Necrotizing granuloma of the lung: imaging characteristics and imaging-guided diagnosis

AJR Am J Roentgenol. 2007 Dec;189(6):1397-401. doi: 10.2214/AJR.07.2389.

Abstract

Objective: The purpose of this study was to assess CT findings and the sensitivities of imaging-guided fine-needle aspiration (FNA) biopsy and core needle biopsy in the diagnosis of necrotizing granuloma of the lung.

Conclusions: The CT characteristics of necrotizing granuloma are indistinguishable from those of malignant tumors; tissue diagnosis therefore is necessary. Core needle biopsy is a sensitive method for diagnosing necrotizing granuloma of the lung, but FNA biopsy is insufficient for diagnosis.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biopsy, Needle / methods*
  • Female
  • Granuloma, Respiratory Tract / diagnostic imaging*
  • Granuloma, Respiratory Tract / pathology*
  • Humans
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / pathology
  • Male
  • Middle Aged
  • Necrosis / diagnostic imaging
  • Necrosis / pathology
  • Radiography, Interventional / methods*
  • Solitary Pulmonary Nodule / diagnostic imaging
  • Solitary Pulmonary Nodule / pathology
  • Surgery, Computer-Assisted / methods*
  • Tomography, X-Ray Computed / methods*