 89 - 89
  • [22] Invited commentary on diagnostic accuracy of postmortem computed tomography, magnetic resonance imaging, and computed tomography-guided biopsies for the detection of ischaemic heart disease in a hospital setting
    Jackowski, Christian
    EUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING, 2018, 19 (07) : 729 - 729
  • [23] DIAGNOSTIC ACCURACY OF COMPUTED TOMOGRAPHY-GUIDED NONCOAXIAL CUTTING NEEDLE TRANSTHORACIC LUNG BIOPSIES AND THE ASSOCIATED PNEUMOTHORAX
    Ljan, M. Kuku
    Miletic, D.
    Mrsic, E.
    Ostarijas, E.
    Mrsic, A.
    Sosa, I.
    JOURNAL OF BIOLOGICAL REGULATORS AND HOMEOSTATIC AGENTS, 2019, 33 (06): : 1829 - 1835
  • [24] Diagnostic yield of computed tomography-guided bone biopsy and clinical outcomes of tuberculous and pyogenic spondylitis
    Joo, Eun-Jeong
    Yeom, Joon-Sup
    Ha, Young Eun
    Park, So Yeon
    Lee, Chong-Suh
    Kim, Eun-Sang
    Kang, Cheol-In
    Chung, Doo-Ryeon
    Song, Jae-Hoon
    Peck, Kyong Ran
    KOREAN JOURNAL OF INTERNAL MEDICINE, 2016, 31 (04): : 762 - 771
  • [25] Stereotactic computed tomography-guided brain biopsy: diagnostic yield based on a series of 170 patients
    Ferreira, MP
    Ferreira, NP
    Pereira, AD
    Pereira, GD
    Franciscatto, AC
    SURGICAL NEUROLOGY, 2006, 65 : S27 - S32
  • [26] Diagnostic Yield of Computed Tomography-Guided Coaxial Core Biopsy of Undetermined Masses in the Free Retroperitoneal Space: Single-Center Experience
    Joerg Stattaus
    Janine Kalkmann
    Hilmar Kuehl
    Klaus A. Metz
    Mohammad R. Nowrousian
    Michael Forsting
    Susanne C. Ladd
    CardioVascular and Interventional Radiology, 2008, 31 : 919 - 925
  • [27] Diagnostic yield of computed tomography-guided coaxial core biopsy of undetermined masses in the free retroperitoneal space: Single-center experience
    Stattaus, Joerg
    Kalkmann, Janine
    Kuehl, Hilmar
    Metz, Klaus A.
    Nowrousian, Mohammad R.
    Forsting, Michael
    Ladd, Susanne C.
    CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 2008, 31 (05) : 919 - 925
  • [28] MRI-Guided Needle Core Biopsies of Breast: Diagnostic Yield in 193 Cases
    Ginter, P. S.
    Winant, A. J.
    Hoda, S. A.
    LABORATORY INVESTIGATION, 2013, 93 : 43A - 44A
  • [29] MRI-Guided Needle Core Biopsies of Breast: Diagnostic Yield in 193 Cases
    Ginter, P. S.
    Winant, A. J.
    Hoda, S. A.
    MODERN PATHOLOGY, 2013, 26 : 43A - 44A
  • [30] AN ANALYSIS OF THE DIAGNOSTIC YIELD AND COMPLICATION RATE OF FINE NEEDLE ASPIRATES AND CORE BIOPSIES OF 100 CONSECUTIVE PATIENTS UNDERGOING PULMONARY LESION SAMPLING
    Somarajan, P.
    Navani, N.
    Tippett, R.
    Taylor, M.
    Brennand, D.
    Janes, S. M.
    Shaw, P.
    THORAX, 2008, 63 : A108 - A108