Needle localization for thoracoscopic resection of small pulmonary nodules in children
Background: Children who have malignant disease and pulmonary nodules frequently need a tissue diagnosis to direct therapy. Computed tomography (CT)-guided needle localization and methylene blue marking allow thoracoscopic resection of nonvisable nodules. Methods: Malignant disease was diagnosed in...
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| Veröffentlicht in: | Journal of pediatric surgery 1997-11, Vol.32 (11), p.1624-1625 |
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| container_issue | 11 |
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| container_title | Journal of pediatric surgery |
| container_volume | 32 |
| creator | Waldhausen, John H.T Shaw, Dennis W.W Hall, Dale G Sawin, Robert S |
| description | Background:
Children who have malignant disease and pulmonary nodules frequently need a tissue diagnosis to direct therapy. Computed tomography (CT)-guided needle localization and methylene blue marking allow thoracoscopic resection of nonvisable nodules.
Methods:
Malignant disease was diagnosed in three patients aged 2, 2.5, and 11 years. Pulmonary nodules seen on chest CT, representing either metastatic disease or infection developed in each patient. All lesions were 1 to 2 cm deep to the pleural surface, precluding thoracoscopic visualization. A Homer mammographic needle was placed near the lesion using CT guidance under general anesthesia. The pleura overlying the lesion was also marked with methylene blue. Under the same anesthetic, patients went to the operating room where the lesions were thoracoscopically resected.
Results:
Needle localization and methylene blue staining accurately localized the lesion in all cases. Thoracoscopic resection provided a diagnosis of metastatic disease or infection in all cases. There were no complications.
Conclusion:
CT-guided needle localization of pulmonary lesions deep to the pleural surface, is a safe, accurate method for allowing thoracoscopic resection in these children who would otherwise need open thoracotomy for diagnosis. |
| doi_str_mv | 10.1016/S0022-3468(97)90468-1 |
| format | Article |
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Children who have malignant disease and pulmonary nodules frequently need a tissue diagnosis to direct therapy. Computed tomography (CT)-guided needle localization and methylene blue marking allow thoracoscopic resection of nonvisable nodules.
Methods:
Malignant disease was diagnosed in three patients aged 2, 2.5, and 11 years. Pulmonary nodules seen on chest CT, representing either metastatic disease or infection developed in each patient. All lesions were 1 to 2 cm deep to the pleural surface, precluding thoracoscopic visualization. A Homer mammographic needle was placed near the lesion using CT guidance under general anesthesia. The pleura overlying the lesion was also marked with methylene blue. Under the same anesthetic, patients went to the operating room where the lesions were thoracoscopically resected.
Results:
Needle localization and methylene blue staining accurately localized the lesion in all cases. Thoracoscopic resection provided a diagnosis of metastatic disease or infection in all cases. There were no complications.
Conclusion:
CT-guided needle localization of pulmonary lesions deep to the pleural surface, is a safe, accurate method for allowing thoracoscopic resection in these children who would otherwise need open thoracotomy for diagnosis.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/S0022-3468(97)90468-1</identifier><identifier>PMID: 9396541</identifier><identifier>CODEN: JPDSA3</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Biological and medical sciences ; Biopsy - methods ; Child ; Child, Preschool ; Coloring Agents ; Humans ; Lung Neoplasms - pathology ; Medical sciences ; Methylene Blue ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the respiratory system ; Thoracoscopy - methods ; Tomography, X-Ray Computed</subject><ispartof>Journal of pediatric surgery, 1997-11, Vol.32 (11), p.1624-1625</ispartof><rights>1997</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-5ead96de910794d0b66421052feae19f1b73566d3c6e9fef9ae2689e43c8a983</citedby><cites>FETCH-LOGICAL-c389t-5ead96de910794d0b66421052feae19f1b73566d3c6e9fef9ae2689e43c8a983</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0022-3468(97)90468-1$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,778,782,787,788,3539,23917,23918,25127,27911,27912,45982</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2145994$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9396541$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Waldhausen, John H.T</creatorcontrib><creatorcontrib>Shaw, Dennis W.W</creatorcontrib><creatorcontrib>Hall, Dale G</creatorcontrib><creatorcontrib>Sawin, Robert S</creatorcontrib><title>Needle localization for thoracoscopic resection of small pulmonary nodules in children</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>Background:
Children who have malignant disease and pulmonary nodules frequently need a tissue diagnosis to direct therapy. Computed tomography (CT)-guided needle localization and methylene blue marking allow thoracoscopic resection of nonvisable nodules.
Methods:
Malignant disease was diagnosed in three patients aged 2, 2.5, and 11 years. Pulmonary nodules seen on chest CT, representing either metastatic disease or infection developed in each patient. All lesions were 1 to 2 cm deep to the pleural surface, precluding thoracoscopic visualization. A Homer mammographic needle was placed near the lesion using CT guidance under general anesthesia. The pleura overlying the lesion was also marked with methylene blue. Under the same anesthetic, patients went to the operating room where the lesions were thoracoscopically resected.
