タイトル
Vol.38 No.2 contents Japanese/English

- Original Article -

Preoperative Diagnosis of the Histological Structure of Adenocarcinoma of the Lung by CT-guided Percutaneous Lung Biopsy

Ryuta Sasamoto, Naoya Koizumi, Kunio Sakai, Yoshinori Kihara, Tomoo Saito, Tetsuro Morita, Yoshiko Matsuzuki, Hiroyuki Usuda*, Makoto Naito* and Iwao Emura**
Department of Radiology, Niigata University School of Medicine, *Second Department of Pathology, Niigata University School of Medicine, **Department of Surgical Pathology, Niigata University Hospital

We retrospectively compared the specimens of CT guided percutaneous lung biopsy with the specimens surgically resected later in 17 cases with small adenocarcinoma of the lung to investigate the possibility of preoperative prediction of the Noguchi type pathological classification. The coincidencerate was 41.2% (7/17). It was considered difficult to guess the Noguchi type of small adenocarcinoma of the lung preoperatively by CT guided percutaneous lung biopsy. In this study, one resected specimen contained linearly-arranged fibrosis and fibroblasts suggesting the sequelae of the lung biopsy. It seemed to be important to pay attention to the possibility of fibrosis resulting from biopsy in classifying the Noguchi type.
key words: Lung cancer, CT-guided lung biopsy, Noguchi's classification

Received: September 17, 1997
Accepted: February 19, 1998

JJLC 38 (2): 99-107, 1998

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