Delayed pneumothorax after CT-guided percutaneous fine needle aspiration lung biopsy

INTRODUCTION: The study is an attempt to evaluate the sensitivity, specificity, positive predictive value, negative predictive value, p Value and complications of CT guided thoracic interventions fine needle aspiration cytology and core biopsy which are used for diagnosing benign and malignant thoracic lesions. MATERIAL AND METHODS: Study included 102 Patients (87 males and 15 females) with age group ranged from 15 to 87 years.A total of 143 CT guided interventions (84 FNAC’s and 59 core biopsies) were performed in 102 patients. The tissue obtained was sent to the laboratory for histopathological and cytological analysis for a final diagnosis which would contribute to patient management. RESULTS: All( 59) core biopsies were successful in procuring adequate tissue for histopathological analysis and the yield of core biopsies was 100% .However out of 84 FNAC’s only 4 were unsuccessful in procuring adequate tissue with a failure rate of 4.8%. Post procedural biopsy complications were only three (2.1%) which were small pneumothorax. There were 75 malignant lesions and 23 benign lesions based on cytology and histopathology (4 were excluded due to inadequate sample). There was good agreement between benign and malignant lesions diagnosed on CT and that diagnosed by pathology. The most common benign and malignant lesions were granulomatous lesion and squamous cell carcinoma. CONCLUSION: Percutaneous CT guided interventions like core biopsy and fine needle aspirations cytology are simple minimal invasive procedures with good patient acceptance and low morbidity and almost negligible mortality. CT guided interventions should be performed early for diagnosis of thoracic lesions.

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Clinical Value of CT-Guided Fine Needle Aspiration and Tissue-Core Biopsy of Thoracic Masses in the Dog and Cat

Animals ◽

10.3390/ani11030883 ◽

2021 ◽

Vol 11 (3) ◽

pp. 883

Author(s):

Massimo Vignoli ◽

Roberto Tamburro ◽

Andrea Felici ◽

Francesca Del Signore ◽

Annalisa Dettori ◽

...

Keyword(s):

Fine Needle Aspiration ◽

Core Biopsy ◽

Needle Aspiration ◽

Clinical Value ◽

Reliable Technique ◽

Ct Guided ◽

Fine Needle ◽

Tissue Core ◽

Histopathologic Diagnosis ◽

Ct Guided Biopsy

Diagnosis of thoracic lesions on the basis of history and physical examination is often challenging. Diagnostic imaging is therefore of paramount importance in this field. Radiology has traditionally been considered the diagnostic procedure of choice for these diseases. Nevertheless, it is often not possible to differentiate inflammatory/infectious lesions from neoplastic diseases. A correct cytological and histopathologic diagnosis is therefore needed for an accurate diagnosis and subsequent prognostic and therapeutic approach. In human medicine, Computed Tomography (CT) and CT-guided biopsy are used in the presence of lesions which are not adequately diagnosed with other procedures. In the present study, thoracic lesions from 52 dogs and 10 cats of different sex, breed and size underwent both CT-guided fine-needle aspiration (FNAB) and tissue-core biopsy (TCB). Clinical examination, hematobiochemical analysis and chest radiography were performed on all animals. In this study, 59 of 62 histopathological samples were diagnostic (95.2%). Cytology was diagnostic in 43 of 62 samples (69.4%). General sensitivity, accuracy and PPV for FNAB and TCB were 67.7%, 67.7% and 100% and 96.7%, 95.2% and 98.3%, respectively. Combining the two techniques, the overall mean accuracy for diagnosis was 98.4%. Nineteen of 62 cases showed complications (30.6%). Mild pneumothorax was seen in 16 cases, whereas mild hemorrhage occurred in three cases. No major complications were encountered. CT-guided FNAB cytology can be considered a useful and reliable technique, especially for small lesions or lesions located close to vital organs and therefore dangerous to biopsy in other way.

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Ultrasound-Guided Phrenic Nerve Block for CT-Guided Percutaneous Pulmonary Fine-Needle Aspiration Biopsy

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2014.11.031 ◽

2015 ◽

Vol 26 (4) ◽

pp. 597-599 ◽

Cited By ~ 1

Author(s):

Enrique Carrero ◽

Pedro Arguis ◽

Marcelo Sánchez ◽

Xavier Sala-Blanch

Keyword(s):

Nerve Block ◽

Fine Needle Aspiration ◽

Phrenic Nerve ◽

Fine Needle Aspiration Biopsy ◽

Needle Aspiration ◽

Aspiration Biopsy ◽

Ultrasound Guided ◽

Ct Guided ◽

Fine Needle ◽

Phrenic Nerve Block

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A Case of Metastatic Lung Cancer Accompanied by Needle Tract Seeding after CT Guided Fine Needle Aspiration Biopsy.

