Dose pulmonary puncture biopsy increase the risk of pleural recurrence and air space spread of tumor in patients with stage Ⅰ non-small cell lung cancer?
10.3969/j.issn.1008-794X.2024.01.002
- VernacularTitle:Ⅰ期非小细胞肺癌患者肺穿刺活检是否增加胸膜复发和气腔播散的风险
- Author:
Baodong LIU
1
Author Information
1. 100053 北京 首都医科大学宣武医院胸外科
- Keywords:
lung cancer;
pulmonary nodule;
lung puncture biopsy;
pleural recurrence;
tumor spread through air spaces
- From:
Journal of Interventional Radiology
2024;33(1):7-11
- CountryChina
- Language:Chinese
-
Abstract:
In recent years,with the increasing proportion of pulmonary nodules,preoperative percutaneous lung puncture biopsy and bronchoscopic biopsy have received more and more attention.A large amount of clinical evidences indicate that lung puncture biopsy of stageⅠnon-small cell lung cancer(NSCLC)is safe and feasible.However,due to the histological characteristics of pulmonary ground-glass nodule(GGN),puncture biopsy of GGNs is more likely to cause bleeding and cough,and the tumor cells may be implanted along the alveolar wall or needle tract under the impact of blood flow or airflow,leading to the pleural recurrence and tumor spread through air spaces(STAS),when compared with puncture biopsy of solid nodules.Therefore,percutaneous lung puncture biopsy should be carefully adopted,especially for the patients who have subpleural nodules with visceral pleura invasion and lymphocyte infiltration.(J Intervent Radiol,2024,32:7-11)
