Ultrasonographically guided fine-needle aspiration biopsy of intrathoracic tumors

Acta Radiol. 1996 May;37(3 Pt 1):327-31. doi: 10.1177/02841851960371P169.


Purpose: Evaluation of diagnostic accuracy and complication frequency at ultrasonographically guided fine-needle aspiration biopsy of intrathoracic tumors.

Material and methods: A total of 134 ultrasonographically guided percutaneous fine-needle aspiration biopsies were performed on 128 patients with intrathoracic tumors abutting on the pleura. A cytologic diagnosis was obtained in 119 patients (93%).

Results: In 83 patients, cytologic malignancy was found; in 34, benignity; and in 2, cellular atypia. A total of 117 diagnoses were correct and 2 diagnoses were false-positive. A malignancy subtyping based on the cytologic aspirates was made in 80 patients. In 40 (93%) of 43 histologically proven subtypes, the subtyping was correct. The complication frequency in terms of pneumothorax was 3.7%.

Conclusion: Ultrasonographically guided percutaneous fine-needle aspiration biopsy is a safe and reliable method of establishing the cytologic diagnosis of intrathoracic tumors.

MeSH terms

  • Biopsy, Needle / adverse effects
  • Biopsy, Needle / methods
  • Carcinoma, Bronchogenic / diagnostic imaging
  • Carcinoma, Bronchogenic / epidemiology
  • Carcinoma, Bronchogenic / pathology
  • Evaluation Studies as Topic
  • Female
  • Humans
  • Lung / pathology*
  • Lung Diseases / diagnostic imaging
  • Lung Diseases / epidemiology
  • Lung Diseases / pathology
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / epidemiology
  • Lung Neoplasms / pathology*
  • Male
  • Middle Aged
  • Sensitivity and Specificity
  • Ultrasonography