Pulmonary-Oncology Department, General Clinic Euromedica, Private Hospital, 54645 Thessaloniki, Greece.
Surgical Department, University Hospital of Thessaloniki AHEPA, Aristotle University of Thessaloniki (AUTH), 1st St. Kiriakidi Street, 54621 Thessaloniki, Greece.
Int J Environ Res Public Health. 2022 Mar 17;19(6):3569. doi: 10.3390/ijerph19063569.
Diagnosis of lung nodules is still under investigation. We use computed tomography scans and positron emission tomography in order to identify their origin.
In our retrospective study, we included 248 patients with a single lung nodule or multiple lung nodules of size ≥1 cm. We used a radial-endobronchial ultrasound and a C-Arm. We used a 1.1 mm cryoprobe versus a 22G needle vs. forceps/brush. We compared the sample size of each biopsy method with the number of cell-block slices.
Central lesions indifferent to the method provided the same mean number of cell-block slices (0.04933-0.02410). Cryobiopsies provide less sample size for peripheral lesions due to the higher incidence of pneumothorax (0.04700-0.02296).
The larger the lesion ≥2 cm, and central, more cell-blocks are produced indifferent to the biopsy method (0.13386-0.02939). The time of the procedure was observed to be less when the C-Arm was used as an additional navigation tool (0.14854-0.00089).
肺结节的诊断仍在研究中。我们使用计算机断层扫描和正电子发射断层扫描来确定它们的起源。
在我们的回顾性研究中，我们纳入了 248 名单个肺结节或多个大小≥1cm 的肺结节患者。我们使用了径向支气管内超声和 C 臂。我们使用了 1.1mm 的冷冻探针与 22G 针、活检钳/刷子进行比较。我们将每种活检方法的样本量与细胞块切片数量进行了比较。
对于不同的方法，中央病变提供了相同的平均细胞块切片数量（0.04933-0.02410）。由于气胸发生率较高，冷冻活检对周围病变的样本量较小（0.04700-0.02296）。
对于≥2cm 的较大病变，且为中央病变，无论使用何种活检方法，都会产生更多的细胞块（0.13386-0.02939）。当 C 臂作为附加导航工具使用时，手术时间观察到缩短（0.14854-0.00089）。
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