Lung mass other diagnostic studies: Difference between revisions
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==Overview== | ==Overview== | ||
Biopsy for lung mass may be classified into 2 categories | [[Biopsy]] for lung mass may be classified into 2 categories such as non-surgical biopsy and surgical biopsy. [[Biopsy]] findings associated with lung mass will depend on tumor [[histology]]. Common types of lung tissue [[biopsy]] for pulmonary mass, include conventional bronchoscopic-guided transbronchial biopsy, bronchoscopic-transbronchial needle [[aspiration]], endobronchial ultrasound-guided sheath transbronchial biopsy, and endobronchial ultrasound-guided transbronchial needle aspiration. Common indications for biopsy in lung mass include; suspected [[lung cancer]], [[malignant]] features ([[lymph node]] involvement). | ||
==Other Diagnostic Studies== | ==Other Diagnostic Studies== | ||
===Biopsy=== | ===Biopsy=== | ||
Biopsy for lung mass may be classified into 2 categories:<ref name="pmid15347106">{{cite journal |vauthors=Podbielski FJ, Rodriguez HE, Brown AM, Blecha MJ, Salazar MR, Connolly MM |title=Percutaneous biopsy in evaluation of lung nodules |journal=JSLS |volume=8 |issue=3 |pages=213–6 |year=2004 |pmid=15347106 |pmc=3016799 |doi= |url=}}</ref> | Biopsy for lung mass may be classified into 2 categories:<ref name="pmid15347106">{{cite journal |vauthors=Podbielski FJ, Rodriguez HE, Brown AM, Blecha MJ, Salazar MR, Connolly MM |title=Percutaneous biopsy in evaluation of lung nodules |journal=JSLS |volume=8 |issue=3 |pages=213–6 |year=2004 |pmid=15347106 |pmc=3016799 |doi= |url=}}</ref> | ||
:*Bronchoscopy | :*[[Bronchoscopy]] | ||
:*Transthoracic needle biopsy | :*Transthoracic [[needle biopsy]] | ||
:*Needle core biopsy | :*Needle core biopsy | ||
*'''Surgical''' | *'''Surgical''' | ||
:* Wedge resection | :* [[Wedge resection (lung)|Wedge resection]] | ||
* The preferred biopsy technique for lung mass is wedge resection. | * The preferred [[biopsy]] technique for lung mass is [[Wedge resection (lung)|wedge resection.]] | ||
*Indications for biopsy in lung mass, include:<ref name="pmid15347106">{{cite journal |vauthors=Podbielski FJ, Rodriguez HE, Brown AM, Blecha MJ, Salazar MR, Connolly MM |title=Percutaneous biopsy in evaluation of lung nodules |journal=JSLS |volume=8 |issue=3 |pages=213–6 |year=2004 |pmid=15347106 |pmc=3016799 |doi= |url=}}</ref> | *Indications for biopsy in lung mass, include:<ref name="pmid15347106">{{cite journal |vauthors=Podbielski FJ, Rodriguez HE, Brown AM, Blecha MJ, Salazar MR, Connolly MM |title=Percutaneous biopsy in evaluation of lung nodules |journal=JSLS |volume=8 |issue=3 |pages=213–6 |year=2004 |pmid=15347106 |pmc=3016799 |doi= |url=}}</ref> | ||
:*Suspected lung cancer | :*Suspected [[lung cancer]] | ||
:*Determination of tumor histologic subtype | :*Determination of tumor [[histologic]] subtype | ||
:*Characterization of genetic mutations | :*Characterization of [[genetic]] [[mutations]] | ||
*Contraindications for biopsy in lung mass, include:<ref name="pmid15347106">{{cite journal |vauthors=Podbielski FJ, Rodriguez HE, Brown AM, Blecha MJ, Salazar MR, Connolly MM |title=Percutaneous biopsy in evaluation of lung nodules |journal=JSLS |volume=8 |issue=3 |pages=213–6 |year=2004 |pmid=15347106 |pmc=3016799 |doi= |url=}}</ref> | *Contraindications for biopsy in lung mass, include:<ref name="pmid15347106">{{cite journal |vauthors=Podbielski FJ, Rodriguez HE, Brown AM, Blecha MJ, Salazar MR, Connolly MM |title=Percutaneous biopsy in evaluation of lung nodules |journal=JSLS |volume=8 |issue=3 |pages=213–6 |year=2004 |pmid=15347106 |pmc=3016799 |doi= |url=}}</ref> | ||
