Thoracic lesions: Diagnosis by ultrasound-guided biopsy
| Autor: | Markku Päivänsalo, J. Ihalainen, L. Strengel, S. Hiltunen, T. Siniluoto, P. Lohela, M. Taavitsainen, Tapani Tikkakoski, M. Apaja-Sarkkinen |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Adult
Male Thorax medicine.medical_specialty Adolescent Cytodiagnosis Sensitivity and Specificity Thoracic Diseases Biopsy medicine Humans Radiology Nuclear Medicine and imaging Child Finland Aged Retrospective Studies Ultrasonography Aged 80 and over medicine.diagnostic_test business.industry Biopsy Needle Respiratory disease Infant Mediastinum Retrospective cohort study Middle Aged Thoracic Neoplasms medicine.disease medicine.anatomical_structure Pneumothorax Evaluation Studies as Topic Child Preschool Ultrasound-Guided Biopsy Female Radiology business Thoracic wall |
| Zdroj: | RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren. 159:444-449 |
| ISSN: | 1438-9010 1438-9029 |
| Popis: | We reviewed the results of US-guided fine-needle biopsies of peripheral pulmonary, pleural, mediastinal and chest wall lesions in 200 patients. Sufficient material for cytological analysis was obtained in 95%, 92%, 96% and 100%, respectively. Sensitivity was 88%, 94%, 96%, 100% and specificity 89%, 100% and 100%, respectively. The ratio of false-negative results was 7%. A cutting needle biopsy was additionally performed in 24 patients. All but two of the histological samples (92%) were adequate for diagnostic purposes and a correct diagnosis was established in 86% (19/22) of these. 8 patients (4%) with pleural or pulmonary targets had minor complications (5 pneumothorax, 3 haemoptysis), which did not require treatment. Cutting needle biopsies and biopsy of mediastinal lesions proved safe. Due to the many advantages US may be considered for guidance in peripheral larger-sized pulmonary lesions, particularly those abutting the pleura, and also in pleural, thoracic wall and mediastinal masses. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|