Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Computed tomography (CT)‐guided trans thoracic biopsy is a pivotal diagnostic procedure for thoracic diseases, especially lung malignancies. The procedure's minimally invasive nature and precision in targeting lung lesions make it a preferred method for obtaining tissue samples for histopathological examination. This study evaluates the diagnostic yield of CT‐guided trans thoracic biopsy in a tertiary care setting, focusing on lung malignancies. This retrospective study was conducted in the Department of Respiratory Medicine at Sree Mookambika Institute of Medical Sciences (SMIMS), Kulasekharam, covering cases from January 2020 to March 2023. Patients who underwent CT‐guided trans thoracic biopsy during this period were included. Data were collected from medical records, focusing on demographics, procedure details, histopathological outcomes and post‐procedure complications. Descriptive statistics were utilized to analyze the data. The study included 47 patients aged 24‐80 years, with a mean age of 59.45 years. Females constituted 55.3% of the cohort. Common symptoms were chest pain (36.2%), cough (29.8%) and breathing difficulty (21.3%), with 12.7% asymptomatic. The procedure was successful on the first attempt in 48.9% of cases. Histopathological examination revealed malignant lesions in 68.1% of cases, benign lesions in 14.9% and other lesions in 17%. The most frequent malignancies were adenocarcinoma and squamous cell carcinoma. Complications were minimal, with chest pain (25.5%) being the most common, followed by cough (6.4%), pneumothorax (4.3%), pulmonary alveolar hemorrhage (4.3%) and hemoptysis (2.1%). No complications occurred in 57.4% of patients. CT‐guided trans thoracic biopsy is an effective and safe method for diagnosing lung malignancies, with a high diagnostic yield and manageable complication rates. The study supports its use as a critical diagnostic tool in pulmonary medicine. Further prospective studies with larger sample sizes are recommended to validate these findings.
How to cite this article:
. Diagnostic Yield and Outcome of CT Guided Biopsy in a Trans‐Thoracic Lung Biopsy in a Teritiary Care Hospital‐Record Based Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.9.149.153
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.9.149.153