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Surgery Today
Published in: Surgery Today 6/2015

01-06-2015 | Original Article

Intraoperative fine-needle aspiration biopsy (FNA) for lung cancer: diagnostic value and risk of pleural dissemination

Authors: Takahisa Matsuoka, Makoto Sonobe, Hiroshi Date

Published in: Surgery Today | Issue 6/2015

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Abstract

Purpose

Intraoperative fine-needle aspiration biopsy (FNA) is one of the most important diagnostic tools for undiagnosed lung nodules suspected of being lung cancer; however, the sensitivity and safety of FNA, including the risk of intrapleural dissemination of cancer cells, have not been established.

Methods

Between 2006 and 2008, 324 patients underwent lung resection for cancers located in the lung periphery. Intraoperative FNA for definite diagnosis was performed immediately after thoracotomy in 147 (45.4 %) of these patients, but not in the other 177.

Results

A diagnosis of lung cancer was obtained by the intraoperative FNA in 124 (84.4 %) of the 147 patients. During a median follow-up of 55 months, pleural dissemination or malignant effusion ipsilateral to the operated side as the first recurrent site occurred in 11 (7.4%) of the 147 patients who underwent the needle biopsy and 10 (5.6 %) of the 177 patients who did not. This difference was not significant (P = 0.5046).

Conclusion

Intraoperative FNA was safe and useful for the diagnosis of peripheral lung cancer and did not increase the risk of pleural dissemination in this series.
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Metadata
Title
Intraoperative fine-needle aspiration biopsy (FNA) for lung cancer: diagnostic value and risk of pleural dissemination
Authors
Takahisa Matsuoka
Makoto Sonobe
Hiroshi Date
Publication date
01-06-2015
Publisher
Springer Japan
Published in
Surgery Today / Issue 6/2015
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-014-1029-7

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