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Tytuł oryginału: CT-guided transthoracic fine needle aspiration of pulmonary lesions: accuracy and complications in 294 patients.
Autorzy: Arslan Sulhattin, Yilmaz Adnan, Bayramgrler Birol, Uzman ™zlem, šnver Edhem, Akkaya Esen
Źródło: Med. Sci. Monitor 2002: 8 (7) s.CR493-CR497, tab., bibliogr. 32 poz.
Sygnatura GBL: 313,278

Hasła klasyfikacyjne GBL:
  • radiologia
  • pulmonologia

    Typ dokumentu:
  • praca kliniczna
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie
  • dorośli 19-44 r.ż.
  • dorośli 45-64 r.ż.
  • dorośli = 65 r.ż.
  • płeć męska
  • płeć żeńska

    Streszczenie angielskie: Background: The purpose of this study was to prospectively evaluate the effectiveness of CT-guided transthoracic fine needle aspiration in the diagnosis of pulmonary lesions and to determine the complication rate of this procedure. Material/Methods: A prospective review was udnertaken of 316 patietns who underwent CT-guided transthoracic fine needle aspiration performed at our center between October 2000 and April 2001. Twenty-two patietns were excluded because no final diagnosis was achieved. The present study included 294 patietns. All fine needle aspirations were performed with a 22-gauge aspirating needle under CT guidance. Results: An accurate diagnosis was made in 228 of 259 malignant lung lesions (88 p.c.). A speicific diagnosis was obtained in 34.3 p.c. of the benign lesions. The sensitivity for malignancy and specificity for benign lesions were 88 p.c. and 100 p.c., respectively. Positive and negative predictive values were 100 p.c. and 53 p.c., respectively. Tehre was no fals-positive diagnosis for malignancy. Sensitivity was 87 p.c. for centrally located lesions and 89.3 p.c. for peripherally located lesions (p 0.05). Complications included pneumothorax, 24 of 294 cases (8.2 p.c.); chest tube, 3 cases (12.5 p.c.); minor hemoptysis, 5 cases (1.7 p.c.); and pulmonary hemorrhage, 4 cases (1.4 p.c.). Conclusions: Our results suggest that this procedure has high diagnostic accuracy and an acceptable rate of complications.

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