https://scholars.lib.ntu.edu.tw/handle/123456789/554050
標題: | Usefulness of computed tomography-guided transthoracic small-bore coaxial core biopsy in the presence of a pneumothorax | 作者: | YEUN-CHUNG CHANG HAO-CHIEN WANG PAN-CHYR YANG |
公開日期: | 2003 | 卷: | 18 | 期: | 1 | 起(迄)頁: | 21-26 | 來源出版物: | Journal of Thoracic Imaging | 摘要: | Transthoracic needle biopsy (TNB) is usually avoided in the presence of pneumothorax. The authors performed computed tomography (CT)-guided transthoracic core biopsy in the presence of pneumothorax in 13 patients (4.9%) selected from 265 patients who received CT-guided TNB over 4 years. These iatrogenic pneumothoraces were induced by previous ultrasound (US)-guided TNB (n = 5), transbronchial lung biopsy (n = 4), and CT-guided biopsy (n = 4). The time interval between previous thoracic intervention and CT-guided TNB ranged from 0 hours to 9 days after transbronchial lung biopsy (average, 4 days). A diagnostic core biopsy was performed in 12 of the 13 patients. Seven lesions proved to be malignant and five were benign. Failure of CT-guided transthoracic core biopsy occurred in a single patient with a previous US-guided biopsy within 24 hours. This patients demonstrated a progressively enlarging pneumothorax and was treated with air aspiration with CT guidance. A successful second biopsy was performed 7 days later after full expansion of the lung. There were no complications related to the procedures. The authors' experience suggests that CT-guided transthoracic core biopsy using small-bore coaxial technique can be safely performed with high-diagnostic yield in patients with stable iatrogenic pneumothorax. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/554050 | ISSN: | 0883-5993 | DOI: | 10.1097/00005382-200301000-00003 | SDG/關鍵字: | adult; aged; article; aspiration; clinical article; computer assisted tomography; device; diagnostic accuracy; disease course; echography; evaluation; female; histopathology; human; human tissue; iatrogenic disease; male; needle; needle biopsy; pneumothorax; technique; transbronchial biopsy; Adult; Aged; Biopsy, Needle; Cohort Studies; Follow-Up Studies; Humans; Iatrogenic Disease; Immunohistochemistry; Lung Diseases; Middle Aged; Pneumothorax; Radiography, Interventional; Retrospective Studies; Risk Assessment; Sensitivity and Specificity; Tomography, X-Ray Computed |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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