Biopsy of lung lesions under CT control

Objectives. With the increasing number of detected lung nodules and the need for morphological verification, the number of CT- controlled biopsies is increasing. The aim of this study was to assess the risks and benefits of these biopsies. Methods. This is a prospective and observational study. We e...

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Autores principales:	Miloslav Marel, Radek Padr, Libor Fila, Dmitry Rakita, Fernando Casas Mendez, Linda Capkova, Vaclav Capek, Radim Pavlik
Formato:	article
Lenguaje:	EN
Publicado:	Palacký University Olomouc, Faculty of Medicine and Dentistry 2021
Materias:	ct-controlled biopsy lung nodules lung cancer Medicine R
Acceso en línea:	https://doaj.org/article/b9364f0650134515b609f2cc3add3ce5
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spelling	oai:doaj.org-article:b9364f0650134515b609f2cc3add3ce52021-11-29T09:17:21ZBiopsy of lung lesions under CT control1213-81181804-7521https://doaj.org/article/b9364f0650134515b609f2cc3add3ce52021-11-01T00:00:00Zhttps://biomed.papers.upol.cz/artkey/bio-202104-0007_biopsy-of-lung-lesions-under-ct-control.phphttps://doaj.org/toc/1213-8118https://doaj.org/toc/1804-7521Objectives. With the increasing number of detected lung nodules and the need for morphological verification, the number of CT- controlled biopsies is increasing. The aim of this study was to assess the risks and benefits of these biopsies. Methods. This is a prospective and observational study. We evaluated 101 punctures performed on a group of 90 consecutive patients in the Department of Radiology. Results. In patients with a mean age of 66 years, with mostly accidentally detected lung nodules, we observed complications 38 times. The most common were minor pneumothoraxes or insignificant bleedings. In 6 patients, the complications were more serious, 5 times the pneumothoraxes required chest drainage, once massive hemoptysis was recorded. The lesions were successfully biopsied 78 times, the target was missed 23 times. The diagnosis of lung cancer (LC) was confirmed in 60 patients, 49 LCs were verified by puncture under CT control. 42% (25/60) of patients with LC were diagnosed in TNM stages I and II. 23% (14/60) of patients with LC were treated surgically. The remaining 30 patients most often suffered from lung metastazes (13/30), in 8 of them an inflammatory lung disease was diagnosed. 69 patients underwent bronchoscopy, in only 19% (13/69) it contributed to the diagnosis. In a model "screening like" group of 49 patients with only randomly detected lung deposits, we diagnosed LC in 76% (37/49). 49% (18/37) were in TNM stage I and II, 11 were treated surgically. Conclusions. CT-controlled biopsy of lung lesions is an effective and safe diagnostic method.Miloslav MarelRadek PadrLibor FilaDmitry RakitaFernando Casas MendezLinda CapkovaVaclav CapekRadim PavlikPalacký University Olomouc, Faculty of Medicine and Dentistryarticlect-controlled biopsylung noduleslung cancerMedicineRENBiomedical Papers, Vol 165, Iss 4, Pp 390-394 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ct-controlled biopsy lung nodules lung cancer Medicine R
spellingShingle	ct-controlled biopsy lung nodules lung cancer Medicine R Miloslav Marel Radek Padr Libor Fila Dmitry Rakita Fernando Casas Mendez Linda Capkova Vaclav Capek Radim Pavlik Biopsy of lung lesions under CT control
description	Objectives. With the increasing number of detected lung nodules and the need for morphological verification, the number of CT- controlled biopsies is increasing. The aim of this study was to assess the risks and benefits of these biopsies. Methods. This is a prospective and observational study. We evaluated 101 punctures performed on a group of 90 consecutive patients in the Department of Radiology. Results. In patients with a mean age of 66 years, with mostly accidentally detected lung nodules, we observed complications 38 times. The most common were minor pneumothoraxes or insignificant bleedings. In 6 patients, the complications were more serious, 5 times the pneumothoraxes required chest drainage, once massive hemoptysis was recorded. The lesions were successfully biopsied 78 times, the target was missed 23 times. The diagnosis of lung cancer (LC) was confirmed in 60 patients, 49 LCs were verified by puncture under CT control. 42% (25/60) of patients with LC were diagnosed in TNM stages I and II. 23% (14/60) of patients with LC were treated surgically. The remaining 30 patients most often suffered from lung metastazes (13/30), in 8 of them an inflammatory lung disease was diagnosed. 69 patients underwent bronchoscopy, in only 19% (13/69) it contributed to the diagnosis. In a model "screening like" group of 49 patients with only randomly detected lung deposits, we diagnosed LC in 76% (37/49). 49% (18/37) were in TNM stage I and II, 11 were treated surgically. Conclusions. CT-controlled biopsy of lung lesions is an effective and safe diagnostic method.
format	article
author	Miloslav Marel Radek Padr Libor Fila Dmitry Rakita Fernando Casas Mendez Linda Capkova Vaclav Capek Radim Pavlik
author_facet	Miloslav Marel Radek Padr Libor Fila Dmitry Rakita Fernando Casas Mendez Linda Capkova Vaclav Capek Radim Pavlik
author_sort	Miloslav Marel
title	Biopsy of lung lesions under CT control
title_short	Biopsy of lung lesions under CT control
title_full	Biopsy of lung lesions under CT control
title_fullStr	Biopsy of lung lesions under CT control
title_full_unstemmed	Biopsy of lung lesions under CT control
title_sort	biopsy of lung lesions under ct control
publisher	Palacký University Olomouc, Faculty of Medicine and Dentistry
publishDate	2021
url	https://doaj.org/article/b9364f0650134515b609f2cc3add3ce5
work_keys_str_mv	AT miloslavmarel biopsyoflunglesionsunderctcontrol AT radekpadr biopsyoflunglesionsunderctcontrol AT liborfila biopsyoflunglesionsunderctcontrol AT dmitryrakita biopsyoflunglesionsunderctcontrol AT fernandocasasmendez biopsyoflunglesionsunderctcontrol AT lindacapkova biopsyoflunglesionsunderctcontrol AT vaclavcapek biopsyoflunglesionsunderctcontrol AT radimpavlik biopsyoflunglesionsunderctcontrol
_version_	1718407423908118528

Biopsy of lung lesions under CT control

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