Lung mass other diagnostic studies: Difference between revisions

Jump to navigation Jump to search
← Older editNewer edit →
VisualWikitext
Akshun Kalia (talk | contribs)
nocaptcha
4,638 edits
No edit summary
Mmir (talk | contribs)
CMEAdmin, CMEUser, Bureaucrats, bureaucrats, nocaptcha, smwadministrator, Administrators, Widget editors
14,850 edits
No edit summary
Line 9: Line 9:
===Biopsy===
===Biopsy===
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>
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]]
:*Needle core biopsy  
**Needle core biopsy  
*'''Surgical'''
*Surgical
:* [[Wedge resection (lung)|Wedge resection]]
** [[Wedge resection (lung)|Wedge resection]]
* The preferred [[biopsy]] technique for lung mass is [[Wedge resection (lung)|wedge resection.]]
** The preferred [[biopsy]] technique for lung mass is [[Wedge resection (lung)|wedge resection.]]


*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>
*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="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>
*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 [[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>  
*Complications 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]]
==Non-Surgical Biopsy==
==Non-Surgical Biopsy==


Line 34: Line 34:


*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>
*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  
:*Endobronchial ultrasound-guided sheath transbronchial biopsy  
**Endobronchial ultrasound-guided sheath transbronchial biopsy  
:*Endobronchial ultrasound-guided transbronchial needle aspiration  
**Endobronchial ultrasound-guided transbronchial needle aspiration  


*Indications for [[bronchoscopy]] 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>
*Indications for [[bronchoscopy]] 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>
:*Central [[nodules]]  
**Central [[nodules]]  
:*Large lesions
**Large lesions
:*No fitness for surgery  
**No fitness for surgery  
:*[[Nodules]] close to the patent airways  
**[[Nodules]] close to the patent airways  
:*Patients were the risk of complications from any other [[biopsy]] is high
**Patients were the risk of complications from any other [[biopsy]] is high


'''Transthoracic needle biopsy'''
'''Transthoracic needle biopsy'''
*Usually followed by [[CT]] guidance
*Usually followed by [[CT]] guidance
*Indications for transthoracic [[needle biopsy]] in pulmonary 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>
*Indications for transthoracic [[needle biopsy]] in pulmonary 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>
:*Peripheral [[nodules]]  
**Peripheral [[nodules]]  
:*Nodules close to the [[chest wall]]
**Nodules close to the [[chest wall]]
:*No fitness for [[surgery]]  
**No fitness for [[surgery]]  


==Surgical Biopsy==
==Surgical Biopsy==
Line 58: Line 58:
*In lung mass, surgical procedure selection will depend on the size, margins, and size of the [[tumor]].
*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:  
*Common surgical procedures for the treatment of lung mass, include:  
:*[[Wedge resection (lung)|Wedge resection]]  
**[[Wedge resection (lung)|Wedge resection]]  
:*[[Lobectomy of lung|Lobectomy]]  
**[[Lobectomy of lung|Lobectomy]]  
:*Segmentectomy  
**Segmentectomy  
:*Lung volume reduction surgery
**Lung volume reduction surgery


==References==
==References==
{{reflist|2}}
{{Reflist|2}}
[[Category:Up-To-Date]]
 
[[Category:Up-To-Date]]
[[Category:Oncology]]
[[Category:Oncology]]
[[Category:Medicine]]
[[Category:Medicine]]
[[Category:Pulmonology]]
[[Category:Pulmonology]]
[[Category:Surgery]]
[[Category:Surgery]]

Revision as of 21:33, 23 March 2018

Lung Mass Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Causes

Differentiating Lung Mass from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Diagnosis

Diagnostic Study of Choice

Evaluation of Lung Mass

Imaging of Lung Mass

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Lung mass other diagnostic studies On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Lung mass other diagnostic studies

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Lung mass other diagnostic studies

CDC on Lung mass other diagnostic studies

Lung mass other diagnostic studies in the news

Blogs on Lung mass other diagnostic studies

Directions to Hospitals Treating bone or soft tissue mass

Risk calculators and risk factors for Lung mass other diagnostic studies

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2] Akshun Kalia M.B.B.S.[3]

Overview

Biopsy for lung mass may be classified into 2 categories such as 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).

Other Diagnostic Studies

Biopsy

Biopsy for lung mass may be classified into 2 categories:[1]

  • Contraindications for biopsy in lung mass, include:[1]

Non-Surgical Biopsy

Bronchoscopy

  • Common bronchoscopy biopsy techniques for lung mass, include:[1]
    • 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:[1]
    • 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

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:

References

  1. ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 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.
Retrieved from "https://www.wikidoc.org/index.php?title=Lung_mass_other_diagnostic_studies&oldid=1456352"