KMID : 0614720230660030160
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Journal of Korean Medical Association 2023 Volume.66 No. 3 p.160 ~ p.165
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Transthoracic needle biopsy for diagnosis of lung cancer
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Park Dong-Il
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Abstract
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Background: Lung cancer is the most common cause of cancer deaths worldwide and accounts for approximately 2 million deaths annually. Despite advances in lung biopsy methods using bronchoscopy, a transthoracic needle biopsy continues to be used widely owing to its excellent accessibility and cost-effectiveness.
Current Concepts: Various guidance methods are used during a transthoracic needle biopsy to guide the biopsy needle toward the target lesion. Commonly used modalities include conventional computed tomography, computed tomography fluoroscopy, cone beam computed tomography, and ultrasonography. Complications of a transthoracic needle biopsy include pneumothorax (20.0%), hemorrhage or hemoptysis (11.0%), delayed pneumothorax (1.4%.4.5%), air embolism (0.02%.1.8%), and tumor seeding (0.12%.0.061%).
Discussion and Conclusion: Careful selection of the guidance method and needle type, based on the risk factors, the patient¡¯s condition, and location of the lesion is important to achieve high accuracy and low complication rates during a transthoracic needle biopsy. If possible, the bronchoscopic approach should initially be attempted in high-risk groups.
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KEYWORD
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Lung neoplasms, Diagnosis, Image-guided biopsy, Biopsy, Needle
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