Results:
Needle localization and methylene blue staining accurately localized the lesion in all cases. Thoracoscopic resection provided a diagnosis of metastatic disease or infection in all cases. There were no complications.
Conclusion:
CT-guided needle localization of pulmonary lesions deep to the pleural surface, is a safe, accurate method for allowing thoracoscopic resection in these children who would otherwise need open thoracotomy for diagnosis.</description><subject>Biological and medical sciences</subject><subject>Biopsy - methods</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Coloring Agents</subject><subject>Humans</subject><subject>Lung Neoplasms - pathology</subject><subject>Medical sciences</subject><subject>Methylene Blue</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the respiratory system</subject><subject>Thoracoscopy - methods</subject><subject>Tomography, X-Ray Computed</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LxDAQhoMo6_rxExZyENFDNWnatDmJLH6B6EHxGrLJBCNpsyZbQX-9cbfs1dOEeZ-ZDA9CM0ouKKH88oWQsixYxdsz0ZwLkh8F3UFTWjNa1IQ1u2i6RfbRQUofhOQ2oRM0EUzwuqJT9PYEYDxgH7Ty7ketXOixDRGv3kNUOiQdlk7jCAn0OgsWp055j5eD70Kv4jfugxk8JOx6rN-dNxH6I7RnlU9wPNZD9Hp78zq_Lx6f7x7m14-FZq1YFTUoI7gBQUkjKkMWnFclJXVpQQEVli4aVnNumOYgLFihoOStgIrpVomWHaLTzdplDJ8DpJXsXNLgveohDEnmpVXT0CaD9QbUMaQUwcpldF0-XlIi_3TKtU7550qKRq51SprnZuMHw6IDs50a_eX8ZMxVygJtVL12aYuVtKqFqDJ2tcEgu_hyEGXSDnoNxsXsVZrg_jnkF9SSkq4</recordid><startdate>19971101</startdate><enddate>19971101</enddate><creator>Waldhausen, John H.T</creator><creator>Shaw, Dennis W.W</creator><creator>Hall, Dale G</creator><creator>Sawin, Robert S</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19971101</creationdate><title>Needle localization for thoracoscopic resection of small pulmonary nodules in children</title><author>Waldhausen, John H.T ; Shaw, Dennis W.W ; Hall, Dale G ; Sawin, Robert S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-5ead96de910794d0b66421052feae19f1b73566d3c6e9fef9ae2689e43c8a983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Biological and medical sciences</topic><topic>Biopsy - methods</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Coloring Agents</topic><topic>Humans</topic><topic>Lung Neoplasms - pathology</topic><topic>Medical sciences</topic><topic>Methylene Blue</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the respiratory system</topic><topic>Thoracoscopy - methods</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Waldhausen, John H.T</creatorcontrib><creatorcontrib>Shaw, Dennis W.W</creatorcontrib><creatorcontrib>Hall, Dale G</creatorcontrib><creatorcontrib>Sawin, Robert S</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Waldhausen, John H.T</au><au>Shaw, Dennis W.W</au><au>Hall, Dale G</au><au>Sawin, Robert S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Needle localization for thoracoscopic resection of small pulmonary nodules in children</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>1997-11-01</date><risdate>1997</risdate><volume>32</volume><issue>11</issue><spage>1624</spage><epage>1625</epage><pages>1624-1625</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><coden>JPDSA3</coden><abstract>Background:
Children who have malignant disease and pulmonary nodules frequently need a tissue diagnosis to direct therapy. Computed tomography (CT)-guided needle localization and methylene blue marking allow thoracoscopic resection of nonvisable nodules.
Methods:
Malignant disease was diagnosed in three patients aged 2, 2.5, and 11 years. Pulmonary nodules seen on chest CT, representing either metastatic disease or infection developed in each patient. All lesions were 1 to 2 cm deep to the pleural surface, precluding thoracoscopic visualization. A Homer mammographic needle was placed near the lesion using CT guidance under general anesthesia. The pleura overlying the lesion was also marked with methylene blue. Under the same anesthetic, patients went to the operating room where the lesions were thoracoscopically resected.
Results:
Needle localization and methylene blue staining accurately localized the lesion in all cases. Thoracoscopic resection provided a diagnosis of metastatic disease or infection in all cases. There were no complications.
Conclusion:
CT-guided needle localization of pulmonary lesions deep to the pleural surface, is a safe, accurate method for allowing thoracoscopic resection in these children who would otherwise need open thoracotomy for diagnosis.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>9396541</pmid><doi>10.1016/S0022-3468(97)90468-1</doi><tpages>2</tpages></addata></record> |
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| ispartof | Journal of pediatric surgery, 1997-11, Vol.32 (11), p.1624-1625 |
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| language | eng |
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| source | Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE |
| subjects | Biological and medical sciences Biopsy - methods Child Child, Preschool Coloring Agents Humans Lung Neoplasms - pathology Medical sciences Methylene Blue Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the respiratory system Thoracoscopy - methods Tomography, X-Ray Computed |
| title | Needle localization for thoracoscopic resection of small pulmonary nodules in children |
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