Diagnostic utility of conventional transbronchial needle aspiration in older patients
| Autor: | Oguz Karcioglu, Elif Babaoglu, Deniz Koksal, Sevinc Sarinc Ulasli, Salih Emri, Sevgen Onder |
|---|---|
| Přispěvatelé: | Emri, Salih |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
education.field_of_study
Pediatrics medicine.medical_specialty business.industry Incidence (epidemiology) Population medicine.disease Bronchospasm 03 medical and health sciences 0302 clinical medicine Elderly 030228 respiratory system Older patients 030220 oncology & carcinogenesis Radiological weapon Diagnosis medicine medicine.symptom Lung cancer education Complication business Disease burden Conventional Transbronchial Needle Aspiration |
| Popis: | Koksal, Deniz/0000-0001-8374-3691 WOS:000428472300018 Background In older patients, diagnosis and initial treatment should be considered as soon as possible because of high disease burden and complications. Conventional transbronchial needle aspiration (C-TBNA) is an important and safe method for the diagnosis of mediastinal lesions and staging lung cancer in the general population. We aimed to evaluate the diagnostic utility and complications of C-TBNA procedure in older patients aged >= 65 years. Method We retrospectively evaluated C-TBNA results consecutively. Demographic data, clinical, radiological and flexible bronchoscopy (FB) findings, complications during C-TBNA and incidence of diagnostic C-TBNA with the presence of abundant lymphoid cells of polymorphous appearance both in patients aged >= 65 years and in younger patients were determined. Results C-TBNA was performed to a total of 317 patients, including 109 older and 208 younger patients attended to our clinic between 2012 and 2016. The mean ages of older and younger patients were 70.3 +/- 4.6 and 52.5 +/- 10 years, respectively (p < 0.001). Overall, 75.2% of older and 80.3% of younger patients had diagnostic C-TBNA. The diagnostic utility of C-TBNA did not differ significantly between older and younger patients (p = 0.297). During C-TBNA, one older patient had a complication of bronchospasm, and four younger patients had complications such as bleeding (n = 1) and bronchospasm (n = 3). There was no statistically significant difference between older and younger patients in terms of complications during C-TBNA procedure (p = 0.49). Conclusion C-TBNA is a safe procedure with similar diagnostic yield in older patients. |
| Databáze: | OpenAIRE |
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