:*Emphysema | :*[[Emphysema]] | ||
:*Bullous disease | :*[[Bullous]] disease | ||
:*Chronic respiratory failure | :*Chronic respiratory failure | ||
*Complications for | *Complications for [[biopsy]] in lung mass, include:<ref name="pmid15347106">{{cite journal |vauthors=Podbielski FJ, Rodriguez HE, Brown AM, Blecha MJ, Salazar MR, Connolly MM |title=Percutaneous biopsy in evaluation of lung nodules |journal=JSLS |volume=8 |issue=3 |pages=213–6 |year=2004 |pmid=15347106 |pmc=3016799 |doi= |url=}}</ref> | ||
:*Pneumothorax | :*[[Pneumothorax]] | ||
:*Hemothorax | :*[[Hemothorax]] | ||
==Non-Surgical Biopsy== | ==Non-Surgical Biopsy== | ||
'''Bronchoscopy''' | '''Bronchoscopy''' | ||
*Common bronchoscopy biopsy techniques for lung mass, include:<ref name="pmid15347106">{{cite journal |vauthors=Podbielski FJ, Rodriguez HE, Brown AM, Blecha MJ, Salazar MR, Connolly MM |title=Percutaneous biopsy in evaluation of lung nodules |journal=JSLS |volume=8 |issue=3 |pages=213–6 |year=2004 |pmid=15347106 |pmc=3016799 |doi= |url=}}</ref> | *Common [[bronchoscopy]] [[biopsy]] techniques for lung mass, include:<ref name="pmid15347106">{{cite journal |vauthors=Podbielski FJ, Rodriguez HE, Brown AM, Blecha MJ, Salazar MR, Connolly MM |title=Percutaneous biopsy in evaluation of lung nodules |journal=JSLS |volume=8 |issue=3 |pages=213–6 |year=2004 |pmid=15347106 |pmc=3016799 |doi= |url=}}</ref> | ||
:*Conventional bronchoscopic-guided transbronchial biopsy | :*Conventional bronchoscopic-guided transbronchial biopsy | ||
:*Bronchoscopic-transbronchial needle aspiration | :*Bronchoscopic-transbronchial needle aspiration | ||
| Line 39: | Line 39: | ||
:*Endobronchial ultrasound-guided transbronchial needle aspiration | :*Endobronchial ultrasound-guided transbronchial needle aspiration | ||
*Indications for bronchoscopy in lung mass, include:<ref name="pmid15347106">{{cite journal |vauthors=Podbielski FJ, Rodriguez HE, Brown AM, Blecha MJ, Salazar MR, Connolly MM |title=Percutaneous biopsy in evaluation of lung nodules |journal=JSLS |volume=8 |issue=3 |pages=213–6 |year=2004 |pmid=15347106 |pmc=3016799 |doi= |url=}}</ref> | *Indications for [[bronchoscopy]] in lung mass, include:<ref name="pmid15347106">{{cite journal |vauthors=Podbielski FJ, Rodriguez HE, Brown AM, Blecha MJ, Salazar MR, Connolly MM |title=Percutaneous biopsy in evaluation of lung nodules |journal=JSLS |volume=8 |issue=3 |pages=213–6 |year=2004 |pmid=15347106 |pmc=3016799 |doi= |url=}}</ref> | ||
:*Central nodules | :*Central [[nodules]] | ||
:*Large lesions | :*Large lesions | ||
:*No fitness for surgery | :*No fitness for surgery | ||
:*Nodules close to the patent airways | :*[[Nodules]] close to the patent airways | ||
:*Patients were the risk of complications from any other biopsy is high | :*Patients were the risk of complications from any other [[biopsy]] is high | ||
'''Transthoracic needle biopsy''' | '''Transthoracic needle biopsy''' | ||
*Usually followed by CT guidance | *Usually followed by [[CT]] guidance | ||
*Indications for transthoracic needle biopsy in pulmonary | *Indications for transthoracic [[needle biopsy]] in pulmonary mass include:<ref name="pmid15347106">{{cite journal |vauthors=Podbielski FJ, Rodriguez HE, Brown AM, Blecha MJ, Salazar MR, Connolly MM |title=Percutaneous biopsy in evaluation of lung nodules |journal=JSLS |volume=8 |issue=3 |pages=213–6 |year=2004 |pmid=15347106 |pmc=3016799 |doi= |url=}}</ref> | ||
:*Peripheral nodules | :*Peripheral [[nodules]] | ||
:*Nodules close to the chest wall | :*Nodules close to the [[chest wall]] | ||
:*No fitness for surgery | :*No fitness for [[surgery]] | ||
