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  • Diagnostični postopki pri perifernih pljučnih tumorjih = Diagnostic procedures in peripheral pulmonary tumours
    Triller, Nadja
    Bronchoscopic and percutaneous approaches to peripheral pulmonary lesions are effective and safe diagnostic procedures. To establish the diagnosis either one of the available methods is chosen, or ... both are integrated in a logical sequence of diagnostic procedures. The paper deals with the folowing two examinations: 1. Bronchoscopy: exploration of the bronchial tree, bronchoscopic lung biopsy-BLB, transbronchial needle aspiration - TBNA, bronchial and/or bronchoalveolar lavage-BAL. 2. Percutaneous fine needle aspiration (PCNA) under fluroscopic, computer tomography (CT) or ultrasound (US) guidance. The second part of the paper presents a retrospective analysis of 115 patients with measurable peripheral pulmonary tumours without endobronchial lesions diagnosed in 2001. They were divided into two groups: those with lesions <-3 cm and those with lesions of >3cm. The patients underwent bronchoscopy with BLB, TBNA, bronchial brushing or fluoroscopy, CT-or US-guided BAL and PCNA when the bronchoscopy was not diagnostic. Only three (3%) of these patients were diagnosed surgically. In 81 patients (70%), the final diagnosis was established by bronchoscopy (lesions<-3 cm, 61%, lesions >3 cm, 79%) In 34 patients, in whom bronchoscopy was not dignostic, diagnosis was established by PCNA (lesions<-3 cm, 91%, lesions>3cm, 92%). Apart from PCNA-related pneumothorax in 4 cases (12%), no serious complications were observed.
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 7, št. 18, okt. 2002, str. 29-35)
    Vrsta gradiva - članek, sestavni del
    Leto - 2002
    Jezik - slovenski
    COBISS.SI-ID - 15416793

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