Usefulness of Computed Tomography Guided Percutaneous Fine Needle Aspiration Lung Biopsy

Choi, Goang Jin; Kim, Tae Hyung; Lee, Kyung Soo; Park, Jae KI; Lee, Byung Ki; Lee, Choong Ki; Kim, Sang Hoon; Lee, Won Sik; Jung, Tae Hoon; Park, Hi Myung

doi:1989.36.4.328

Tuberc Respir Dis > Volume 36(4); 1989 > Article

Original Article

Tuberculosis and Respiratory Diseases 1989;36(4):328-332.
DOI: https://doi.org/10.4046/trd.1989.36.4.328 Published online December 1, 1989.

Usefulness of Computed Tomography Guided Percutaneous Fine Needle Aspiration Lung Biopsy

Goang Jin Choi¹, Tae Hyung Kim¹, Kyung Soo Lee¹, Jae KI Park¹, Byung Ki Lee¹, Choong Ki Lee¹, Sang Hoon Kim², Won Sik Lee², Tae Hoon Jung², Hi Myung Park²

¹Department of Internal Medicine, Fatima Hospital, Taegu, Korea
²Department of Internal Medicine, School of Medicine, Kyungpook National University, Taegu, Korea

전산화단층촬영 유도하 경피폐생검의 유용성

이경수¹, 박재기¹, 이병기¹, 이중기¹, 김상훈¹, 이원식¹, 정태훈², 박희명², 최광진², 김태형²

Abstract

Computed tomography (CT)-guided fine needle aspiration biopsies were done in 62 patients with abnormal mass-like densities on routine chest films. When CT-guided needle aspiration revealed no diagnostic findings in these patients, additional histopathological l examinations of specimens obtained by open thoracotomy, lymph node biopsy and/ or transbronchial lung biopsy were carried out for definitive diagnosis. The overall diagnostic rate of CT-guided needle aspiration was 80.6%: higher in neoplastic diseases (83%) and lower in infectious diseases (63%). The diagnostic rate was more satisfactory in patients with lesions in or adjacent to the mediastinum, and also in the middle lung fields. The CT-guided biopsy was complicated by 3 cases of pneumothorax, all of which had lesions in posterior portions of right lower lobes and necessitated chest tube insertion for treatment. Nevertheless, our study reconfirms that the procedure is a relatively safe. simple and satisfactory diagnostic tool in patients with mass-like lesions within the thorax.