Punción transparietal de masas intratorácicas pulmonares con aguja gruesa o tru-cut guiada por tomografía computada como parte del algoritmo diagnóstico: un estudio descriptivo

Abstract

Transparietal lung biopsy with a Tru-cut type needle of quick core (QuickCore ®), guided by computed tomography, is a useful technique for the histological study of pulmonary lesions associated with masses suspected of malignancy. Objective: To describe an experience in using pulmonary thoracic transparietal biopsy with a Tru-cut needle guided by computed tomography as part of the diagnostic algorithm of intrathoracic pulmonary masses. Materials and methods: A crosssectional analysis, descriptive and prospective, was done of transparietal biopsies taken using lung tomography between January 2016 and November 2018. Results: The patients’ average age was 50.8 years, with males’ predominance in 70% of the cases. Sixty percent of lung lesions were located in the right lung, and 40% in the left lung. Ninety percent of the biopsies had enough samples. Primary lung tumors such as adenocarcinoma, carcinoma squamous or epidermoid, adenocarcinoma bronchiolealveolar, and myxoid liposarcoma low-grade malignancy were diagnosed in 67% of cases. On the other hand, 33% of the patients had a history of secondary tumors or metastatic disease. Conclusion: Transparietal biopsy with a Tru-cut needle guided by tomography, is a safe and accurate method for the diagnosing of pulmonary intrathoracic masses due to its non-invasive nature, low complication rate, and lower cost to make a histopathological diagnosis reason why it should be integrated as part of the diagnostic algorithm.

Keywords:

biopsia transparietal

pulmón

tomografía computada

aguja Tru-cut núcleo rápido

masas intratorácicas

diagnóstico

transparietal biopsy

lung

computed tomography

rapid core Tru-cut type needle

intrathoracic masses

diagnosis

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