Over a period of recent 2 years and 10 months, 47 patients who had localzied pulmonary lesions, but were not diagnosed pathologically through bronchoscopy, transbronchial biopsy, and sputum examination, underwent percutaneous aspiration biopsy using 22G Wescott needle under the fluoroscopy.
The diagnostic accuracy was 85%, Malignant lesions were 32 cases, benign were 8 cases, and 7 cases were nogative. Eleven of all 47 Patients developed pneumothorax and one of them reguired treatment. Two of 11 pneumothorax patients also showed pleural effusion. Smalt amount of hemoptysis developed in 7 petients.
The method, problems, and complications are discussed. Nowadays, percutaneus aspiration biopsy appears to be the procedure of choice in the pulmonary lesions. especially peripherally localized.
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