Lung mass biopsy: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
| Line 8: | Line 8: | ||
==Biopsy== | ==Biopsy== | ||
Biopsy for lung mass may be classified into 2 categories:<ref name=" | Biopsy for lung mass may be classified into 2 categories:<ref name="pmid15347106">{{cite journal |vauthors=Podbielski FJ, Rodriguez HE, Brown AM, Blecha MJ, Salazar MR, Connolly MM |title=Percutaneous biopsy in evaluation of lung nodules |journal=JSLS |volume=8 |issue=3 |pages=213–6 |year=2004 |pmid=15347106 |pmc=3016799 |doi= |url=}}</ref> | ||
:*Bronchoscopy | :*Bronchoscopy | ||
:*Transthoracic needle biopsy | :*Transthoracic needle biopsy | ||
| Line 17: | Line 16: | ||
* The preferred biopsy technique for lung mass is wedge resection. | * The preferred biopsy technique for lung mass is wedge resection. | ||
*Indications for biopsy in lung mass, include:<ref name=" | *Indications for biopsy in lung mass, include:<ref name="pmid15347106">{{cite journal |vauthors=Podbielski FJ, Rodriguez HE, Brown AM, Blecha MJ, Salazar MR, Connolly MM |title=Percutaneous biopsy in evaluation of lung nodules |journal=JSLS |volume=8 |issue=3 |pages=213–6 |year=2004 |pmid=15347106 |pmc=3016799 |doi= |url=}}</ref> | ||
:*Suspected lung cancer | :*Suspected lung cancer | ||
:*Determination of tumor histologic subtype | :*Determination of tumor histologic subtype | ||
:*Characterization of genetic mutations | :*Characterization of genetic mutations | ||
*Contraindications for biopsy in lung mass, include:<ref name=" | *Contraindications for biopsy in lung mass, include:<ref name="pmid15347106">{{cite journal |vauthors=Podbielski FJ, Rodriguez HE, Brown AM, Blecha MJ, Salazar MR, Connolly MM |title=Percutaneous biopsy in evaluation of lung nodules |journal=JSLS |volume=8 |issue=3 |pages=213–6 |year=2004 |pmid=15347106 |pmc=3016799 |doi= |url=}}</ref> | ||
:*Emphysema | :*Emphysema | ||
:*Bullous disease | :*Bullous disease | ||
:*Chronic respiratory failure | :*Chronic respiratory failure | ||
*Complications for for biopsy in lung mass, include:<ref name=" | *Complications for for biopsy in lung mass, include:<ref name="pmid15347106">{{cite journal |vauthors=Podbielski FJ, Rodriguez HE, Brown AM, Blecha MJ, Salazar MR, Connolly MM |title=Percutaneous biopsy in evaluation of lung nodules |journal=JSLS |volume=8 |issue=3 |pages=213–6 |year=2004 |pmid=15347106 |pmc=3016799 |doi= |url=}}</ref> | ||
:*Pneumothorax | :*Pneumothorax | ||
:*Hemothorax | :*Hemothorax | ||
| Line 34: | Line 33: | ||
'''Bronchoscopy''' | '''Bronchoscopy''' | ||
*Common bronchoscopy biopsy techniques for lung mass, include: | *Common bronchoscopy biopsy techniques for lung mass, include:<ref name="pmid15347106">{{cite journal |vauthors=Podbielski FJ, Rodriguez HE, Brown AM, Blecha MJ, Salazar MR, Connolly MM |title=Percutaneous biopsy in evaluation of lung nodules |journal=JSLS |volume=8 |issue=3 |pages=213–6 |year=2004 |pmid=15347106 |pmc=3016799 |doi= |url=}}</ref> | ||
:*Conventional bronchoscopic-guided transbronchial biopsy | :*Conventional bronchoscopic-guided transbronchial biopsy | ||
:*Bronchoscopic-transbronchial needle aspiration | :*Bronchoscopic-transbronchial needle aspiration | ||
Revision as of 15:54, 28 March 2016
|
Lung Mass Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Lung mass biopsy On the Web |
|
American Roentgen Ray Society Images of Lung mass biopsy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
Biopsy for lung mass may be classified into 2 categories: non-surgical biopsy and surgical biopsy. Biopsy findings associated with lung mass will depend on tumor histology. Common types of lung tissue biopsy for pulmonary mass, include: conventional bronchoscopic-guided transbronchial biopsy, bronchoscopic-transbronchial needle aspiration, endobronchial ultrasound-guided sheath transbronchial biopsy, and endobronchial ultrasound-guided transbronchial needle aspiration. Common indications for biopsy in lung mass, include: suspected lung cancer, malignant features (lymph node involvement).[1][2]
Biopsy
Biopsy for lung mass may be classified into 2 categories:[2]
- Bronchoscopy
- Transthoracic needle biopsy
- Needle core biopsy
- Surgical
- Wedge resection
- The preferred biopsy technique for lung mass is wedge resection.
- Indications for biopsy in lung mass, include:[2]
- Suspected lung cancer
- Determination of tumor histologic subtype
- Characterization of genetic mutations
- Contraindications for biopsy in lung mass, include:[2]
- Emphysema
- Bullous disease
- Chronic respiratory failure
- Complications for for biopsy in lung mass, include:[2]
- Pneumothorax
- Hemothorax
Non-Surgical Biopsy
Bronchoscopy
- Common bronchoscopy biopsy techniques for lung mass, include:[2]
- Conventional bronchoscopic-guided transbronchial biopsy
- Bronchoscopic-transbronchial needle aspiration
- Endobronchial ultrasound-guided sheath transbronchial biopsy
- Endobronchial ultrasound-guided transbronchial needle aspiration
- Indications for bronchoscopy in lung mass, include:[2]
- Central nodules
- Large lesions
- No fitness for surgery
- Nodules close to the patent airways
- Patients were the risk of complications from any other biopsy is high
Transthoracic needle biopsy
- Usually followed by CT guidance
- Indications for transthoracic needle biopsy in pulmonary nodule, include:[2]
- Peripheral nodules
- Nodules close to the chest wall
- No fitness for surgery
Surgical Biopsy
- Surgical excision is the mainstay therapy for malignant lung mass
- Surgical excision is also the primary choice for the definitive diagnosis of malignant lung mass
- In lung mass, surgical procedure selection will depend on the size, margins, and size of the tumor.
- Common surgical procedures for the treatment of lung mass, include:
- Wedge resection
- Lobectomy
- Segmentectomy
- Lung volume reduction surgery
References
- ↑ Herman M, Galanter M, Lifshutz H (1991). "Combined substance abuse and psychiatric disorders in homeless and domiciled patients". Am J Drug Alcohol Abuse. 17 (4): 415–22. PMID 1746503.
- ↑ 2.0 2.1 2.2 2.3 2.4 2.5 2.6 2.7 Podbielski FJ, Rodriguez HE, Brown AM, Blecha MJ, Salazar MR, Connolly MM (2004). "Percutaneous biopsy in evaluation of lung nodules". JSLS. 8 (3): 213–6. PMC 3016799. PMID 15347106.