Transthoracic Needle Biopsy: How to Maximize Diagnostic Accuracy and Minimize Complications

Although transthoracic needle biopsy (TTNB) was introduced for lung biopsy about 40 years ago, it is still mainstay of pathologic diagnosis in lung cancer, because it is relatively inexpensive and can obtain tissue regardless of the tumor-bronchus relationship. With several technological advances, p...

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Main Authors: Chaeuk Chung, Yoonjoo Kim, Dongil Park
Format: Article
Language:English
Published: The Korean Academy of Tuberculosis and Respiratory Diseases 2020-12-01
Series:Tuberculosis and Respiratory Diseases
Subjects:
Online Access:http://www.e-trd.org/upload/pdf/trd-2020-0156.pdf
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author Chaeuk Chung
Yoonjoo Kim
Dongil Park
author_facet Chaeuk Chung
Yoonjoo Kim
Dongil Park
author_sort Chaeuk Chung
collection DOAJ
description Although transthoracic needle biopsy (TTNB) was introduced for lung biopsy about 40 years ago, it is still mainstay of pathologic diagnosis in lung cancer, because it is relatively inexpensive and can obtain tissue regardless of the tumor-bronchus relationship. With several technological advances, proceduralists can perform TTNB more safely and accurately. Utilizing ultrasound-guided biopsy for peripheral lesions in contact with the pleura and rapid on-site evaluation during the procedure are expected to make up the weakness of TTNB. However, due to the inherent limitations of the percutaneous approach, the incidence of complications such as pneumothorax or bleeding is inevitably higher than that of other lung biopsy techniques. Thorough understating of each biopsy modality and additional technique are fundamental for maximizing diagnostic accuracy and minimizing the complications.
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spelling doaj.art-3722e3c8801e4c77bac66f0ddbf3a8d02022-12-21T21:31:27ZengThe Korean Academy of Tuberculosis and Respiratory DiseasesTuberculosis and Respiratory Diseases1738-35362005-61842020-12-0183Supple 1S17S2410.4046/trd.2020.01563301Transthoracic Needle Biopsy: How to Maximize Diagnostic Accuracy and Minimize ComplicationsChaeuk Chung0Yoonjoo Kim1Dongil Park2 Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chungnam National University, Daejeon, Republic of Korea Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chungnam National University Hospital, Daejeon, Republic of Korea Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chungnam National University Hospital, Daejeon, Republic of KoreaAlthough transthoracic needle biopsy (TTNB) was introduced for lung biopsy about 40 years ago, it is still mainstay of pathologic diagnosis in lung cancer, because it is relatively inexpensive and can obtain tissue regardless of the tumor-bronchus relationship. With several technological advances, proceduralists can perform TTNB more safely and accurately. Utilizing ultrasound-guided biopsy for peripheral lesions in contact with the pleura and rapid on-site evaluation during the procedure are expected to make up the weakness of TTNB. However, due to the inherent limitations of the percutaneous approach, the incidence of complications such as pneumothorax or bleeding is inevitably higher than that of other lung biopsy techniques. Thorough understating of each biopsy modality and additional technique are fundamental for maximizing diagnostic accuracy and minimizing the complications.http://www.e-trd.org/upload/pdf/trd-2020-0156.pdfimage-guided transthoracic needle biopsytransthoracic needle biopsylung biopsydiagnostic accuracycomplication
spellingShingle Chaeuk Chung
Yoonjoo Kim
Dongil Park
Transthoracic Needle Biopsy: How to Maximize Diagnostic Accuracy and Minimize Complications
Tuberculosis and Respiratory Diseases
image-guided transthoracic needle biopsy
transthoracic needle biopsy
lung biopsy
diagnostic accuracy
complication
title Transthoracic Needle Biopsy: How to Maximize Diagnostic Accuracy and Minimize Complications
title_full Transthoracic Needle Biopsy: How to Maximize Diagnostic Accuracy and Minimize Complications
title_fullStr Transthoracic Needle Biopsy: How to Maximize Diagnostic Accuracy and Minimize Complications
title_full_unstemmed Transthoracic Needle Biopsy: How to Maximize Diagnostic Accuracy and Minimize Complications
title_short Transthoracic Needle Biopsy: How to Maximize Diagnostic Accuracy and Minimize Complications
title_sort transthoracic needle biopsy how to maximize diagnostic accuracy and minimize complications
topic image-guided transthoracic needle biopsy
transthoracic needle biopsy
lung biopsy
diagnostic accuracy
complication
url http://www.e-trd.org/upload/pdf/trd-2020-0156.pdf
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AT dongilpark transthoracicneedlebiopsyhowtomaximizediagnosticaccuracyandminimizecomplications