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Diagnostic result and cost of ultrasound-guided percutaneous puncture in peripheral lung lesions made by pulmonologists

Aurelio Wangüemert Pérez, Héctor Manuel González Expósito, Ana Martín Medina, Agustín Medina Gonzálvez
European Respiratory Journal 2016 48: PA4680; DOI: 10.1183/13993003.congress-2016.PA4680
Aurelio Wangüemert Pérez
1Pneumology, University Hospital of the Canary, San Cristóbal de La Laguna, Santa Cruz de TenerifeSpain
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Héctor Manuel González Expósito
1Pneumology, University Hospital of the Canary, San Cristóbal de La Laguna, Santa Cruz de TenerifeSpain
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Ana Martín Medina
1Pneumology, University Hospital of the Canary, San Cristóbal de La Laguna, Santa Cruz de TenerifeSpain
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Agustín Medina Gonzálvez
1Pneumology, University Hospital of the Canary, San Cristóbal de La Laguna, Santa Cruz de TenerifeSpain
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Abstract

Introduction: The ultrasound (US) is a complementary test for peripheral lung lesions (PLL) in contact with the chest wall,and is used as a guide in percutaneous puncture (PC) as it offers advantages compared to other tests.

Aim: to determine the diagnostic result,complications and costs of the percutaneous US-guided PC in PLL by pulmonologists.

Methods: A retrospective analysis of 24 patients, collected from April to December 2015,with PLL visualized by thorax CT previously who underwent US-guided transthoracic PC in outpatient clinic at University Hospital of the Canary.

Results: 24 patients were analyzed. Distribution of lesions:38% in right upper lobe,29% in lower right lobe,17% in left lower lobe,8% in left upper lobe,4% in middle lobe and pleuroparietal at 4%.

Lesion size, smaller than 2 cm was 16.6%,a size between 2 and 5 cm was 27.5% and greater than 5 cm was 45.8%.

The diagnostic result of cytology obtained by the percutaneous US-guided PC in PLL was 58% and suspicious for malignancy in 21%. The diagnostic result obtained by percutaneal core biopsy was 91.7%.

The final diagnosis;1)Malignant lesions:non-small 25%, 29% small cell, metastasis 4.1%, 4.1% mesothelioma and other tumors 17%. 2)Inconclusive at 8.3%. 3)Benign lesions in 12.5%.

The only complication was mild hemoptysis self-limited in two patients. The cost of the procedure was 188€ compared to a cost of 1479€ of CT-guided procedure. The total cost savings was 30,936€.

Conclusions: -The diagnostic yield was similar results to other studies.

-There was no relationship between the size of the peripheral lung lesion and diagnostic result.

-Comfort and less radiation for the patient with fewer health expenses.

  • Imaging
  • Lung cancer / Oncology
  • Lung injury
  • Copyright ©the authors 2016
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Diagnostic result and cost of ultrasound-guided percutaneous puncture in peripheral lung lesions made by pulmonologists
Aurelio Wangüemert Pérez, Héctor Manuel González Expósito, Ana Martín Medina, Agustín Medina Gonzálvez
European Respiratory Journal Sep 2016, 48 (suppl 60) PA4680; DOI: 10.1183/13993003.congress-2016.PA4680

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Diagnostic result and cost of ultrasound-guided percutaneous puncture in peripheral lung lesions made by pulmonologists
Aurelio Wangüemert Pérez, Héctor Manuel González Expósito, Ana Martín Medina, Agustín Medina Gonzálvez
European Respiratory Journal Sep 2016, 48 (suppl 60) PA4680; DOI: 10.1183/13993003.congress-2016.PA4680
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