Differential ultrasonic diagnoses of pulmonary benign and malignant space-occupied lesions of the peripheral type.

87 patients with pulmonary space-occupied lesions of the peripheral type which were either adhesive or close to pleura were examined using ultrasonography. Of them, 64 cases of lung cancers and 23 of benign lesions were then confirmed by histopathology. Five sonographic features, including configuration, echogenicity patterns, bronchial air phase in foci, margin, and pleural involvement, were significantly different between malignant and benign diseases (P < 0.01). The differential ultrasonography used in this series showed a sensitivity of 61% (14/23), a specificity of 95% (61/64), and an accuracy of 86% (75/87). The results of the study demonstrate that the ultrasonography is helpful in differentiating malignant and benign peripheral lung lesions near the plerua.