Computed Tomography–Guided Fine Needle Aspiration of Peripheral Lung Opacities

Gouliamos, A.; Giannopoulos, Dionysias H.; Panagi, G.; Fletoridis, Nikolaos K.; Deligeorgi-Politi, Helen; Vlahos, Lambros

doi:10.1159/000328476

Cited by 29 publications

(23 citation statements)

References 16 publications

(14 reference statements)

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“…[9] Among the imaging modalities, CT is the most popular. [10] Other modalities include fluoroscopy and ultrasonography. In the present study, there was a male preponderance with a male:female ratio of 1.49:1.…”

Section: Discussionmentioning

confidence: 99%

Computed tomography guided fine needle aspiration cytology of mass lesions of lung: Our experience

Gangopadhyay

Chakrabarti

Ghosh

et al. 2011

Indian Journal of Medical and Paediatric Oncology

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Context:Computerized tomography (CT) guided fine needle aspiration cytology (FNAC) of lung lesions has rapidly emerged as a less-invasive, cheap, rapid and fairly accurate diagnostic aid in lung lesions.Aims:The purpose of this present study was to evaluate the effectiveness of CT-guided FNAC in the diagnosis of pulmonary mass lesions (both benign and malignant) and to determine the complication rate of this procedure.Settings and Design:We conducted an institution-based, prospective study on 127 patients who presented with pulmonary mass lesions.Materials and Methods:After proper consent was obtained, CT-guided transthoracic fine needle aspiration was done and their diagnoses were confirmed by appropriate methods. The results were analyzed statistically.Results:Out of 127 cases selected for the study, 59.8% were males while the rest were females. Cough was the most common symptom present in 71.2% cases, followed by weight loss (62.4%). 21.2% cases were cytologically benign. Adenocarcinoma (54.2%) was the commonest malignant tumor. FNAC provided at least 96% sensitivity and 100% specificity in diagnosing lung tumors. Among the benign lesions, specific diagnoses were obtained in 48.1% cases. Thus, altogether a specific diagnosis was obtained in 109 of 127 cases, i.e. 85.8%. No major complication was noted.Conclusions:CT-guided FNAC is an extremely valuable and fairly accurate diagnostic aid of intrathoracic mass lesions, with a reasonable rate of complication.

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Section: Discussionmentioning

confidence: 99%

Computed tomography guided fine needle aspiration cytology of mass lesions of lung: Our experience

Gangopadhyay

Chakrabarti

Ghosh

et al. 2011

Indian Journal of Medical and Paediatric Oncology

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“…Computed tomography (CT) is best for more accurate localization and lesions less than 1 cm can be aspirated. [12] In patients with lung cancer which is inoperable owing to local factors or the patient's general condition, FNAC confirms the diagnosis and reveals the tumor type. [3] Hence, TFNAC of small pulmonary lesions helps in earlier diagnosis, improved staging, increased chance of effective intervention and to formulate immediate effective management of thoracic mass lesions.…”

Section: Introductionmentioning

confidence: 99%

Study of computed tomography-guided fine needle aspiration cytology of thoracic lesions

Rangaswamy

Zacharia

Krishnamurthy

et al. 2012

J Cytol

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Background:Thoracic lesions include a variety of benign and malignant lesions of lung, pleura, chest wall and mediastinum. Transthoracic fine needle aspiration cytology (TFNAC) is a well established technique for work up of thoracic lesions. Computed tomography (CT) has extended the use of FNAC, because it is accurate for localization, needle puncture and above all it permits evaluation of lesions less than 1 cm. This diagnostic modality has a high sensitivity, specificity and is of relatively low cost.Aims:To assess the role of CT-guided FNAC in the diagnosis of thoracic lesions.Materials and Methods:Eighty three patients with various thoracic lesions were evaluated by CT guided FNAC. The cytologic findings were compared with cell blocks whenever available.Results:Conclusive opinion was offered on cytology smears in 80 patients. Lesions of the lung were the most common. Neoplastic lesions in our study accounted for 65% of cases. The sensitivity and specificity of the study were 93.33% and 100%, respectively.Conclusion:CT-guided TFNAC is a low cost, safe, minimally invasive and accurate diagnostic procedure with high sensitivity and specificity and when interpreted in conjunction with clinical and radiological data can prevent some of the pitfalls in diagnosis.

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“…Our present study showed a slight higher incidence of general malignancy (69.1%) with quite similar findings of sub classification of lung carcinomas. In cytological diagnosis of lung lesions, different studies showed that prevalence of malignancy ranges from 61% to 70% and benign lesions ranges from 29.3% to 39%, excluding the inadequate samples 9,10,11 . The prevalence malignancy of our study was almost similar with these studies.…”

Section: Discussionmentioning

confidence: 99%

“…Tuberculosis is another important finding other than malignancy. In western populations, tuberculosis cases constituted 0.2-1.5% of all FNAC cases of lung masses 9 . In Singapore, tuberculosis cases found 5.3% by lung FNAC 11 .…”

Section: Discussionmentioning

confidence: 99%

Experience of CT-guided FNAC from Lung lesion: A Study of 330 Cases

Sarker¹,

Hossain²,

Farooq

2017

KYAMC j.

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CT-guided FNAC is an important method in which aspiration of materials done from deep structure of the body. Now a day, it is a useful tool for diagnosis of lung lesion. This study was done in the department of Pathology, Khwaja Yunus Ali Medical College & Hospital (KYAMCH), a rural tertiary hospital in Bangladesh. A total of 330 cases from January 2008 to December 2013 were evaluated in this study. Of these, 93 (28.20%) were adenocarcinoma, 66 (20%) were squamous cell carcinoma, 35(10.6%) were small cell carcinoma, 31 (9.4%) were non-small cell carcinoma, 03 (0.9%) were non-hodgkin lymphoma, 57 (17.3%) were inflammatory, 24 (7.3%) were tuberculosis and others were 21 (6.4%). The mean age±SD of patients was 58.92±12.92 years. Incidence of malignancy was quite similar in compare to previous study. So in case of any suspicious lesion or growth of lung, CT- guided FNAC should be done for diagnosis and also to exclude malignancy that will help to reduce patients' morbidity and mortality.KYAMC Journal Vol. 6, No.-1, Jul 2015, Page 562-564

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Computed Tomography–Guided Fine Needle Aspiration of Peripheral Lung Opacities

Cited by 29 publications

References 16 publications

Computed tomography guided fine needle aspiration cytology of mass lesions of lung: Our experience

Computed tomography guided fine needle aspiration cytology of mass lesions of lung: Our experience

Study of computed tomography-guided fine needle aspiration cytology of thoracic lesions

Experience of CT-guided FNAC from Lung lesion: A Study of 330 Cases

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