Synchronous microwave ablation followed by core‐needle biopsy via a coaxial cannula for highly suspected malignant lung ground‐glass opacities: A single‐center, single‐arm retrospective study

Abstract Background This study aimed to retrospectively explore the safety and feasibility of computed tomography (CT)‐guided synchronous microwave ablation (MWA) followed by core‐needle biopsy (CNB) via a coaxial cannula for highly suspected malignant lung ground‐glass opacities (GGOs). Methods The...

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Autores principales:	FanLei Kong, ZhiXin Bie, YuanMing Li, Bin Li, RunQi Guo, ChengEn Wang, JinZhao Peng, Sheng Xu, XiaoGuang Li
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	ground‐glass opacity lung cancer microwave ablation pathological diagnosis percutaneous core‐needle biopsy Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/0895f41df5be4007b95c64bebcb378ae
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spelling	oai:doaj.org-article:0895f41df5be4007b95c64bebcb378ae2021-12-02T02:34:55ZSynchronous microwave ablation followed by core‐needle biopsy via a coaxial cannula for highly suspected malignant lung ground‐glass opacities: A single‐center, single‐arm retrospective study1759-77141759-770610.1111/1759-7714.14189https://doaj.org/article/0895f41df5be4007b95c64bebcb378ae2021-12-01T00:00:00Zhttps://doi.org/10.1111/1759-7714.14189https://doaj.org/toc/1759-7706https://doaj.org/toc/1759-7714Abstract Background This study aimed to retrospectively explore the safety and feasibility of computed tomography (CT)‐guided synchronous microwave ablation (MWA) followed by core‐needle biopsy (CNB) via a coaxial cannula for highly suspected malignant lung ground‐glass opacities (GGOs). Methods The clinical data of 66 patients (66 GGOs) treated with CT‐guided synchronous MWA followed by CNB via a coaxial cannula from January 2019 to January 2021 were included in this study. The technical success rate, curative effect, and complications were evaluated. Results Technical success rates were 100%. The pneumothorax rate was 36.4% (24/66). 72.7% (48/66) patients had the bronchopulmonary hemorrhage, 81.3% of hemorrhage was attributable to CNB. 24.2% (16/66) patients had varying degrees of pleural effusion. The pathological results were adenocarcinomas (n = 44), atypical adenomatous hyperplasia (n = 2), chronic inflammation (n = 3) and indeterminate pathological diagnosis (n = 17) with a 69.7% (46/66) positive diagnosis rate. The therapeutic response rate was 100.0% (66/66). Conclusions Synchronous MWA followed by CNB via a coaxial cannula has a satisfactory ablation effectiveness and an acceptable biopsy positive rate, which is an alternative treatment for highly suspected malignant GGOs.FanLei KongZhiXin BieYuanMing LiBin LiRunQi GuoChengEn WangJinZhao PengSheng XuXiaoGuang LiWileyarticleground‐glass opacitylung cancermicrowave ablationpathological diagnosispercutaneous core‐needle biopsyNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENThoracic Cancer, Vol 12, Iss 23, Pp 3216-3222 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ground‐glass opacity lung cancer microwave ablation pathological diagnosis percutaneous core‐needle biopsy Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	ground‐glass opacity lung cancer microwave ablation pathological diagnosis percutaneous core‐needle biopsy Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 FanLei Kong ZhiXin Bie YuanMing Li Bin Li RunQi Guo ChengEn Wang JinZhao Peng Sheng Xu XiaoGuang Li Synchronous microwave ablation followed by core‐needle biopsy via a coaxial cannula for highly suspected malignant lung ground‐glass opacities: A single‐center, single‐arm retrospective study
description	Abstract Background This study aimed to retrospectively explore the safety and feasibility of computed tomography (CT)‐guided synchronous microwave ablation (MWA) followed by core‐needle biopsy (CNB) via a coaxial cannula for highly suspected malignant lung ground‐glass opacities (GGOs). Methods The clinical data of 66 patients (66 GGOs) treated with CT‐guided synchronous MWA followed by CNB via a coaxial cannula from January 2019 to January 2021 were included in this study. The technical success rate, curative effect, and complications were evaluated. Results Technical success rates were 100%. The pneumothorax rate was 36.4% (24/66). 72.7% (48/66) patients had the bronchopulmonary hemorrhage, 81.3% of hemorrhage was attributable to CNB. 24.2% (16/66) patients had varying degrees of pleural effusion. The pathological results were adenocarcinomas (n = 44), atypical adenomatous hyperplasia (n = 2), chronic inflammation (n = 3) and indeterminate pathological diagnosis (n = 17) with a 69.7% (46/66) positive diagnosis rate. The therapeutic response rate was 100.0% (66/66). Conclusions Synchronous MWA followed by CNB via a coaxial cannula has a satisfactory ablation effectiveness and an acceptable biopsy positive rate, which is an alternative treatment for highly suspected malignant GGOs.
format	article
author	FanLei Kong ZhiXin Bie YuanMing Li Bin Li RunQi Guo ChengEn Wang JinZhao Peng Sheng Xu XiaoGuang Li
author_facet	FanLei Kong ZhiXin Bie YuanMing Li Bin Li RunQi Guo ChengEn Wang JinZhao Peng Sheng Xu XiaoGuang Li
author_sort	FanLei Kong
title	Synchronous microwave ablation followed by core‐needle biopsy via a coaxial cannula for highly suspected malignant lung ground‐glass opacities: A single‐center, single‐arm retrospective study
title_short	Synchronous microwave ablation followed by core‐needle biopsy via a coaxial cannula for highly suspected malignant lung ground‐glass opacities: A single‐center, single‐arm retrospective study
title_full	Synchronous microwave ablation followed by core‐needle biopsy via a coaxial cannula for highly suspected malignant lung ground‐glass opacities: A single‐center, single‐arm retrospective study
title_fullStr	Synchronous microwave ablation followed by core‐needle biopsy via a coaxial cannula for highly suspected malignant lung ground‐glass opacities: A single‐center, single‐arm retrospective study
title_full_unstemmed	Synchronous microwave ablation followed by core‐needle biopsy via a coaxial cannula for highly suspected malignant lung ground‐glass opacities: A single‐center, single‐arm retrospective study
title_sort	synchronous microwave ablation followed by core‐needle biopsy via a coaxial cannula for highly suspected malignant lung ground‐glass opacities: a single‐center, single‐arm retrospective study
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/0895f41df5be4007b95c64bebcb378ae
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Synchronous microwave ablation followed by core‐needle biopsy via a coaxial cannula for highly suspected malignant lung ground‐glass opacities: A single‐center, single‐arm retrospective study

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