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Difference between revisions of "Pulmonary pathology"
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*Inadequacy rate for percutaneous biopsies ~5% in one series.<ref name=pmid22977650>{{Cite journal | last1 = McSweeney | first1 = SE. | last2 = O'Regan | first2 = KN. | last3 = Mc Laughlin | first3 = PD. | last4 = Crush | first4 = L. | last5 = Maher | first5 = MM. | title = Evaluation of the efficacy and safety of percutaneous biopsy of lung. | journal = Open Respir Med J | volume = 6 | issue = | pages = 82-8 | month = | year = 2012 | doi = 10.2174/1874306401206010082 | PMID = 22977650 }}</ref> | *Inadequacy rate for percutaneous biopsies ~5% in one series.<ref name=pmid22977650>{{Cite journal | last1 = McSweeney | first1 = SE. | last2 = O'Regan | first2 = KN. | last3 = Mc Laughlin | first3 = PD. | last4 = Crush | first4 = L. | last5 = Maher | first5 = MM. | title = Evaluation of the efficacy and safety of percutaneous biopsy of lung. | journal = Open Respir Med J | volume = 6 | issue = | pages = 82-8 | month = | year = 2012 | doi = 10.2174/1874306401206010082 | PMID = 22977650 }}</ref> | ||
*Length 0.5-1.5 cm enough for EGFR testing.<ref name=pmid22006985>{{Cite journal | last1 = Zhuang | first1 = YP. | last2 = Wang | first2 = HY. | last3 = Shi | first3 = MQ. | last4 = Zhang | first4 = J. | last5 = Feng | first5 = Y. | title = Use of CT-guided fine needle aspiration biopsy in epidermal growth factor receptor mutation analysis in patients with advanced lung cancer. | journal = Acta Radiol | volume = 52 | issue = 10 | pages = 1083-7 | month = Dec | year = 2011 | doi = 10.1258/ar.2011.110150 | PMID = 22006985 }}</ref> | *Length 0.5-1.5 cm enough for EGFR testing.<ref name=pmid22006985>{{Cite journal | last1 = Zhuang | first1 = YP. | last2 = Wang | first2 = HY. | last3 = Shi | first3 = MQ. | last4 = Zhang | first4 = J. | last5 = Feng | first5 = Y. | title = Use of CT-guided fine needle aspiration biopsy in epidermal growth factor receptor mutation analysis in patients with advanced lung cancer. | journal = Acta Radiol | volume = 52 | issue = 10 | pages = 1083-7 | month = Dec | year = 2011 | doi = 10.1258/ar.2011.110150 | PMID = 22006985 }}</ref> | ||
===Sign out=== | |||
====Missed endobronchial biopsy==== | |||
<pre> | |||
RIGHT UPPER LOBE, ENDOBRONCHIAL BIOPSY: | |||
- SMALL FRAGMENT OF BRONCHIAL MUCOSA WITH INFLAMMATION. | |||
- NEGATIVE FOR MALIGNANCY. | |||
COMMENT: | |||
The clinical history of a mass is noted. The tissue available at microscopy measures 2.5 | |||
millimetres. | |||
This biopsy does not show neoplastic tissue; however, the biopsy may not be representative | |||
of the lesion seen. | |||
</pre> | |||
=Basic approach= | =Basic approach= | ||