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[Transthoracic punctures in pulmonary foci]
A M Vints1, J L van Saase, G A van Assen
1Afd. Longziekten, Ziekenhuis Leyenburg, 's-Gravenhage.
Nederlands Tijdschrift Voor Geneeskunde
|March 31, 1990
Summary
Percutaneous needle biopsy is a safe and effective diagnostic tool when bronchoscopy fails, offering a high diagnostic yield for malignancy with low complication rates.
Area of Science:
- Pulmonology
- Interventional Radiology
- Oncology
Context:
- Bronchoscopy is a common diagnostic tool for lung conditions.
- Diagnostic challenges arise when initial investigations are inconclusive.
- Percutaneous needle biopsy offers an alternative minimally invasive approach.
Purpose:
- To evaluate the diagnostic yield and complication rate of percutaneous needle biopsy.
- To assess the effectiveness of percutaneous needle biopsy in diagnosing malignancy when bronchoscopy fails.
Summary:
- 169 percutaneous needle biopsies were performed on 149 patients between 1981 and 1987.
- The procedure achieved a sensitivity of 78% and specificity of 100% for malignancy.
- Complication rate was 7%, with 5 cases of pneumothorax requiring drainage.
Impact:
- Percutaneous needle biopsy is a valuable and safe diagnostic procedure.
- It provides a high diagnostic yield with low morbidity.
- This technique can be crucial for definitive diagnosis in challenging cases.