Computed tomography–guided percutaneous transthoracic core needle biopsy for the diagnosis of mediastinal masses

Mediastinal masses encompass a wide spectrum of diseases; therefore, histopathological diagnosis is crucial for adequate surgical or medical treatments. Herein, we report six cases of mediastinal tumors that were definitively diagnosed by computed tomography (CT)-guided core needle biopsy. Case 1: A...

Full description

Saved in:
Bibliographic Details
Main Authors: Sukanta Kodali, Sourindra Nath Banerjee, Jaydip Deb, Pulak Kumar Jana
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:The Journal of Association of Chest Physicians
Subjects:
Online Access:https://journals.lww.com/10.4103/jacp.jacp_26_24
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841560358963118080
author Sukanta Kodali
Sourindra Nath Banerjee
Jaydip Deb
Pulak Kumar Jana
author_facet Sukanta Kodali
Sourindra Nath Banerjee
Jaydip Deb
Pulak Kumar Jana
author_sort Sukanta Kodali
collection DOAJ
description Mediastinal masses encompass a wide spectrum of diseases; therefore, histopathological diagnosis is crucial for adequate surgical or medical treatments. Herein, we report six cases of mediastinal tumors that were definitively diagnosed by computed tomography (CT)-guided core needle biopsy. Case 1: A 35-year-old woman was found to have an anterior mediastinal mass on both a chest X-ray and a CT thorax. A CT-guided core needle biopsy of the mediastinal mass revealed type A thymoma. The patient underwent surgery and remained well 1 year of post-surgery. Case 2: A 47-year-old man was found to have a solid and cystic mass with areas of calcifications on a CT scan. A CT-guided core needle biopsy of the mediastinal mass revealed an immature teratoma. The patient is now under chemotherapy. Case 3: An 18-year-old boy was found to have a tumor in the anterior mediastinum on both a chest x-ray and CT scan. A CT-guided core needle biopsy of the mediastinal mass revealed a yolk sac tumor. The patient received only two cycles of chemotherapy and died. Case 4: A 26-year-old man was found to have a left anterior mediastinal mass with internal necrosis and calcification on a CT scan. A CT-guided core needle biopsy of the mediastinal mass revealed a malignant germ cell tumor. The patient is now under chemotherapy. Case 5: A 17-year-old boy was found to have an anterior mediastinal mass on both a chest X-ray and a CT scan. A CT-guided core needle biopsy of the mediastinal mass showed non-Hodgkin lymphoma. The patient received chemotherapy and remained well 6 months after the treatment. Case 6: An 8-year-old child was found to have an anterior mediastinal mass on a chest C-ray and a CT scan. A CT-guided core needle biopsy of the mediastinal mass revealed neuroblastoma. After six courses of chemotherapy the patient passed away. Percutaneous CT-guided core needle biopsy of mediastinal mass lesions is a safe, accurate, and cost-effective procedure.
format Article
id doaj-art-b41537ecea814590993f38c0e6c19b01
institution Kabale University
issn 2320-8775
language English
publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series The Journal of Association of Chest Physicians
spelling doaj-art-b41537ecea814590993f38c0e6c19b012025-01-04T10:31:15ZengWolters Kluwer Medknow PublicationsThe Journal of Association of Chest Physicians2320-87752024-12-0112418018410.4103/jacp.jacp_26_24Computed tomography–guided percutaneous transthoracic core needle biopsy for the diagnosis of mediastinal massesSukanta KodaliSourindra Nath BanerjeeJaydip DebPulak Kumar JanaMediastinal masses encompass a wide spectrum of diseases; therefore, histopathological diagnosis is crucial for adequate surgical or medical treatments. Herein, we report six cases of mediastinal tumors that were definitively diagnosed by computed tomography (CT)-guided core needle biopsy. Case 1: A 35-year-old woman was found to have an anterior mediastinal mass on both a chest X-ray and a CT thorax. A CT-guided core needle biopsy of the mediastinal mass revealed type A thymoma. The patient underwent surgery and remained well 1 year of post-surgery. Case 2: A 47-year-old man was found to have a solid and cystic mass with areas of calcifications on a CT scan. A CT-guided core needle biopsy of the mediastinal mass revealed an immature teratoma. The patient is now under chemotherapy. Case 3: An 18-year-old boy was found to have a tumor in the anterior mediastinum on both a chest x-ray and CT scan. A CT-guided core needle biopsy of the mediastinal mass revealed a yolk sac tumor. The patient received only two cycles of chemotherapy and died. Case 4: A 26-year-old man was found to have a left anterior mediastinal mass with internal necrosis and calcification on a CT scan. A CT-guided core needle biopsy of the mediastinal mass revealed a malignant germ cell tumor. The patient is now under chemotherapy. Case 5: A 17-year-old boy was found to have an anterior mediastinal mass on both a chest X-ray and a CT scan. A CT-guided core needle biopsy of the mediastinal mass showed non-Hodgkin lymphoma. The patient received chemotherapy and remained well 6 months after the treatment. Case 6: An 8-year-old child was found to have an anterior mediastinal mass on a chest C-ray and a CT scan. A CT-guided core needle biopsy of the mediastinal mass revealed neuroblastoma. After six courses of chemotherapy the patient passed away. Percutaneous CT-guided core needle biopsy of mediastinal mass lesions is a safe, accurate, and cost-effective procedure.https://journals.lww.com/10.4103/jacp.jacp_26_24mediastinal masscomputed tomographycore needle biopsy
spellingShingle Sukanta Kodali
Sourindra Nath Banerjee
Jaydip Deb
Pulak Kumar Jana
Computed tomography–guided percutaneous transthoracic core needle biopsy for the diagnosis of mediastinal masses
The Journal of Association of Chest Physicians
mediastinal mass
computed tomography
core needle biopsy
title Computed tomography–guided percutaneous transthoracic core needle biopsy for the diagnosis of mediastinal masses
title_full Computed tomography–guided percutaneous transthoracic core needle biopsy for the diagnosis of mediastinal masses
title_fullStr Computed tomography–guided percutaneous transthoracic core needle biopsy for the diagnosis of mediastinal masses
title_full_unstemmed Computed tomography–guided percutaneous transthoracic core needle biopsy for the diagnosis of mediastinal masses
title_short Computed tomography–guided percutaneous transthoracic core needle biopsy for the diagnosis of mediastinal masses
title_sort computed tomography guided percutaneous transthoracic core needle biopsy for the diagnosis of mediastinal masses
topic mediastinal mass
computed tomography
core needle biopsy
url https://journals.lww.com/10.4103/jacp.jacp_26_24
work_keys_str_mv AT sukantakodali computedtomographyguidedpercutaneoustransthoraciccoreneedlebiopsyforthediagnosisofmediastinalmasses
AT sourindranathbanerjee computedtomographyguidedpercutaneoustransthoraciccoreneedlebiopsyforthediagnosisofmediastinalmasses
AT jaydipdeb computedtomographyguidedpercutaneoustransthoraciccoreneedlebiopsyforthediagnosisofmediastinalmasses
AT pulakkumarjana computedtomographyguidedpercutaneoustransthoraciccoreneedlebiopsyforthediagnosisofmediastinalmasses