Abstract:
Objective To assess the diagnostic value of ultrasound-guided biopsy for pleural lesions.
Methods A total of 118 cases with complete biopsy, imaging, and pathological data of ultrasound-guided pleural lesions were selected retrospectively from January 2010 to December 2017 at Zhejiang Cancer Hospital. All patients underwent ultrasound-guided biopsy. The surgical pathological histology and clinical follow-up results were used as the "gold standard". The four-table table was used to calculate the sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of ultrasound-guided biopsy in the diagnosis of pleural disease.
Results According to the "gold standard" of diagnosis, 17 of 118 patients had benign lesions, 99 had malignant lesions, and 2 had unknown lesions. Based on ultrasound-guided pleural lesion biopsy pathological diagnosis, there were 87 malignant lesions, 29 benign lesions, and 2 unknown lesions. The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of ultrasound-guided biopsy in diagnosis of pleural lesions were 87.9%, 100.0%, 100.0%, 58.6%, and 89.7%, respectively. Complications occurred in 4 of 118 patients.
Conclusion Ultrasound-guided pleural lesion biopsy has the characteristics of real-time, simple operation, no radiation hazard, and low incidence of complications. It has high diagnostic value for pleural lesions and is worthy of clinical application.
Liu Liu, Xu Xu, Yang Yang, Mao Mao, Guo Guo, Chen Chen, Shao Shao, Liu Liu. Diagnostic value of ultrasound-guided cutting needle biopsy in pleural lesions[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2020, 17(08): 782-786.