Τίτλος:
Computed tomography-guided fine needle aspiration of peripheral lung
opacities - An initial diagnostic procedure?
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
OBJECTIVE: To evaluate the results of computed tomography (CT)-guided
fine needle aspiration (FNA) cytology following negative fiberoptic
bronchoscopy and sputum cytology.
STUDY DESIGN: Retrospective study of 64 patients who underwent CT-guided
needle aspiration of lung opacities otter one year. Following a re
review of the CT studies, patients were selected according to image
characteristics of a primary neoplasm and pleural effusion in eases with
pleural lesions. The lesions were classified into three
categories-intrapulmonary and peripheral pulmonary pleuropulmonary and
pleural-and were localized and aspirated under CT using a fine needle
(22-23 gauge)for obtaining cellular material. Lesions diagnosed as
benign on FNA cytology were followed by serial CT scans for a period of
two years at sis-month intervals.
RESULTS: Thirty-nine of 64 (61%) lesions were diagnosed as malignant on
FNA cytology and 25 of 64 (39%) as benign. There was one false negative
case. There were no serious complications from the procedure.
CONCLUSION: FNA tinder CT guidance may be applied as the initial
procedure in the diagnosis of peripheral malignant pulmonary lesions,
rendering a high diagnostic yield.
Συγγραφείς:
Gouliamos, AD
Giannopoulos, DH
Panagi, GM
Fletoridis, NK and
Deligeorgi-Politi, HA
Vlahos, LJ
Περιοδικό:
Acta Cytologica
Εκδότης:
SCI PRINTERS & PUBL INC
Λέξεις-κλειδιά:
lung neoplasms; aspiration biopsy; tomography, x-ray computed
