Percutaneous Needle Biopsy of Pulmonary Tumours
Percutaneous transpleural needle biopsy of the lung (PTNB) is not a new procedure. It has been practised over many years since its introduction in the last century by Leyden, who aspirated organisms causing a pneumonia (Leyden 1883) and then by Menetrier, who 3 years later diagnosed a bronchial carcinoma by needle aspiration (Menetrier 1886). Since that time, several large series have been reported, using either an aspirating or a cutting technique (Lauby et al. 1965; Dahlgren and Lind 1969; Allison and Hemingway 1981; Gallo Curcio et al. 1983). Until recent years, PTNB has not been as popular a procedure in the United Kingdom as in the United States and Scandanavia because of its complications. However, with the advent of aspiration biopsy using relatively narrow gauge needles, the procedure has become safer and now has a secure place in the diagnosis of isolated pulmonary lesions, many of which will be neoplastic.
KeywordsNeedle Biopsy Aspiration Biopsy Solitary Pulmonary Nodule Pulmonary Tumour Percutaneous Needle Biopsy
Unable to display preview. Download preview PDF.
- Dahlgren SE, Lind B (1969) Transthoracic needle biopsy or bronchoscopic biopsy? Scand J Resp Dis 50: 265–272Google Scholar
- Gobien RP, Bouchard EA, Gobien BS, Valicenti JF, Vujic IV (1983) Thin needle aspiration biopsy of thoracic lesions. Impact on hospital charges and patterns of patient care. Radiology 148: 65–67Google Scholar
- Good CA (1963) The solitary pulmonary nodule: a problem of management. Radio] Clin North Am 1: 429–438Google Scholar
- Lauby VW, Burnett WE, Rosemund GP, Tyson RR (1965) Value and risk of biopsy pulmonary lesions by needle aspiration. J Thorax Cardiovasc Surg 49: 159–172Google Scholar
- Leyden H (1883) Über infectiose Pneumonie. Dsch Med Wochenschr 9: 52–54Google Scholar
- Johnson N Mcl, Dick R, Casselden P, Clarke SW (1979) Fibreoptic bronchoscopy and fluoroscopic percutaneous needle biopsy — a combined approach to the investigation of thoracic lesions. Radiography XLV 540: 273–275Google Scholar
- Menetrier P (1886) Cancer primitif du Puomon. Bull Soc Anat 11: 643Google Scholar
- Meyer JE, Ferrneci JF, Janower ML (1970) Fatal complications of percutaneous lung biopsy. Review of the literature and report of a case. Radiology 96: 47–48Google Scholar
- Sargent EN, Turner AF, Gordonson J, Schwinn CP, Pashkyo O (1974) Percutaneous pulmonary needle biopsy. Report of 350 patients. Am J Roentgenol Radium Ther Mud Med 122: 758–768Google Scholar
- Sinner WN (1976) Complications of percutaneous transthoracic needle aspiration biopsy. Acta Radiol [Diagn] (Stockh) 17: 813–825Google Scholar
- Sinner WN (1982) Fine-needle biopsy of hamartomas of the lung. Am J Roentgenol Radium Ther Nucl Med 138: 65–69Google Scholar
- Steel JD, Buell PE (1973) Asymptomatic solitary pulmonary nodule. J Thorac Cardiovasc Surg 65: 140–151Google Scholar