Monday, 13 September 2021

Study on Invasive Procedures of the Chest Lesions: Are they Must be Performed and Why?| Chapter 9 | Issues and Development in Health Research Vol. 4

 Introduction: Lung cancer is one of the leading causes of death in the globe. MDCT is discovering an increasing number of lung and mediastinal lesions, and histological diagnosis is frequently necessary to establish the optimal treatment choice. The goals of this article are to detail invasive techniques for chest lesions, including indications, contraindications, technical features, and diagnostic accuracy of percutaneous lung biopsies. Fine-needle aspiration biopsy (FNAB) and core-needle biopsy (CNB) are the methods of choice for collecting tissue specimens in patients with lung lesions. Histology diagnoses are commonly used to guide treatment techniques. FNAB biopsy is conducted in 85 of the 97 patients in our study when logistically feasible or when other procedures (such as bronchoscopy with lavage) are equivocal, and CNB is performed in 12 of the 97 patients. Disposable needles sized 19-22G were used. Results: All 76 patients, ages 21 to 79, who had lung lesions with a diameter of 2.0 cm or smaller had FNAB under CT control. FNAB under US control is conducted in 13 individuals because to the superficial location of the lesions. All patients' tissue samples are cytologically and histologically examined. It is computed the diagnostic sensitivity and accuracy, as well as the sort of complications that occurred. The overall sensitivity, specificity, and accuracy of CNB improved slightly. Conclusion: Percutaneous FNAB and CNB are safe procedures for evaluating focal pulmonary lesions for diagnostic purposes. Although some problems, such as pneumothorax and pulmonary haemorrhage, are uncommon, others, such as air embolism and metastatic seeding, can have serious effects.



Author(s) Details

Assoc. Prof. Dr. A. Hilendarov
Medical University-Plovdiv, Мedical Faculty, Department of Diagnostic Imaging, Plovdiv, Bulgaria.

Dr. A. Georgiev
Medical University-Plovdiv, Мedical Faculty, Department of Diagnostic Imaging, Plovdiv, Bulgaria.

Dr. A. Chervenkov
Medical University-Plovdiv, Мedical Faculty, Department of Diagnostic Imaging, Plovdiv, Bulgaria.

View Book :- https://stm.bookpi.org/IDHR-V4/article/view/3377

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