Öz
Transtorasik ince iğne aspirasyon biyopsisi (TTİİAB) akciğer hastalıklarının tanısında sıklıkla kullanılan , komplikasyon oranı düşük , basit ve etkin bir tanı yöntemidir. Bu çalışmada; İzmir Göğüs Hastalıkları ve Cerrahisi Eğitim ve Araştırma Hastanesindeki kliniğimizde 1995-2000 yılları arasında bilgisayarlı tomografi (BT) eşliğinde TTİİAB, 96 erkek olguya ( yaş ortalaması 60,93±11,74 yıl) uygulandı. Lezyon 92 olguda akciğerde ,4 olguda mediastinumda lokalize idi. TTİİAB 22 gauge Chiba iğnesi ile yapıldı. 81 olguya malign akciğer karsinomu, 1 olguya lenfoma , 1 olguya spindell sarkom metastazı, 3 olguya benign, 2 olguya kist hidatik, 1 olguya abse tanısı konuldu, kalan 7 olgu nondiagnostikdi. 18 olguda lezyon periferik yerleşimli, plevra ile ilişkili idi ve bu olgularda pnömotoraks izlenmedi. 13 olguda pnömotoraks izlendi. 10 olguya kapalı sualtı direnajı uygulandı.
Anahtar Kelimeler
Bilgisayarli tomografi Transtorasik ince igne aspirasyon biopsisi
Kaynakça
- 1. Larscheid R, Tharpe PE, Scott WJ, Percutaneus Transthoracic Needle Aspiration Biopsy. Chest 1998 ; 114: 704-709
- 2. Unge M, Sterman D. Bronchoscopy, transthoracic needle aspiration and related procedures. In:Fishman AP; ed. Pulmonary Diseases and Disordes. 3rd ed. New York: Mc Graw-Hill; 1998: 602-5
- 3. Thornbury JR, Burke DP, Naylor B. Transthoracic needle aspiration biopsy: Accuracy of cytologic typing of malignant neoplasms. Am J Roentgenol 1981; 136: 719-24
- 4. Greene R, Szyfelbein WM, Isle RJ et al. Supplementary tissve-core histology from fine needle transthoracic aspiration biopsy.Am J Roentgenol 1985; 144: 787-92
- 5. Khouri NF, Stitik FP, Erozan YS, et al. Transthoracic needle aspiration biopsy of benign and malignant lesions. AJR 1985; 144: 281-8
- 6. Perlmutt LM, Johnston WW, Dunnick NR. Percutaneous transthoracic needle aspiration : a rewiev- AJR 1989; 152: 451-5
- 7. Austin JHM, Cohen MB. Value of having a cytopathologist present during percutaneous fine needle aspiration biopsy of lung: report of 55 cancer patients and metaanalysis of the literature. AJR 1993;160: 175-177
- 8. Bayramgürler B, Yılmaz A, Anla S ve ark. Bilgisayarlı Tomografi Eşliğinde Yaoılan Transtorasik İnce İğne Aspirasyonu Sonuçlarımız. Solunum Hastalıkları 2000;11: 165-168
- 9. Santambrogio L,MD; Nosotti M, Bellaviti N et al CT-Guided Fine-Needle Aspiration cytology of Solitary Pulmonary Nodules. A prospective, randomized study of immediate cytologic evaluation. Chest 1997;112:423-5
- 10. Moultan JS,Moore PT, coaxial percutaneous biopsy technique with automated biopsy devices: Value in improving accuracy and negative predictive value. Radiology 1993;186: 152:451
- 11. Layfield LJ, Coogan A, Johnston WW, Patz EF. Transthoracic fine needle aspiration biopsy. Sensitivity in relation to guidance technique and lesions size and location. Acta Cytologica 1996;40:687-90
Öz
Transthoracic fine needle aspiration biopsy (TFNA) is a frequently performed , simple and efficient method with low complication ratio. İn this study, CT guided TFNAB was performed to 96 male patients (mean age 60.93 ± 11.74 years) in İzmir Training and Research Thoracic medicine and Surgery Hospital. The lesion was localized in the lung in 92 cases and in the mediastinum in 4 cases. TFNA was performed with 22 gauge Chiba needles. Primary lung carsinoma was diagnosed in 81 cases, metastase of lenfoma in 1 case, metastase of spindell sarcom in 1 case, benign in 3 cases, cyst hidatic in 2 cases, non-diagnostic in 7 cases. In 18 cases the lesions were localized in the peripheral of the lung related with pleura. In these cases we determined no pneumothorax. Pneumothorax was seen in 13 cases. In 10 cases closed water drainage was performed.
Anahtar Kelimeler
Computed tomography transthoracic fine needle aspiration biopsies
Kaynakça
- 1. Larscheid R, Tharpe PE, Scott WJ, Percutaneus Transthoracic Needle Aspiration Biopsy. Chest 1998 ; 114: 704-709
- 2. Unge M, Sterman D. Bronchoscopy, transthoracic needle aspiration and related procedures. In:Fishman AP; ed. Pulmonary Diseases and Disordes. 3rd ed. New York: Mc Graw-Hill; 1998: 602-5
- 3. Thornbury JR, Burke DP, Naylor B. Transthoracic needle aspiration biopsy: Accuracy of cytologic typing of malignant neoplasms. Am J Roentgenol 1981; 136: 719-24
- 4. Greene R, Szyfelbein WM, Isle RJ et al. Supplementary tissve-core histology from fine needle transthoracic aspiration biopsy.Am J Roentgenol 1985; 144: 787-92
- 5. Khouri NF, Stitik FP, Erozan YS, et al. Transthoracic needle aspiration biopsy of benign and malignant lesions. AJR 1985; 144: 281-8
- 6. Perlmutt LM, Johnston WW, Dunnick NR. Percutaneous transthoracic needle aspiration : a rewiev- AJR 1989; 152: 451-5
- 7. Austin JHM, Cohen MB. Value of having a cytopathologist present during percutaneous fine needle aspiration biopsy of lung: report of 55 cancer patients and metaanalysis of the literature. AJR 1993;160: 175-177
- 8. Bayramgürler B, Yılmaz A, Anla S ve ark. Bilgisayarlı Tomografi Eşliğinde Yaoılan Transtorasik İnce İğne Aspirasyonu Sonuçlarımız. Solunum Hastalıkları 2000;11: 165-168
- 9. Santambrogio L,MD; Nosotti M, Bellaviti N et al CT-Guided Fine-Needle Aspiration cytology of Solitary Pulmonary Nodules. A prospective, randomized study of immediate cytologic evaluation. Chest 1997;112:423-5
- 10. Moultan JS,Moore PT, coaxial percutaneous biopsy technique with automated biopsy devices: Value in improving accuracy and negative predictive value. Radiology 1993;186: 152:451
- 11. Layfield LJ, Coogan A, Johnston WW, Patz EF. Transthoracic fine needle aspiration biopsy. Sensitivity in relation to guidance technique and lesions size and location. Acta Cytologica 1996;40:687-90
Ayrıntılar
| Diğer ID | JA99DK64EU |
|---|---|
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mayıs 2002 |
| Yayımlandığı Sayı | Yıl 2002 Cilt: 16 Sayı: 1 |