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Synchronous microwave ablation followed by <scp>core‐needle</scp> biopsy via a coaxial cannula for highly suspected malignant lung <scp>ground‐glass</scp> opacities: A <scp>single‐center</scp> , <scp>single‐arm</scp> retrospective study
- Source :
- Thoracic Cancer. 12:3216-3222
- Publication Year :
- 2021
- Publisher :
- Wiley, 2021.
-
Abstract
- Background This study aimed to retrospectively explore the safety and feasibility of computed tomography (CT)-guided synchronous microwave ablation (MWA) followed by core-needle biopsy (CNB) via a coaxial cannula for highly suspected malignant lung ground-glass opacities (GGOs). Methods The clinical data of 66 patients (66 GGOs) treated with CT-guided synchronous MWA followed by CNB via a coaxial cannula from January 2019 to January 2021 were included in this study. The technical success rate, curative effect, and complications were evaluated. Results Technical success rates were 100%. The pneumothorax rate was 36.4% (24/66). 72.7% (48/66) patients had the bronchopulmonary hemorrhage, 81.3% of hemorrhage was attributable to CNB. 24.2% (16/66) patients had varying degrees of pleural effusion. The pathological results were adenocarcinomas (n = 44), atypical adenomatous hyperplasia (n = 2), chronic inflammation (n = 3) and indeterminate pathological diagnosis (n = 17) with a 69.7% (46/66) positive diagnosis rate. The therapeutic response rate was 100.0% (66/66). Conclusions Synchronous MWA followed by CNB via a coaxial cannula has a satisfactory ablation effectiveness and an acceptable biopsy positive rate, which is an alternative treatment for highly suspected malignant GGOs.
- Subjects :
- Pulmonary and Respiratory Medicine
medicine.medical_specialty
medicine.diagnostic_test
Pleural effusion
business.industry
medicine.medical_treatment
Microwave ablation
General Medicine
Ablation
medicine.disease
Cannula
Ground-glass opacity
Oncology
Pneumothorax
Biopsy
medicine
Atypical adenomatous hyperplasia
Radiology
medicine.symptom
business
Subjects
Details
- ISSN :
- 17597714 and 17597706
- Volume :
- 12
- Database :
- OpenAIRE
- Journal :
- Thoracic Cancer
- Accession number :
- edsair.doi...........b8d25125a593f87bf0d4aa37f737355f