Author/Authors :
Bakhshayesh Karam, Mehrdad shahid beheshti university of medical sciences - Department of Radiology, تهران, ايران , Zahirifard, Soheila shahid beheshti university of medical sciences - Department of Radiology, تهران, ايران , Tahbaz, Mohammad Omid shahid beheshti university of medical sciences - Department of Radiology, تهران, ايران , Nabatchian, Azar shahid beheshti university of medical sciences - Department of Radiology, تهران, ايران , Sadr, Makan shahid beheshti university of medical sciences - Department of Radiology, تهران, ايران , Kazempour Dizaji, Mehdi shahid beheshti university of medical sciences - Department of Radiology, تهران, ايران , Emami, Habib shahid beheshti university of medical sciences - Tobacco Prevention and Control Research Center, تهران, ايران , Mir-Afsharieh, Abbas shahid beheshti university of medical sciences - Department of Pathology, تهران, ايران , Masjedi, Mohammad Reza shahid beheshti university of medical sciences - NRITLD - Department of Pulmonary, تهران, ايران
Abstract :
Background: Transthoracic CT-guided percutaneous fine-needle aspiration biopsy (FNAB) has become a well- established diagnostic technique and been useful in differentiating malignant and benign pulmonary lesions. Materials and Methods: 505 patients (311 men and 194 women) aged 7-90 years old (mean age 56.2 years) with pulmonary lesions underwent CT-guided transthoracic fine-needle aspiration biopsy. Cytopathologic evaluation of FNAB samples was performed in all patients. In addition, each case was reviewed for complications, including pneumothorax and hemoptysis. Data were analysed using SPSS software for windows ver. 11.5. Results: FNAB samples were adequate for diagnosis in 410 (81.2%) of 505 patients. Two hundred and forty-nine lesions (60.7%0) were malignant, and 161 (39.3%) were benign or atypical. Thirty-four (6.7%) patients had pneumothorax out of which none of them required thoracostomy tube placement. Additionally, hemoptysis was noted in 9 (1.8%) patients and follow-up was carried out. No further complications were reported. Conclusion: CT-guided FNAB of pulmonary lesions can yield well-established diagnoses and it can be useful in the management of patients with suspected lung cancer
Keywords :
Lung , Biopsy , Computed tomography , CT , guided biopsy , Fine needle aspiration
