PERCUTANEOUS IMAGE GUIDED CUTTING NEEDLE BIOPSY OF MEDIASTINAL MASSES: DIAGNOSTIC YIELD AND COMPLICATIONS

Main Article Content

Abdur Rehman Khan
Muhammad Yousaf Khan
Arshad Javaid
Ijaz Hussain

Abstract

Objective

To evaluate image guided cutting needle biopsy of mediastinal masses for diagnostic yield and complications.

Material and methods:

 

This was a descriptive study. Computed Tomography (CT) and ultrasound guided

biopsies of mediastinal masses were performed in 30 patients. Tissue core obtained, were preserved in

formalin and sent for histological examination. X-ray chest taken for evidence of pneumothorax and

mediastinal widening. Hemoptysis, pneumothorax other complication were recorded.

Result:

 

Definite histological diagnosis was obtained in all 30 patients. 70% (n=21) were malignant

disease and 30% (n=9) were benign pathologies. Sensitivity and specificity, positive and negative

predictive values were 100%. Pneumothorax occurred in 7% (n=2) cases. Hemoptysis occurred in 10%

(n=3) cases. Chest intubation was not required in cases of pneumothorax. No hemodynamic instability

occurred. There was no major complication.

Conclusion:

 

Image guided percutaneous transthoracic cutting needle biopsy in mediastinal masses is an

accurate procedure for specific histological diagnosis and has a low complication rate

Article Details

How to Cite
1.
Khan AR, Khan MY, Javaid A, Hussain I. PERCUTANEOUS IMAGE GUIDED CUTTING NEEDLE BIOPSY OF MEDIASTINAL MASSES: DIAGNOSTIC YIELD AND COMPLICATIONS. J Postgrad Med Inst [Internet]. 2011 Oct. 8 [cited 2024 Mar. 29];24(1). Available from: https://www.jpmi.org.pk/index.php/jpmi/article/view/999
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Original Article

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