| Autor: |
Fernández Villar JA; Servicio de Neumología, Complexo Hospitalario Xeral-Cíes, Vigo. jfv01po@nacom.es, Iglesias Río F, Barreiro Barreiro JM, Mosteiro Añón MM, Vilariño Pombo C, Torres Durán ML, Otero Varela J, Piñeiro Amigo L |
| Jazyk: |
Spanish; Castilian |
| Zdroj: |
Revista clinica espanola [Rev Clin Esp] 2001 Apr; Vol. 201 (4), pp. 169-73. |
| Abstrakt: |
Transbronchial needle aspiration (TBNA) of mediastinal or hilar enlarged lymph nodes is a useful and safe technique. Nevertheless, its use has not become widespread, and the necessity of a specific training to obtain good results has been reported. In order to evaluate the clinical usefulness and cost-effectiveness of TBNA in inexperienced brochoscopists in this technique, a prospective study was conducted of this technique used in all patients with a chest CT with paratracheobronchial lymph nodes larger than 10 mm who had a fiberbronchoscopy ordered. TBNA was performed in 66 lymph node staging in 59 patients. In 76% of cases adequate specimens were obtaned, and a cytohistologic diagnosis was established in 59%. In 44% of patients, TBNA avoided other more invasive diagnostic procedures. Had TBNA not been performed, cost was estimated to have been at least five times higher. We conclude that TBNA could be a useful cost-effective technique in inexperienced teams. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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