Peripheral pulmonary lesions: ultrasonography and ultrasonically guided aspiration biopsy.

Abstract:

:Twenty-five patients, each of whom had peripheral intrathoracic lesions that were smaller than 5.0 X 5.0 cm in size and not diagnosed by conventional methods, underwent real-time sonography and ultrasonically guided aspiration biopsy. The lesions included 18 nodules, two infiltrates, and five cavitary lesions. Sonography showed homogeneous hypoechoic or isoechoic density with well-defined margins in 16 of the nodules, and heterogeneous echogenicity with irregular margins in infiltrates. The cavitary lesions showed a hyperechoic ring with a central sonolucent area. Biopsy specimens were successfully obtained by percutaneous aspiration under ultrasound guidance in 24 (96%) of the patients, and a positive diagnosis was established in 21 (84%) by cytology and/or histology. All 17 malignant lesions were diagnosed by aspiration biopsy, while only four of seven benign lesions were diagnosed by this method. Two patients (8%) experienced minimal pneumothorax after aspiration biopsy. We conclude that real-time sonography, including ultrasonically guided aspiration biopsy, is a useful and safe method for examination of peripheral intrathoracic lesions and has a high diagnostic yield.

journal_name

Radiology

journal_title

Radiology

authors

Yang PC,Luh KT,Sheu JC,Kuo SH,Yang SP

doi

10.1148/radiology.155.2.3885310

subject

Has Abstract

pub_date

1985-05-01 00:00:00

pages

451-6

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

155

pub_type

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