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Dr. Phuong Ngoc Anh National Lung Hospital

EVALUATING THE EARLY EFFECTS OF TRU-CUT BIOPSY UNDER CT GUIDANCE IN PATIENTS WITH LUNG TUMOUR AT NATIONAL LUNG HOSPITAL. Dr. Phuong Ngoc Anh National Lung Hospital. INTRODUCTION. The lesions lung tumor. Lung cancer is the most common malignancy in the word.

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Dr. Phuong Ngoc Anh National Lung Hospital

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  1. EVALUATING THE EARLY EFFECTS OF TRU-CUT BIOPSY UNDER CT GUIDANCE IN PATIENTS WITH LUNG TUMOUR AT NATIONAL LUNG HOSPITAL. Dr. Phuong Ngoc Anh National Lung Hospital

  2. INTRODUCTION • The lesions lung tumor. • Lung cancer is the most common malignancy in the word. • High mortality, often late diagnosis. • Diagnosis is pathology

  3. INTRODUCTION • Tru-cut biopsy under CT guidance • In the word. • In Viet Nam. • Objectives: • To evaluate the early effects of tru-cut biopsy under CT guidence in patients with lung tumours. • To evaluate the safety of tru-cut biopsy under CT guidance in these patients.

  4. TARGET POPULATION AND METHOD 1. Target Population:56 patients with lung tumour was performed lung biopsy under CT guidance at National Lung Hospital, from November 2016 to February 2017 2. Method. 2.1. Method study: A prospective study.

  5. TARGET POPULATION AND METHOD 2.2. Patient selection criteria • Have lesions lung tumor. • Patient had bronchoscopy but pathology not proportional image analysation. • Not contraindication with tru-cut biopsy under CT guidance. • Patinent agree with tru-cut biopsy under CT guidance.

  6. TARGET POPULATION AND METHOD 2.3.Patient eliminate criteria. • Contraindications: • Blood clotting disorder symptoms or using antifreeze drugs. • Doubt blood vessels tumor. • Have balloon lung in the area biopsy needle. • Not have the opposite lung. • Severe heart failure, severe respiratory failure, patinentbreathe by breathing machine. • Patient with COPD (FEV1 < 1L) • Patinent not agree with tru-cut biopsy under CT guidance.

  7. TARGET POPULATION AND METHOD 3. Information collected: according to the unified medical model • Age, gender, adress. • History of the disease, risk factors. • Clinical symptoms. • Subclinical symptoms. • Biopsy techniques: Posture, distance, tumor size, disaster and management. • Cytology, pathology with brochoscopy and biopsy needle under CT guidance. 4. Methods of data processing and analysis : with SPSS16.0.

  8. RESULTS AND DISCUSS • Pathology with tru-cut biopsy under CT guidance with the first. • Pathology with tru-cut biopsy under CT guidanceafter 2 times.

  9. RESULTS AND DISCUSS • General characteristics related to cancer

  10. RESULTS AND DISCUSS • Characteristics tumor related to cancer

  11. RESULTS AND DISCUSS Attitudes and behavior

  12. RESULTS AND DISCUSS • Assessment of risk factors for accidents :

  13. RESULTS AND DISCUSS • Assessment of risk factors for accidents:

  14. RESULTS AND DISCUSS • To evaluate the early effects of tru-cut biopsy under CT guidence

  15. CONCLUSIONS • The mean of age is 60.1 ± 10 years, male/female: 44/12 • The minimum and maximum diamter of tumour is 7mm and 120 mm, respectively. The more tumour size increases, the more the rate of carcinoma increases with significant statistic. The most common location is the bilateral upper lobe lung ( 59.1%). • The rate of complication is 23.2 %. There are no significant association between complications and factors such as the depth of needle, the tumour size, the tumour location and age groups.

  16. CONCLUSIONS • The effect of getting sample is 100 %, all of 56 patients have lung sample to diagnosis specimen and tissue pathology. 83.93% of patients( 47/56) was diagnosed lung cancer The effect of diagnosis is 96.43%.

  17. CONCLUSIONS Tru-cut biopsy under CT guidance have high effects in getting lung sample and diagnosis. The rate of complication is low, and the complication is often mild. So as, tru-cut biopsy under CT guidance should be done to diagnosis lung tumour, but it should only be applied in specialized facility

  18. THANK YOU

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