Haigan ◽

10.2482/haigan.34.931 ◽

1994 ◽

Vol 34 (6) ◽

pp. 931-936

Author(s):

Tadafumi Shimizu ◽

Kensuke Ashina ◽

Miwako Doi ◽

Ritsuo Matsui ◽

Kozo Sueyoshi ◽

...

Keyword(s):

Lung Cancer ◽

Fine Needle Aspiration ◽

Fine Needle Aspiration Biopsy ◽

Needle Aspiration ◽

Metastatic Lung Cancer ◽

Ct Guided ◽

Fine Needle ◽

Needle Tract ◽

Needle Tract Seeding ◽

Metastatic Lung

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Transesophageal endoscopic ultrasound fine needle aspiration of vertebral body osteolytic tumors – a novel diagnostic approach. Case series.

Medical Ultrasonography ◽

10.11152/mu-2618 ◽

2020 ◽

Author(s):

Romeo Ioan Chira ◽

Alina Florea ◽

Vlad Ichim ◽

Liliana Rogojan ◽

Alexandra Chira ◽

...

Keyword(s):

Vertebral Body ◽

Endoscopic Ultrasound ◽

Fine Needle Aspiration ◽

Histopathological Examination ◽

Traditional Approach ◽

Case Series ◽

Lumbar Vertebrae ◽

Needle Aspiration ◽

Ct Guided ◽

Fine Needle

Aims: Vertebral lesions, either primary or more frequently metastasis, are difficult targets for percutaneous guided biopsies and surgical biopsies and are associated with greater risks of complications. We investigated the feasibility of endoscopic ultrasound (EUS) fine needle aspiration (FNA) biopsy in the assessment of vertebral osteolytic tumors as an alternative to CT guided biopsy which is the technique currently used.Material and methods: Four patients with osteolytic tumors of the vertebral bodies identified by imaging methods (CT or MRI) – 3 patients, and one with a tumor detected primarily during EUS procedure were included in order to evaluate the feasibility of the procedure. The lesions were located either at the dorsal or lumbar vertebrae. In all cases we performed EUS FNA of the osteolytic vertebral body lesions with 22G needles using the transesophageal or transgastric approach.Results: In all cases EUS FNA provided enough tissue for an accurate histopathological report, with no procedural complication. We diagnosed lung adenocarcinoma, hepatocarcinoma and a pancreatic adenocarcinoma vertebral metastasis and one case of lymphoma.Conclusions: EUS FNA is a valuable technique which should be considered in selected cases, when a “traditional approach” is not applicable or associated with a higher risk. Treatment guidelines are based on the histology of the tumor, histopathological examination being nowadays mandatory. Therefore, we propose for selected cases a feasible technique, with significantly lower procedural risks, as an alternative for open surgical biopsies or computed tomography guided biopsies

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Diagnostic Value of Rapid On-Site Evaluation for CT-Guided Percutaneous Fine Needle Aspiration in the Diagnosis of Pulmonary Occupying Lesions

BioMed Research International ◽

10.1155/2020/9842768 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Tian-Feng Peng ◽

Tao Ren ◽

Han-Sheng Wang ◽

Zhe-Xiang Feng ◽

Mei-Fang Wang

Keyword(s):

Lung Cancer ◽

Fine Needle Aspiration ◽

Predictive Value ◽

Rate Sensitivity ◽

Needle Aspiration ◽

Ct Guided ◽

Fine Needle ◽

Site Evaluation ◽

Sensitivity Specificity ◽

The Rose

Objective. Rapid on-site evaluation (ROSE) is an effective and efficient auxiliary examination, but its value for CT-guided percutaneous fine-needle aspiration (FNA) in the diagnosis of pulmonary occupying lesions is unclear. This study is aimed at evaluating the clinical utility of ROSE for CT-guided percutaneous FNA. Methods. We reviewed 234 patients from September 2018 to April 2019. The result using ROSE was compared with the final pathological diagnosis of CT-guided percutaneous FNA, and we also compared the complications between the ROSE group and the NO-ROSE group. The final pathological diagnosis results served as the gold standard. We also analyzed the diagnostic rate of FNA and the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of malignancy. The correlation between diverse pathological types of lung cancer was also taken into consideration. Results. In total, 132 patients underwent CT-guided percutaneous FNA with ROSE (ROSE group), and 102 did not (NO-ROSE group). The diagnostic rate, sensitivity, specificity, PPV, and NPV of the ROSE group were 91.6%, 89.1%, 94.1%, 93.4%, and 90.1%, respectively. The complication rates of the ROSE group and the NO-ROSE group were 8.33% and 16.67%, respectively. This difference was not statistically significant ( P > 0.05 ). In subsets of adenocarcinoma (AC) and small cell lung cancer (SCLC) patients, the ROSE result was highly consistent with the final pathological result. Conclusion. CT-guided percutaneous FNA combined with ROSE has a high diagnostic rate, sensitivity, and specificity for pulmonary occupying lesions and an acceptable rate of complications. This method is worthy of wide use given its high efficiency and safety.

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