PMID: 9540921Apr 16, 1998Paper

Percutaneous transthoracic needle biopsy of the lung: review of 612 lesions

Journal of Vascular and Interventional Radiology : JVIR
J L SwischukR E Bertino

Abstract

The results and complications of 651 pulmonary fine-needle aspiration biopsies (FNABs) were reviewed. The number of needle passes and needle size were correlated to pneumothorax and chest tube placement rates. FNAB of the lung was performed on 651 occasions in 612 patients with 18- to 22-gauge Franseen needles. Diagnostic rates were calculated. The number of needle passes performed and needle size used were evaluated for their association with pneumothorax and subsequent chest tube placement. Diagnostic accuracy was 94% with sensitivity for malignancy of 95%. Positive and negative predictive values were 99.5% and 90%, respectively. Pneumothorax occurred in 26.9% of patients with 9.2% requiring chest tube placement. Increasing numbers of needle passes and larger needle sizes did not increase the rates of pneumothorax or chest tube placement. FNAB of the lung has excellent diagnostic rates and remains the procedure of choice for diagnosing pulmonary lesions. This large study contradicts perceptions that pneumothorax and chest tube placement rates decrease with thinner needles and fewer passes.

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Citations

Dec 6, 2005·Cardiovascular and Interventional Radiology·Michael J WallaceMarshall E Hicks
Aug 25, 2007·Diagnostic Pathology·Lutz WelkerHelgo Magnussen
Sep 24, 2005·AJR. American Journal of Roentgenology·Michael M MaherJo-Anne O Shepard
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Jul 28, 2011·The British Journal of Radiology·M J ChoiJ K Lee
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Oct 10, 2013·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Guo-Ping LiChang-Yu Li
Oct 6, 2007·Chest·M Patricia RiveraUNKNOWN American College of Chest Physicians
Dec 12, 2007·Techniques in Vascular and Interventional Radiology·Sanjay Gupta, David C Madoff
Nov 8, 2001·Journal of Vascular and Interventional Radiology : JVIR·K M YeowH P Liu
Aug 27, 2010·Cytopathology : Official Journal of the British Society for Clinical Cytology·A FassinaM Fassan
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Mar 21, 2002·Clinics in Chest Medicine·Peter MazzoneRichard A Matthay
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May 12, 2015·Journal of Thoracic Imaging·Sujay ShethSteven Zangan
Jul 19, 2019·Frontiers in Oncology·Mark E GrayDavid Argyle

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