Fine Needle Aspiration Biopsy of Peripheral Pulmonary Lesions under Real-time Sonographic Guidance
DOI:
https://doi.org/10.5915/30-1-16283Keywords:
Real-time sonography, Peripheral lesion, Echo pattern, Fluid bronchogramAbstract
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.
References
Matalon TAS, Silver B. US Guidance of Interventional Procedures. Radiology. 1990;174:43-7.
Grant EG, Richardson JD, Smirniotopoules JG, Jacobs NM. Fine needle biopsy directed by real time sonography. AJR. 1983;141:29-32.
Nosher JL, Palfker J. Fine needle aspiration of the liver with ultrasound guidance. Radiology 1980; 136 :177-80.
Itoh K, Yamanaka T, Lasahera K. et aJ. Definitive diagnosis of pancreatic carcinoma with percutaneous fine needle aspiration biopsy under ultrasonic guidance. Am J Gastroenterology. 1979; 71: 469-72.
Kristensen J, Holmes HH, Rasmusen SN, Barlebo H. Ultrasonically guided percutaneous puncture of renal masses. Scand J Urol Nephrol. l972;6(suppl. 15):49-56.
Rubin JM, Dohnnann GJ. lntraoperative neurosurgical ultrasound in the localization and characterization of intracranial masses. Radiology. 1983;148:519-24.
Westcot JL. Percutaneous transthoracic needle biopsy. Radiology. 1988;169:593-601.
Pinstein ML, ScottRL, Salazar J. Avoidance of negative percutaneous lung biopsy using contrast enhanced CT. AJR. 1983;140:265-7.
Shiner RJ, Roseman J, Katz I. Bronchoscopic evaluation of peripheral lung tumors. Thorax. 1988;43:887-9.
Izumi S, Tamaki S, Natori H, Kira S. Ultrasonically guided aspiration needle biopsy in disease of the chest. Am Rev Respir Dis. 1982;125:460-2.
Brant WE. The Thorax. In: Romack CM, Wilson Sr, Charboneau JW (Eds.) Diagnostic Ultrasound. St. Louis, USA: Mosby Yearbook 1991;1:413-26.
Yu CJ, Tang PC, Wu HD, Chang DB, Kuo SH, Luh KT. Ultrasound study in unilateral bemithorax opacificatiou. Am Rev Respir Dis. 1993;147:430-4.
Leyden T. Uber Infektiose pneumonie. Dtsch Med Wschr. 1983;9:52.
Pederson OM, Aasen TB, Gulsvik A. Fine needle aspiration biopsy of mediastinal and peripheral pulmonary masses guided by real-Lime sonograpby. Chest. 1986;89:504-8.
Ikezoe J, Sone S, Higashihara T, et al. Sonographically guided needle biopsy for diagnosis of thoracic lesions. AJR. 1984;143:229-34.
Yang PC, Luh KT, Sheu JC. Kuo SH. Yang SP. Peripheral pulmonary lesions: Ultrasonography and ultrasonically guided aspiration biopsy. Radiology 1985;155:451-6.
Thompson AB, Florcani AA, Robinson LA et al. Diagnostic procedures: Airways, pulmonary parcnchyma and others. In: Baum GL, Wotinkskcy E(Eds.) Textbook of Pulmonary Diseases. New York: Little Brown and Company; 1994; 5th Edition 1:343-65.
Yu CJ, Yang BC, Chang DB, Luh KT. Diagnostic and therapeutic use of chest sonography: Value in critically ill patients. AJR. 1992;159:695-701.
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
