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Comparative Study
. 2017 May-Jun;31(3):475-479.
doi: 10.21873/invivo.11086.

Rebiopsy of Histological Samples in Pretreated Non-small Cell Lung Cancer: Comparison Among Rebiopsy Procedures

Akito Hata  1 , Nobuyuki Katakami  2 , Shigeki Nanjo  2 , Chiyuki Okuda  2 , Reiko Kaji  2 , Yukihiro Imai  3
Affiliations
Comparative Study

Rebiopsy of Histological Samples in Pretreated Non-small Cell Lung Cancer: Comparison Among Rebiopsy Procedures

Akito Hata et al. In Vivo. 2017 May-Jun.

Abstract

Aim: The aim of the present study was to compare successful rate, failure reasons, and complications among procedures of histological rebiopsy.

Patients and methods: We retrospectively reviewed medical records of histologically rebiopsied cases with non-small cell lung cancer.

Results: One hundred and eleven histological rebiopsies were performed in: 86 (77%) lung; 11 (10%) lymph node; 5 (5%) pleura; 4 (4%) liver; 2 (2%) muscle; 2 (2%) adrenal gland; and 1 (1%) rib. Successful rate by computed tomography-guided biopsy (CTGB), transbronchial biopsy (TBB), and ultrasound-guided biopsy were 86% (48/56), 90% (28/31), and 100% (24/24), respectively. Reasons for rebiopsy failure by CTGB were no/insufficient malignant cells (n=5) and pneumothorax (n=3), and those by TBB were no/insufficient malignant cells (n=2) and bleeding (n=1). Severe complications (≥grade 3): one grade 3 pneumothorax and one grade 4 air embolization were observed in two (2%, 2/111) cases receiving CTGB.

Conclusion: Rebiopsy of histological samples can be highly successful and feasible by optimal procedural selection.

Keywords: Rebiopsy; histology; non-small cell lung cancer.

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