==Surgical Biopsy== | ==Surgical Biopsy== | ||
*Surgical excision is the mainstay therapy for malignant lung mass. | *Surgical [[excision]] is the mainstay therapy for malignant lung mass. | ||
*Surgical excision is also the primary choice for the definitive diagnosis of malignant lung mass. | *Surgical [[excision]] is also the primary choice for the definitive [[diagnosis]] of [[malignant]] lung mass. | ||
*In lung mass, surgical procedure selection will depend on the size, margins, and size of the tumor. | *In lung mass, surgical procedure selection will depend on the size, margins, and size of the [[tumor]]. | ||
*Common surgical procedures for the treatment of lung mass, include: | *Common surgical procedures for the treatment of lung mass, include: | ||
:*Wedge resection | :*[[Wedge resection (lung)|Wedge resection]] | ||
:*Lobectomy | :*[[Lobectomy of lung|Lobectomy]] | ||
:*Segmentectomy | :*Segmentectomy | ||
:*Lung volume reduction surgery | :*Lung volume reduction surgery | ||
Revision as of 16:02, 9 March 2018
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Lung Mass Microchapters |
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Lung mass other diagnostic studies On the Web |
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American Roentgen Ray Society Images of Lung mass other diagnostic studies |
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Risk calculators and risk factors for Lung mass other diagnostic studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2] Akshun Kalia M.B.B.S.[3]
Overview
Biopsy for lung mass may be classified into 2 categories such as non-surgical biopsy and surgical biopsy. Biopsy findings associated with lung mass will depend on tumor histology. Common types of lung tissue biopsy for pulmonary mass, include conventional bronchoscopic-guided transbronchial biopsy, bronchoscopic-transbronchial needle aspiration, endobronchial ultrasound-guided sheath transbronchial biopsy, and endobronchial ultrasound-guided transbronchial needle aspiration. Common indications for biopsy in lung mass include; suspected lung cancer, malignant features (lymph node involvement).
Other Diagnostic Studies
Biopsy
Biopsy for lung mass may be classified into 2 categories:[1]
- Bronchoscopy
- Transthoracic needle biopsy
- Needle core biopsy
- Surgical
- The preferred biopsy technique for lung mass is wedge resection.
- Indications for biopsy in lung mass, include:[1]
- Suspected lung cancer
- Determination of tumor histologic subtype
- Characterization of genetic mutations
- Contraindications for biopsy in lung mass, include:[1]
Non-Surgical Biopsy
Bronchoscopy
- Common bronchoscopy biopsy techniques for lung mass, include:[1]
- Conventional bronchoscopic-guided transbronchial biopsy
- Bronchoscopic-transbronchial needle aspiration
- Endobronchial ultrasound-guided sheath transbronchial biopsy
- Endobronchial ultrasound-guided transbronchial needle aspiration
- Indications for bronchoscopy in lung mass, include:[1]
Transthoracic needle biopsy
- Usually followed by CT guidance
- Indications for transthoracic needle biopsy in pulmonary mass include:[1]
- Peripheral nodules
- Nodules close to the chest wall
- No fitness for surgery
Surgical Biopsy
- Surgical excision is the mainstay therapy for malignant lung mass.
- Surgical excision is also the primary choice for the definitive diagnosis of malignant lung mass.
- In lung mass, surgical procedure selection will depend on the size, margins, and size of the tumor.
- Common surgical procedures for the treatment of lung mass, include:
- Wedge resection
- Lobectomy
- Segmentectomy
- Lung volume reduction surgery