Transthoracic image-guided biopsy of lung nodules: When is benign really benign?

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Savage C., Walser E., Schnadig V., Woodside K., Üstüner E., Zwischenberger J.

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, cilt.15, sa.2, ss.161-164, 2004 (SCI-Expanded, Scopus)

• Yayın Türü: Makale / Tam Makale
• Cilt numarası: 15 Sayı: 2
• Basım Tarihi: 2004
• Doi Numarası: 10.1097/01.rvi.0000109397.74740.8d
• Dergi Adı: JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
• Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
• Sayfa Sayıları: ss.161-164
• Ankara Üniversitesi Adresli: Hayır

Özet

PURPOSE: A pathologic diagnosis of malignancy by image-guided transthoracic fine needle aspiration (FNA) with or without (+/-) core biopsy is definitive. However, a benign diagnosis of a lung nodule by FNA core biopsy presents a management dilemma of resection for confirmation versus follow-up imaging and/or medical treatment. We propose three separate pathologic categories of benign diagnosis after FNA core biopsy: (i) benign specific (ie, aspergillosis); (ii) benign nonspecific (ie, fibrosis); and (iii) nondiagnostic. Our goal was to define when to resect "benign" nodules to avoid an unacceptably high false-negative rate.