The value of a novel percutaneous lung puncture clamp biopsy technique in the diagnosis of pulmonary nodules
Background: Computed tomography-guided percutaneous lung biopsy is a crucial method to determine pulmonary anomalies, and is highly accurate in detecting evidence of malignancies, allowing medical practitioners to identify the stage of malignancy and thus help to plan the treatment regimens of patients.
Objective: To explore the clinical application of a new computed tomography-guided percutaneous lung puncture clamp biopsy technique in the diagnosis of pulmonary nodules, characterized by ground-glass opacity on chest computed tomography images.
Methods: A unique instrument named ‘combined percutaneous lung biopsy forceps’, consisting of a biopsy forceps, a 15-gauge coaxial needle and needle core, was designed. The new tool was used to obtain specimens in nine patients with pulmonary ground-glass opacity. The specimen volumes and the safety of using the instrument were measured. The samples obtained were also assessed to see if they were sufficient for conducting histological tests.
Result: Samples were obtained in all nine patients – a success rate of 100%. Consistently, the volume of each specimen was sufficient to make a histological diagnosis. No serious complications, such as pneumothorax – primary spontaneous pneumothorax or secondary spontaneous pneumothorax – occurred during the biopsy.
Conclusions: The application of this new tool in obtaining tissue specimens in patients with pulmonary ground-glass opacity under the guidance of chest computed tomography was invaluable in terms of its high accuracy and safety. Moreover, its effect was better compared to using a fine-needle aspiration biopsy or a cutting-needle biopsy. Therefore, this instrument can be used for histological diagnosis. [Ethiop. J. Health Dev. 2020; 35(2):000-000]
Key words: Ground-glass opacity; percutaneous lung puncture clamp biopsy; fine-needle aspiration biopsy; cutting-needle biopsy