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A Single-Institution Experience in Percutaneous Image-Guided Biopsy of Malignant Pleural Mesothelioma

Journal Article · · Cardiovascular and Interventional Radiology
;  [1];  [2];  [3];  [4];  [1]
  1. Mayo Clinic, Department of Radiology (United States)
  2. Mayo Clinic, Department of Pulmonary and Critical Care Medicine (United States)
  3. Mayo Clinic, Department of Pathology (United States)
  4. Mayo Clinic, Department of Thoracic Surgery (United States)
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PurposeMesothelioma has been considered a difficult pathologic diagnosis to achieve via image-guided core needle biopsy. The purpose of this study was to assess the diagnostic sensitivity of percutaneous image-guided biopsy for diagnosis of pleural mesothelioma.Materials and MethodsRetrospective review was performed to identify patients with a confirmed diagnosis of pleural mesothelioma and who underwent image-guided needle biopsy between January 1, 2002, and January 1, 2016. Thirty-two patients with pleural mesothelioma were identified and included for analysis in 33 image-guided biopsy procedures. Patient, procedural, and pathologic characteristics were recorded. Complications were characterized via standardized nomenclature [Common Terminology for Clinically Adverse Events (CTCAE)].ResultsPercutaneous image-guided biopsy was associated with an overall sensitivity of 81%. No CTCAE clinically significant complications were observed. No image-guided procedures were complicated by pneumothorax or necessitated chest tube placement. No patients had tumor seeding of the biopsy tract.ConclusionPercutaneous image-guided biopsy can achieve high sensitivity for pathologic diagnosis of pleural mesothelioma with a low procedural complication rate, potentially obviating need for surgical biopsy.
OSTI ID:
22645176
Journal Information:
Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 6 Vol. 40; ISSN 0174-1551; ISSN CAIRDG
Country of Publication:
United States
Language:
English

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Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BIOPSY
CHEST
DIAGNOSIS
IMAGES
NEOPLASMS
PATIENTS
REVIEWS
SENSITIVITY
SURGERY
VASCULAR DISEASES