Keywords:
Interventional non-vascular, Oncology, CT, Ultrasound, Biopsy, Cancer, Metastases
Authors:
M. Goicea1, C.-I. Betianu2; 1Bucharest, ro/RO, 2BUCHAREST/RO
DOI:
10.26044/ecr2019/C-0573
Conclusion
As it would seem,
when managing patients with multiple-site oncologic lesions,
given adequate pre-procedural selection of patients,
most complications occur when performing lung biopsies.
Thus,
even though the patient could present to the hospital with symptoms due to a lung lesion,
or be primarily diagnosed with a lung lesion,
hence referred for a lung biopsy,
it is an interventional radiologist’s duty to check for other simultaneous lesions,
that could offer the same amount of information for a lower complication rate.
One should however always consider the history and clinical context of the patient,
since in some of the cases,
the lung lesion could be the only one of interest – for example a new lung lesion in a previously treated oncologic patient,
in whom all other oncologic lesions are in regression.
It is our study’s conclusion that when planning for biopsy in patients with multiple-site oncologic lesions (including lung lesions),
it must be kept in mind that choosing a different site than the lung has a similar diagnostic accuracy,
with a significantly lower complication rate.