CT-guided harpoon marking a ground-glass infiltrate: A case report
Physicians are facing a growing challenge in characterizing suspicious pulmonary lesions through biopsy. Video thoracoscopic surgery is crucial for conducting surgical biopsies of these nodules. However, accurately identifying small pulmonary nodules, tiny, subsolid, and deep ones, remains a signifi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323006829 |
| _version_ | 1797653629395533824 |
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| author | Daniela Nasner, MD Valentina Mejía-Quiñones, MD Mauricio Velásquez-Galvis, MD Juan Sebastián Toro-Gutiérrez, MD |
| author_facet | Daniela Nasner, MD Valentina Mejía-Quiñones, MD Mauricio Velásquez-Galvis, MD Juan Sebastián Toro-Gutiérrez, MD |
| author_sort | Daniela Nasner, MD |
| collection | DOAJ |
| description | Physicians are facing a growing challenge in characterizing suspicious pulmonary lesions through biopsy. Video thoracoscopic surgery is crucial for conducting surgical biopsies of these nodules. However, accurately identifying small pulmonary nodules, tiny, subsolid, and deep ones, remains a significant challenge due to the absence of digital palpation. One proposed technique for localization involves using a harpoon, initially designed for mammary nodules but also applied to pulmonary nodules. In cases involving solitary pulmonary nodules, histologic characterization is often necessary also accurate descriptions through computed tomography and the patient's clinical and epidemiologic context allow for a presumptive diagnosis. In this case, during an abdominal CT scan, a 49-year-old female patient was serendipitously found to have a ground-glass infiltrate in the anteromedial segment of the lower lobe of her left lung. Despite presenting with normal lung auscultation on physical examination, the increasing prevalence of subsolid lung nodules, combined with the contemporary era of minimally invasive surgery, prompted the medical team to employ CT-guided harpoon marking for precise lesion localization. Subsequent pathology analysis confirmed the presence of lepidic pattern adenocarcinoma. This case underscores the efficacy of the CT-guided harpoon marking approach, which significantly enhances surgical precision. Such precision is paramount in formulating individualized treatment strategies and follow-up plans for patients with similar clinical presentations. |
| first_indexed | 2024-03-11T16:47:20Z |
| format | Article |
| id | doaj.art-874c81fa049c439f8c73ff05cf5d40f0 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-11T16:47:20Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-874c81fa049c439f8c73ff05cf5d40f02023-10-22T04:48:52ZengElsevierRadiology Case Reports1930-04332023-12-01181244794484CT-guided harpoon marking a ground-glass infiltrate: A case reportDaniela Nasner, MD0Valentina Mejía-Quiñones, MD1Mauricio Velásquez-Galvis, MD2Juan Sebastián Toro-Gutiérrez, MD3Clinical Research Center, Fundación Valle del Lili, Cali, Colombia; Corresponding author.Clinical Research Center, Fundación Valle del Lili, Cali, Colombia; Faculty of Health Sciences, School of Medicine, Universidad Icesi, Cali, ColombiaDepartment of Thoracic Surgery, Fundación Valle del Lili, Cali, ColombiaDepartment of Radiology and Diagnostic Imaging, Fundación Valle del Lili, Cali, ColombiaPhysicians are facing a growing challenge in characterizing suspicious pulmonary lesions through biopsy. Video thoracoscopic surgery is crucial for conducting surgical biopsies of these nodules. However, accurately identifying small pulmonary nodules, tiny, subsolid, and deep ones, remains a significant challenge due to the absence of digital palpation. One proposed technique for localization involves using a harpoon, initially designed for mammary nodules but also applied to pulmonary nodules. In cases involving solitary pulmonary nodules, histologic characterization is often necessary also accurate descriptions through computed tomography and the patient's clinical and epidemiologic context allow for a presumptive diagnosis. In this case, during an abdominal CT scan, a 49-year-old female patient was serendipitously found to have a ground-glass infiltrate in the anteromedial segment of the lower lobe of her left lung. Despite presenting with normal lung auscultation on physical examination, the increasing prevalence of subsolid lung nodules, combined with the contemporary era of minimally invasive surgery, prompted the medical team to employ CT-guided harpoon marking for precise lesion localization. Subsequent pathology analysis confirmed the presence of lepidic pattern adenocarcinoma. This case underscores the efficacy of the CT-guided harpoon marking approach, which significantly enhances surgical precision. Such precision is paramount in formulating individualized treatment strategies and follow-up plans for patients with similar clinical presentations.http://www.sciencedirect.com/science/article/pii/S1930043323006829Chest CTHarpoonPure ground-glass opacity (p-GGO) infiltratesVideo thoracoscopic surgery (VAST) |
| spellingShingle | Daniela Nasner, MD Valentina Mejía-Quiñones, MD Mauricio Velásquez-Galvis, MD Juan Sebastián Toro-Gutiérrez, MD CT-guided harpoon marking a ground-glass infiltrate: A case report Radiology Case Reports Chest CT Harpoon Pure ground-glass opacity (p-GGO) infiltrates Video thoracoscopic surgery (VAST) |
| title | CT-guided harpoon marking a ground-glass infiltrate: A case report |
| title_full | CT-guided harpoon marking a ground-glass infiltrate: A case report |
| title_fullStr | CT-guided harpoon marking a ground-glass infiltrate: A case report |
| title_full_unstemmed | CT-guided harpoon marking a ground-glass infiltrate: A case report |
| title_short | CT-guided harpoon marking a ground-glass infiltrate: A case report |
| title_sort | ct guided harpoon marking a ground glass infiltrate a case report |
| topic | Chest CT Harpoon Pure ground-glass opacity (p-GGO) infiltrates Video thoracoscopic surgery (VAST) |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323006829 |
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