The Role of Ultrasonographic Guided Transthoracic Needle Biopsy in Diagnosis of Peripheral Lung Mass

Bagheri, R; Haghi, Z.; Rahroh, M.; Kalantari, M.R.; Sadrizadeh, A.

The Role of Ultrasonographic Guided Transthoracic Needle Biopsy in Diagnosis of Peripheral Lung Mass

Document Type : Original Article

Authors

R Bagheri ¹

Z. Haghi ²

M. Rahroh ³

M.R. Kalantari ⁴

A. Sadrizadeh ¹

¹ Assistant Professor of Thoracic Surgery, Mashad University of Medical Sciences and Health Services, Mashad Hospital, Mashad, Iran

² Professor of Thoracic Surgery, Mashad University of Medical Sciences and Health Services, Mashad Hospital, Mashad, Iran

³ Assistant Professor of Radiology, Mashad University of Medical Sciences and Health Services, Mashad Hospital, Mashad, Iran

⁴ Assistant Professor of Pathology, Mashad University of Medical Sciences and Health Services, Mashad Hospital, Mashad, Iran

Abstract

Introduction & Objective: Transthoracic needle biopsy (TTNB) is a well established method for obtaining pathologic diagnosis in the lung mass that performed after a previous negative bronchoscopy. The gole of this study is the evaluation of safety and accuracy of ultrasonographic guided TTNB for diagnosis of peripheral lung masses. Materials & Methods: In a cross - sectional study from September 2005, 30 patients with peripheral lung mass, greater than 3cm in diameter and less 5cm distance to the chest wall, underwent ultrasonographic guided TTNB and diagnostic accuracy and complications were analyzed. Results: In this group male to female ratio was 2 to one; with average age at 61.2 years. 60% of lesions located in right side, the adequate biopsy specimens were obtained in all patients, but TTNB and diagnostic in 86.6%. 13.3% of patients underwent thoracotomy for definitive diagnosis. Pathological diagnoses were malignant in 83.3% and benign in 16.6% of cases. Squamous Cell Carcinoma and Adenocarcinoma were the most common malignant diagnoses. In benign lesions, tuberculosis was the most common one. Complications were observed in 13.3% that included pneumothorax (6.6%) and hemoptysis (6.6%), mortality wasn’t observed. Conclusions: TTNB with ultrasonographic guided due to appropriate diagnostic accuracy and low complication rate with low cost and availability was recommended for diagnosis of peripheral lung masses.

Keywords

TTNB

Ultrasound

Peripheral Lung Mass