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  • Transtorakalna igelna aspiracijska biopsija sprememb v pljučih, na plevri in v mediastinumu = Transthoracic needle aspiration biopsy of pulmonary, pleural, and mediastinal lesions
    Svetina, Petra, 1971- ...
    Background. Transthoracic needle aspiration biopsy (TTNAB) is indicated in diagnostic workup of the diseases of the lung, pleura, thoracic wall and mediastinum if less invasive procedures have ... failed. We wanted to find out thenumber, sensitivity and possible complications of procedures performed in one year, the location of the disease, the type of the needle and under what guidance the procedure was done. Methods. We analysed retrospectively the medical records of 94 patients in whom 99 TTNAB were performed at The University Clinic of Respiratory and Allergic Diseases Golnik from June 1st 2001 to May 31st 2002. The procedure was applied in 63 male (67%) and 31 female (33%) patients, aged 63,9 +/- 11,3 years. Nordenstrom needle was applied in all cases, and Rotex needle additionally in ll patients. Biopsies were performed under fluoroscopic computer tomography (CT) or ultrasound (US) guidance. The samples obtained were examined cytologically. Results. The majority of procedures 84 (85%) were performed under fluoroscopic guidance, 10(10%) under CT and 5 (5%) under US guidance. Lesions were observed in the lung in 86 (87%), in the mediastinum in 8 (8%), and in the pleura in 5 (5%) patients. Cytological examination confirmed malignant disease in 58 cases (58.5%), benign diseases in 38 cases (38,5%), inflammation in 33 (33.3%), and benign tumours in 5 cases (5.1%). Samples not suitable for cytological examinations were obtained in 3 cases (3%). Overall sensitivity of the examination was 84.3% (81/96). The sensitivity in the patients with malignant diseases was 87.9% (51/58) with the specificity of 95%. The sensitivity in thepatients with benign diseases was 78.9% (30/38). Pneumothorax was confirmedin 11% (11/99) of examinations, pleural drainage was necessary in 2 and exsufflation in 1 patient, other pneumothoraces resolved without intervention. In 1 patient haemoptyses were observed and ceased spontaneously.(Abstract truncated at 2000 characters).
    Source: 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. 8, št. 20/21, sep./nov. 2003, str. 121-126)
    Type of material - article, component part
    Publish date - 2003
    Language - slovenian
    COBISS.SI-ID - 17313753

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