Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

Original Research

Ann Med Res. 2005; 12(4): 231-234


Evaluation of Pulmonary Lesions Undiagnosed With CT Guided Transthoracic Fine Needle Aspiration

 

Mustafa Kürşat Özvaran*, Sibel Arınç*, Özlem Uzman*, İlknur Dilek*, Efsun Uğur Chousein*, Dilay Demiryontar*, Reha Baran*
.

Abstract

 

Objective: This study was planned to evaluate the causes of failure of diagnosis and to determine the route of

diagnosis in patients with pulmonary lesions undiagnosed with Computerized Tomography (CT) guided

Transthoracic Fine Needle Aspiration biopsy (TFNA).

Material and methods: We retrospectively evaluated 673 patients who underwent CT-guided TFNA biopsy between

January 2001 and August 2003.

Results: Diagnosis could not be made in 94 patients with CT guided TFNA biopsy (14%). Diagnosis could be made

in 33 (%35) with thorocotomy, in 11 (%12) with bronchoscopy, in 1(%1) with mediastinoscopy, in 1 (%1) with

biopsy of lymphyadenopathy, in 1(%1) with culture of AFB, and in 39 (%41) with clinical and radiologic follow up.

Diagnosis could not be made 9 (%10) due to lost to follow up. Of the 664 patients, the final diagnosis was

malignant in 597(%90) and benign in 67(%10). Eighty-five patients who had no diagnosis with TFNA were

diagnosed to have malignancy in 49 (58%) malignant and benign lesion in 36 (42%). Eighty-five patients underwent

128 TFNA procedures. The cytology of these procedures included nonspecific blood cells in 86 (67%), reactive cells

in 27(21%), atypical cells in 10 (8%) and benign cells in 5(4%).

Conclusion: Since the 58% of undiagnosed cases was malignant, the diagnosis has to be done in undiagnosed cases,

with clinical suspicion of malignancy. We believe that checking out the adequacy of biopsy specimens during TFNA

procedure will yield higher accuracy and will enable the clinicians to avoid unnecessary thorocotomy procedures for

benign and inoperable pulmonary lesions.

Key Words: CT-Guided, Needle biopsy, Pulmonary lesions, Undiagnosed procedures



Share this Article


Advertisement
American Journal of Preventive Medicine and Public Health

SUBMIT YOUR ARTICLE NOW


ScopeMed.com
ScopeMed Home
Follow ScopeMed on Twitter
BiblioCAM
Author Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright © ScopeMed® Information Services.
Scopemed Buttons