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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 6/2017

01-06-2017 | Clinical Investigation

A Single-Institution Experience in Percutaneous Image-Guided Biopsy of Malignant Pleural Mesothelioma

Authors: B. T. Welch, P. W. Eiken, T. D. Atwell, T. Peikert, E. S. Yi, F. Nichols, G. D. Schmit

Published in: CardioVascular and Interventional Radiology | Issue 6/2017

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Abstract

Purpose

Mesothelioma has been considered a difficult pathologic diagnosis to achieve via image-guided core needle biopsy. The purpose of this study was to assess the diagnostic sensitivity of percutaneous image-guided biopsy for diagnosis of pleural mesothelioma.

Materials and Methods

Retrospective review was performed to identify patients with a confirmed diagnosis of pleural mesothelioma and who underwent image-guided needle biopsy between January 1, 2002, and January 1, 2016. Thirty-two patients with pleural mesothelioma were identified and included for analysis in 33 image-guided biopsy procedures. Patient, procedural, and pathologic characteristics were recorded. Complications were characterized via standardized nomenclature [Common Terminology for Clinically Adverse Events (CTCAE)].

Results

Percutaneous image-guided biopsy was associated with an overall sensitivity of 81%. No CTCAE clinically significant complications were observed. No image-guided procedures were complicated by pneumothorax or necessitated chest tube placement. No patients had tumor seeding of the biopsy tract.

Conclusion

Percutaneous image-guided biopsy can achieve high sensitivity for pathologic diagnosis of pleural mesothelioma with a low procedural complication rate, potentially obviating need for surgical biopsy.
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Metadata
Title
A Single-Institution Experience in Percutaneous Image-Guided Biopsy of Malignant Pleural Mesothelioma
Authors
B. T. Welch
P. W. Eiken
T. D. Atwell
T. Peikert
E. S. Yi
F. Nichols
G. D. Schmit
Publication date
01-06-2017
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 6/2017
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-017-1583-7

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