The Diagnostic Value of CT-guided Percutaneous Co-axial Trans-thoracic Biopsy (PCTTB) and Evaluation of the Pathologic Examination

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dc.contributor.authorSahan, Mehmet Hamdi
dc.contributor.authorInal, Mikail
dc.contributor.authorMuluk, Nuray Bayar
dc.contributor.authorDogan, Adil
dc.contributor.authorAtasoy, Pinar
dc.date.accessioned2020-06-25T18:34:30Z
dc.date.available2020-06-25T18:34:30Z
dc.date.issued2019
dc.departmentKırıkkale Üniversitesi
dc.descriptionINAL, MIKAIL/0000-0003-0642-7913
dc.description.abstractBackground: We investigated thoracic masses with Computed Tomography (CT)-guided Percutaneous Co-Axial Trans-Thoracic Biopsy (PCTTB). Methods: The retrospective data of 86 patients to whom CT-guided PCTTB bad been applied were obtained. Eighty-four cases and their pathologic results were included in the study. Localization and appearance of the lesions, pathologic results, and complications were evaluated. Results: Diagnostic sensitivity of CT-guided PCTTB was 97.6%. In 60.7% of the cases, malign lesions and, in 39.3% of the cases, benign lesions were diagnosed. The mass size was on average greater than 2 cm, and one mass was detected as being more than >= 2 masses. Mainly, irregular contours were observed. Most of the malign tumors were primary malign tumors on both sides (91.7% on the right side and 88.9% on the left side). Squamous Cell Carcinoma (SCC) was the most often detected malign tumor on the right side, and adenocarcinoma was the most often detected malign tumor on the left side. In masses localized on the left inferior lobe, metastasis was often detected. When the number of the mass was >= 2 and the mass had the appearance of consolidation, metastasis was usually detected. Small and large masses were mainly localized on right and left upper lobes. In the small mass group, 75.0% of the cases were benign, and, in the large mass group, 64.5% of the cases were malign (p=0.031, chi(2)=4.666). Pneumothorax was the most commonly occurring complication (23.8%). In masses localized on the right lower lobe, the pneumothorax ratio increased in benign masses compared to malign masses. The hemorrhage detection rate was 13.0%, and hemoptysis occurred in 14.2% of the cases. Hemorrhage was detected during 11.8% of the large mass biopsies. In females, hemorrhage occurred more often than in males (p=0.026, 7 r= 0.244). Conclusion: CT-guided PCTTB is a safe method to utilize for lung biopsies. Co-axial method increased the diagnostic accuracy of CT-guided percutaneous trans-thoracic biopsies. A single cut also decreased the complication rates.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.2174/1573405614666180704150335
dc.identifier.endpage488en_US
dc.identifier.issn1573-4056
dc.identifier.issn1875-6603
dc.identifier.issue5en_US
dc.identifier.pmid32008555
dc.identifier.scopus2-s2.0-85070924726
dc.identifier.scopusqualityQ3
dc.identifier.startpage479en_US
dc.identifier.urihttps://doi.org/10.2174/1573405614666180704150335
dc.identifier.urihttps://hdl.handle.net/20.500.12587/7938
dc.identifier.volume15en_US
dc.identifier.wosWOS:000472025700007
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBentham Science Publ Ltden_US
dc.relation.ispartofCurrent Medical Imaging
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLung massen_US
dc.subjectmalignen_US
dc.subjectsquamous cell carcinomaen_US
dc.subjectadenocarcinomaen_US
dc.subjectmetastasisen_US
dc.subjectcomplicationsen_US
dc.subjectpneumothoraxen_US
dc.subjecthemorrhageen_US
dc.subjecthemoptysisen_US
dc.subjectLung massen_US
dc.subjectmalignen_US
dc.subjectsquamous cell carcinomaen_US
dc.subjectadenocarcinomaen_US
dc.subjectmetastasisen_US
dc.subjectcomplicationsen_US
dc.subjectpneumothoraxen_US
dc.subjecthemorrhageen_US
dc.subjecthemoptysisen_US
dc.titleThe Diagnostic Value of CT-guided Percutaneous Co-axial Trans-thoracic Biopsy (PCTTB) and Evaluation of the Pathologic Examinationen_US
dc.typeArticle

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