Fine Needle Aspiration Biopsy of Peripheral Pulmonary Lesions under Real-time Sonographic Guidance

  • G Q Khan Medical College of Georgia, Augusta, GA, USA
  • M Tanvir Department of Internal Medicine Government Medical College Srinagar Kashmir India
  • M Iftikhar
  • M Y Bhat
  • G Mohiuddin
  • M Ashraf Department of Radiology Government Medical College Srinagar Kashmir India
Keywords: Real-time sonography, Peripheral lesion, Echo pattern, Fluid bronchogram

Abstract

DOI: http://dx.doi.org/10.5915/30-1-16283

The utility of fine needle aspiration biopsy (FNAB) guided by real-time ultrasonography was studied in 25 patients referred with peripheral lung opacities on chest x-ray examination and in whom fiberoptic bronchoscopy was negative. The lesion, as seen on a chest x-ray, was visualized sonographically in 22 (88%) patients, and aspiration biopsy was performed in 20 of these 22 patients, two patients being excluded due to sonographic evidence of a hydatid cyst. Aspiration biopsy was diagnostic in 17 (85%) of the 20 patients studied including 12 patients with malignancy and five patients with benign lesion. One patient developed a small asymptomatic pneumothorax, detected on routine postprocedure chest x-ray examination. Thus fine needle aspiration biopsy under
ultrasonographic guidance is a safe, economical method with a high diagnostic
yield in the evaluation of peripheral lung opacities, especially in developing countries where computed tomography scan facilities are limited and costly.

Author Biographies

G Q Khan, Medical College of Georgia, Augusta, GA, USA

M.D.

Department of Internal Medicine
Government Medical College
Srinagar
Kashmir
India

M Tanvir, Department of Internal Medicine Government Medical College Srinagar Kashmir India

M.D.

Department of Internal Medicine
Government Medical College
Srinagar
Kashmir
India

M Iftikhar

M.D.

Department of Internal Medicine
Government Medical College
Srinagar
Kashmir
India

M Y Bhat

M.D.

Department of Internal Medicine
Government Medical College
Srinagar
Kashmir
India

G Mohiuddin

M.D.

Department of Internal Medicine
Government Medical College
Srinagar
Kashmir
India

M Ashraf, Department of Radiology Government Medical College Srinagar Kashmir India

M.D.

Department of Radiology
Government Medical College
Srinagar
Kashmir
India

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Published
1998-02-01
Section
Original Articles