TRANSTHORACIC ASPIRATION BIOPSY OF PULMONARY AND MEDIASTINAL LESIONS

被引:36
作者
ARIZA, MAD [1 ]
AGUIRAN, ERA [1 ]
ATANCE, JLV [1 ]
NUEZ, JT [1 ]
LEITA, JTP [1 ]
OLIVARES, MDA [1 ]
AREVALO, JLB [1 ]
机构
[1] UNIV SARAGOSSA,HOSP CLIN,SERV RADIODIAGNOST,ZARAGOZA,SPAIN
关键词
BIOPSY; LUNG; NEOPLASM; LUNG ASPIRATION; LUNG NEOPLASM ASPIRATION;
D O I
10.1016/0720-048X(91)90106-6
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
Thoracic aspiration biopsy (TAB) constitutes a useful technique in establishing a diagnosis in disease of the lungs and mediastinum. Results obtained from 1046 fluoroscopically-guided TABs are presented with review of the most important aspects of the technique. Diagnostic accuracy in malignancy detection was 93.8% in lung lesions (n = 984) and 74.5% in mediastinal lesions (n = 62). Sensitivity was higher in peripheral than in central lesions (96% vs. 87%, respectively). Specificity was 100% in both groups. Sensitivity in lesions smaller than 2 cm was 70% and 94% in larger lesions. Aspiration biopsies performed with Chiba and Franseen needles showed a similar sensitivity (95%) higher than with other types of needles. A pneumothorax developed in 138 patients (13.2%). Only eight of these required the use of an endothoracic tube (0.8% of all biopsies).
引用
收藏
页码:98 / 103
页数:6
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