Type:
Educational Exhibit
Keywords:
Multidisciplinary cancer care, Cancer, Diagnostic procedure, Biopsy, Percutaneous, CT, Thorax, Lung, Interventional non-vascular
Authors:
M. R. Calero Garcia1, N. Pérez Peláez2, G. GARCIA GALARRAGA1, I. NAVAS FERNANDEZ-SILGADO1, M. Pérez Núñez1, A. B. Enguita Valls1; 1Madrid/ES, 2Madrid, Madrid/ES
DOI:
10.1594/ecr2018/C-2639
Background
Lung cancer is the leading cause of cancer death in Europe and around the world,
being the most common cancer worldwide since 1985,
both in terms of incidence and mortality.
The increasingly widespread use of imaging in clinical practice has led to a steep increase in incidental findings of asymptomatic solitary pulmonary nodules.
In nodules >10mm and even in smaller nodules with high growth rate,
an histologic analysis is needed to confirm the diagnosis.
It can be achieved by several methods,
including bronchoscopy,
endobronquial ultrasonography (EBUS),
EUS,
surgery and image-guided transthoracic needle biopsy (TTNB).
The election should be done by consensus in a multidisciplinar team.
Percutaneous CT-guided biopsy is a minimally invasive technique with a reported diagnostic accuracy often greater than 90% and where in most cases,
the benefit outweigths the risk.
It has become an essential component of the diagnostic algorithm of pulmonary lesions nowadays.