超声引导下的肺部肿瘤活检。

Juan Bautista Del Valle, Marina Alonso Serena, Gabriel Ducrey, Jésica Lorena Savluk, Matías Adrián Borensztein
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引用次数: 0

摘要

导言肺癌和肺结节的诊断率不断上升。经皮活检已成为一种重要的诊断工具。传统上,由于计算机断层扫描能清晰显示骨骼和通气的肺部,因此被用于这些手术。不过,在特定病例中,也可使用超声波进行检查。方法:在 2020 年 1 月至 2021 年 12 月 SARS-CoV-2 大流行期间进行的回顾性研究。所有患者均有以胸膜为基础的肺部病变或胸膜病变,其中一些患者已知有癌症病史。结果:共进行了 36 例手术,其中 32 例(88.9%)获得的标本具有诊断价值,23 例(63.9%)最常用的附加检查是免疫组化。有 5 名患者(13.9%)报告了并发症:2 人轻度气胸,2 人血胸(1 人轻度,1 人中度),1 名患者报告疼痛。结论:超声波检查是引导胸膜和周围肺部病变活检的有效方法。并发症和再诊断率与其他学者的经验和国际指南一致。
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[Ultrasound guided biopsy of lung tumors: evaluation of efficacy and complications].

Introduction: The diagnosis of lung cancer, as well as that of lung nodules, is increasing. Percutaneous biopsy has become a transcendental tool for its diagnosis. Traditionally, computed tomography is used for these procedures because of its ability to clearly demonstrate bone and aerated lung. However, in selected cases it can be performed with ultrasound.

Methods: Retrospective study conducted between January 2020 and December 2021, during the SARS-CoV-2 pandemic. All patients had pleural-based lung lesions or pleural lesions, some with a known history of cancer.

Results: Thirty-six procedures were performed, in 32 (88.9%) the sample obtained presented diagnostic yield and the most used additional test was Immunohistochemistry in 23 (63.9%). Complications were reported in 5 patients (13.9%): 2 with mild pneumothorax, 2 with hemothorax (1 mild and 1 moderate) and 1 patient reported pain.

Conclusion: Ultrasound is a valid method to be used as a guide for biopsies of pleural and peripheral pulmonary lesions. The complications and diagnostic rate has been shown to be in line with the experience of other authors and international guidelines.

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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
60
审稿时长
20 weeks
期刊介绍: The Journal of the Faculty of Medical Sciences is a scientific publication of the Secretariat of Science and Technology of the Faculty of Medical Sciences of the National University of Cordoba. Its objective is to disseminate and promote research work related to Medical and Biological Sciences. It publishes scientific works of national and international professionals on different topics related to health sciences from the field of medicine, nursing, kinesiology, diagnostic imaging, phonoaudiology, nutrition, public health, chemical sciences, dentistry and related.
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