Our Experience with CT Guided Lung FNAC/ Biopsy

Abstract

Introduction: CT guided lung FNAC/Biopsy is being increasingly used for the tissue diagnosis of lung lesions. CT is the safest and most accurate method of biopsying central lesions and lesions adjacent to or involving the hila and mediastinal structures. This study was aimed at evaluating the frequency of complications following CT -guided lung Biopsy/FNAC Material and methods: This was a retrospective study. 53 CT guided procedures performed during the year 2016 were included in the study. All the patients had a CT examination of the chest (plain and contrast) done before the guided procedure which was used as a road map. CT examination was done on a Siemens somatom 148 slice scanner. In some patients table dose oral contrast was also given done to delineate the oesophagus. Results:The incidence of pneumothorax was 1.06% i.e. only 1 patient out of 53 had minimal pneumothorax which was treated conservatively. Conclusion:CT guided lung FNAC/Biopsy is a safe procedure if done in expert hands with a multi-disciplinary team approach. Complications can be minimised by careful selection of the patient... considering the site and size of lesion; associated lung conditions etc.