TRANS-THORACIC NEEDLE-BIOPSY - ACCURACY AND COMPLICATIONS IN RELATION TO LOCATION AND TYPE OF LESION

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  • 1 January 1980
    • journal article
    • research article
    • Vol. 55  (8) , 475-481
Abstract
Transthoracic needle biopsy is a frequently used method for obtaining tissue for diagnosis of pulmonary lesions. The procedure carries an inherent risk of pneumothorax and hemorrhage, the latter usually manifested by transient hemoptysis. Data on 430 patients who underwent transthoracic needle aspirations were studied to determine accuracy and complications of this procedure as related to lesion type and location. Malignant disease, most often metastatic, was present in all but 10 patients. Of all patients, 86% were older than 50 yr and most were not candidates for operation. Sufficient tissue for diagnosis was obtained in 82% of cases. The diagnostic yield diminished significantly in central lesions less than 2 cm in size. Pneumothorax and hemoptysis or pulmonary hemorrhage were the most common complications. Biopsy of central lesions, especially those in the mediastinum, were often associated with pneumothorax; lesions near the hilar region were more susceptible to hemorrhagic complications. Two deaths occurred, both from hemorrhage after biopsy in cavitating lesions with air/fluid levels. Pneumothorax incidence was higher in cavitating lesions. Fewer complications occurred with biopsy of lesions along the pleural surface and lesions in the lung periphery.