JRM
Journal of Radiology in Medicine

Journal of Radiology in Medicine is an international journal that published original research and articles in all areas of radiology. Its publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

eISSN: 3023-6487
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Original Article
Results and complications of percutaneous co-axial trans-thoracic biopsy in lung masses: our clinical experience
Abstract
Aims: The aim of our study was to evaluate the diagnostic rates and procedure-related complications in lung masses undergoing computed tomography (CT)-guided percutaneous coaxial trans-thoracic biopsy (PCTTB).
Methods: We retrospectively analyzed 117 patients who underwent CT-guided PCTTB between January 2016 and December 2018. A 64 slice Multislice-CT was used in each patient. A core biopsy was performed with a 16–18-gauge needle using the co-axial method. The demographic characteristics of the patients, post-procedural diagnosis rates, and complications were evaluated.
Results: Of 117 patients, 93 were male (mean age 67.9±10.8 years) and 24 were female (mean age 64.2±15.2 years). The pathologic evaluation of three patients was reported as "insufficient material". The diagnostic sensitivity of CT-guided PCTTB was 97.4%. Malignant lesions were detected in 70 patients (59.8%) and benign lesions in 44 patients (37.9%). The most common complication was pneumothorax, which occurred in 24 (20.5%) patients. A thoracic tube was inserted in three of these patients, while the others were discharged with follow-up. Other complications were hemorrhage (10.3%) and hemoptysis (12%), respectively. While mortality in CT-guided biopsy was associated with air embolization in some studies, mortality was not present in our study.
Conclusion: CT-guided PCTTB lung biopsies have a high diagnostic rate and acceptable complications. Percutaneous coaxial trans-thoracic biopsy should be the first choice in all appropriate cases.

Keywords : Trans-thoracic biopsy, malignant, pneumothorax, hemorrhage, hemoptysis

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Article available in :
Volume 1, Issue 3, 2024
Page : 42-45
https://doi.org/10.51271/JRM-0012
Article Information
Received : 17 Haz 2024
Accepted : 20 Tem 2024
Published : 29 Tem 2024
Corresponding Author :

Adnan Özdemir: Department of Radiology, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkiye

[email protected]
Citation : Özdemir A, Şahan MH.Results and complications of percutaneous co-axial trans-thoracic biopsy in lung masses: our clinical experience . J Radiol Med. 2024;1(3):42-45.

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