Kang Se Ri
J Korean Soc Radiol. 2023 Jan;84(1):311-317. doi: 10.3348/jksr.2022.0093. Epub 2023 Jan 30.
CT-guided percutaneous transthoracic needle biopsy (PTNB) plays a key role in the diagnosis of pulmonary abnormalities. Although the procedure is considered safe and effective, there exists a potential for complications, such as pneumothorax, hemorrhage, hemoptysis, air embolism, and tumor seeding. However, pneumatoceles after CT-guided PTNB have been rarely reported. Herein, we report two cases of pneumatoceles that developed immediately after PTNB for primary lung cancer. A pneumatocele filled with hematoma should be considered in cases with a newly developed nodule along the needle tract during short-term follow-up CT after PTNB.
CT引导下经皮经胸针吸活检(PTNB)在肺部异常诊断中起着关键作用。尽管该操作被认为是安全有效的,但仍存在并发症的可能性,如气胸、出血、咯血、空气栓塞和肿瘤种植。然而,CT引导下PTNB后发生肺气囊的情况鲜有报道。在此,我们报告两例原发性肺癌PTNB后立即出现的肺气囊病例。在PTNB后的短期随访CT中,沿针道出现新的结节时,应考虑为充满血肿的肺气囊。