Abdul Rasheed Qureshi, Muhammad Irfan.
Ultrasound Guided Sure Cut Needle Biopsy of Peripheral Lung and Mediastinal lesions for more than 2.0cm size: Efficacy, Safety and Feasibility- as an out-patient procedure in 179 patients.
Isra Med J Jan ;12(4):178-83.

Objective: To evaluate the efficacy, safety and feasibility of Ultrasound guided Sure-Cut Needle biopsy for peripheral lung and mediastinal nodules, as an out-patient procedure. Study Design: A Prospective Interventional study. Place and Duration: At Pulmonology-OPD, Gulab Devi Teaching Hospital Lahore from 1st October, 2016 to 28th February, 2019. Methodology: Peripheral lung, mediastinal or pleural lesions measuring greater than 2.0cm by ultrasound, abutting the visceral pleura were biopsied with Sure-Cut needle, gauge-16 under real-time ultrasonography with 3.5--5.5 MHZ machine in out-patient department. Adequacy of procedure was confirmed after receiving the histopathology report. All complications encountered during or after procedure were recorded. Results: Out of 179 procedures, 98.32% samples were adequate and among them 63.63% cases were malignant while 36.37%patients were with non-malignant etiology. The biopsy-induced complications observed were biopsy site pain (10.05%) and mild ooze at puncture site in 6.70% patients. No life threatening complication or table-death encountered. Conclusion: Ultrasound guided biopsy of peripheral lung and mediastinal lesions, greater than 2.0cm, has an excellent efficacy, safety and feasibility when performed as an out-patient-procedure.

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