Abstract
Eight patients with apical lobe lung lesions referred for image-guided biopsy where
the lesion was abutting the mediastinal or apical pleura, and was visible in ultrasound
using a suprasternal–supraclavicular route were consented and subjected to successful
ultrasound-guided transcervical biopsy using different routes based on lesion characteristics
and location of vital vascular structures—either through the thyroid gland, by the
side of the gland lateral to the common carotid artery, or between the thyroid gland
and common carotid artery after hydrodissection. Transthyroid access was used in 50%
of cases. There were no immediate or long-term complications in any patient over a
mean follow-up period of 28.5 months. Sample adequacy was 100%.
Keywords
transcervical - transthyroid - lung apex - core biopsy
