PERCUTANEOUS NEEDLE-BIOPSY OF LUNG NODULES FOLLOWING FAILED BRONCHOSCOPIC BIOPSY

被引：16

作者：

COLLINS, CD ^{[1
]}

BREATNACH, E ^{[1
]}

NATH, PH ^{[1
]}

机构：

[1] MATER MISERICORDIAE HOSP,INST RADIOL SCI,DUBLIN 7,IRELAND

来源：

EUROPEAN JOURNAL OF RADIOLOGY | 1992年 / 15卷 / 01期

关键词：

THORAX; INTERVENTIONAL RADIOLOGY; NEOPLASM; DIAGNOSIS;

D O I：

10.1016/0720-048X(92)90203-L

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Though transthoracic needle biopsy (TNAB) is a well established method for obtaining pathologic diagnosis in lung masses, very often the procedure is only performed after a previous negative bronchoscopic biopsy (BB) attempt. In this study we analyzed the results of TNAB in 129 consecutive patients where one or more inconclusive BB had been performed. TNAB was diagnostic in 115 of 129 lesions (89%) and the yield was not significantly affected by size, cell type or tumour location. In 97 patients who underwent thoracotomy, cytologic specimens obtained by TNAB accurately reflected histologic tumour type in all cases. A false negative rate for malignancy on TNAB was 5%. Awaiting inconclusive BB results caused an average delay of three in-hospital days before TNAB. In those patients in whom a biopsy is warranted, TNAB is most useful as an initial diagnostic procedure in masses that are peripheral and in pleural based tumours, in mediastinal adenopathy associated with a lung mass and instead of a repeat, previously failed bronchoscopy.

引用

页码：49 / 53

页数：5

共 31 条

[1]

Calhoun, Feldman, Armstrong, The clinical outcome of needle aspirations of the lung when cancer is not diagnosed, Ann Thorac Surg, 41, pp. 592-596, (1986)

[2]

Westcott, Percutaneous transthoracic needle biopsy, Radiology, 169, pp. 593-601, (1988)

[3]

Veale, Gilmartin, Sumerling, Wadehra, Gibson, Prospective evaluation of fine needle aspiration in the diagnosis of lung cancer, Thorax, 43, pp. 540-544, (1988)

[4]

Perlmutt, Johnston, Dunnick, Percutaneous transthoracic needle aspiration: A review, AJR, 152, pp. 451-455, (1989)

[5]

Charig, Stutley, Padley, Hansell, The value of negative needle biopsy in suspected operable lung cancer, Clin Radiol, 44, pp. 147-149, (1991)

[6]

Breatnach, A systematised approach to the use of thoracic CT in staging bronchogenic carcinoma, Postgraduate Radiol, 9, pp. 42-56, (1989)

[7]

Flower, Fiberoptic bronchoscopy in thoracic diagnosis, Journal of Thoracic Imaging, 2, 2, pp. 61-65, (1989)

[8]

Fulkerson, Current concepts of fiberoptic broncho-scopy, N Engl J Med, 311, pp. 511-515, (1984)

[9]

Radke, Conway, Eyler, Kvale, Diagnostic accuracy in peripheral lung lesions: factors predicting success with flexible fiberoptic bronchoscopy, Chest, 76, pp. 176-179, (1979)

[10]

Stringfield, Markowitz, Bentz, The effect of tumour size and location on diagnosis by fiberoptic bronchoscopy, Chest, 72, pp. 474-476, (1977)

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