Lung Puncture: A New Application of Clinical Pathology.

Horder, ThomasJ.

doi:10.1016/s0140-6736(01)11769-1

Cited by 29 publications

(12 citation statements)

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“…As might be expected, interest in lung tap collapsed with the advent of antimicrobial agents in Europe and North America, where the last reports on lung tap were published in 1956 [23] and 1975 [24], respectively. by Horder in 1909 [17]. All studies of childhood pneumonia in Europe (table 1) were performed in the United Kingdom [17,23,[26][27][28], with the exception of 1 in the Union of Soviet Socialist Republics [29] and 1 in France [25].…”

Section: Resultsmentioning

confidence: 99%

“…Because the older literature is not listed in modern database systems and because important information was probably published in languages other than English, these sources were scrutinized retrospectively in secondary and tertiary citations; therefore, data were found in German, French, Portuguese, Spanish, and Russian, as well as the English language. The initial data on pediatric patients were from 1909 [17], and the most recent were from 1997 [18]. Special attention was given to information on the potential complications of a procedure that is virtually unknown to today's clinicians in the industrialized world.…”

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confidence: 99%

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Reappraisal of Lung Tap: Review of an Old Method for Better Etiologic Diagnosis of Childhood Pneumonia

Vuori-Holopainen

Peltola

2001

Clinical Infectious Diseases

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Identification of the etiology of childhood pneumonia is difficult, even in the cases that most likely have bacterial origins. A positive blood culture result is diagnostic but rare (< 10% of cases), and other noninvasive microbiological methods are nonspecific or are at least shadowed by interpretation problems. However, lung tap (or aspiration), a method developed a century ago, warrants reappraisal, especially since the prevalence of pneumococcal resistance to penicillin is increasing. An analysis of 59 studies that were published in 6 languages led us to conclude that (1) bacterial etiology is disclosed in approximately 50% of cases (virological tests were rarely done); (2) lung tap is safer than is generally considered; (3) potential pneumothorax is mostly symptomless and resolves spontaneously without impairing recovery; and (4) in comparison with routine diagnostic tools, lung tap offers so many advantages that it warrants reconsideration at centers where personnel have experience in handling potential pneumothorax.

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Section: Resultsmentioning

confidence: 99%

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confidence: 99%

Reappraisal of Lung Tap: Review of an Old Method for Better Etiologic Diagnosis of Childhood Pneumonia

Vuori-Holopainen

Peltola

2001

Clinical Infectious Diseases

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“…Three years later, Menetrier [3] diagnosed a case of bronchial carci noma by needle aspiration. The first reported case of a lung biopsy in the English literature was by Hordner [4] in 1909.…”

Section: Discussionmentioning

confidence: 99%

Open Lung Biopsy: A Safe, Reliable and Accurate Method for Diagnosis in Diffuse Lung Disease

Shah

Tsang²,

Goldstraw³

1992

Respiration

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The ideal method for obtaining lung tissue for diagnosis should provide high diagnostic yield with low morbidity and mortality. We reviewed all 432 patients (mean age 55 years) who underwent an open lung biopsy at this hospital over a 10-year period. Twenty-four patients (5.5%) were immunocompromised. One hundred and twenty-five patients were on steroid therapy at the time of operation. Open lung biopsy provided a firm diagnosis in 410 cases overall (94.9%) and in 20 out of 24 patients in the immunocompromised group (83.3%). The commonest diagnosis was cryptogenic fibrosing alveolitis (173 patients). Twenty-two patients (5.1%) suffered complications following the procedure: wound infection 11 patients, pneumothorax 9 patients and haemothorax 1 patient. Thirteen patients (3.0%) died following open lung biopsy, but in only 1 patient was the death attributable to the procedure itself. We conclude that open lung biopsy is an accurate and safe method for establishing a diagnosis in diffuse lung disease with a high yield and minimal risk.

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“…It causes less discomfort than bronchoscopy or scalene lymph node biopsy. The interpretation of the cytological material presents no undue difficulty to the pathologist experienced in conventional pulmonary exfoliative cytology.Aspiration biopsy of pulmonary infiltrates, first practised in the nineteenth century, was primarily used to obtain material for culture in lobar pneumonia (Horder, 1909). The first recorded instance of aspiration biopsy of a pulmonary carcinoma occurred in 1886 (Menetrier, 1886).…”

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confidence: 99%

“…Aspiration biopsy of pulmonary infiltrates, first practised in the nineteenth century, was primarily used to obtain material for culture in lobar pneumonia (Horder, 1909). The first recorded instance of aspiration biopsy of a pulmonary carcinoma occurred in 1886 (Menetrier, 1886).…”

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Aspiration biopsy of thoracic lesions

Lalli¹

1977

Cleveland Clinic Journal of Medicine

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We have performed percutaneous needle aspiration biopsy of intrathoracic lesrons under fluoroscopic control on 50 patients. Lesions as small as 1 to 15 cm. in diameter were aspirated. Thirty of the 36 cases of malignant neoplasm were diagnosed by this method. Of the 14 nonneoplastic cases, granuloma was diagnosed in two, and in eight of the remaining 12 the clinical diagnosis was supported by the nature of the aspirated material. Pneumothoraces are to be expected as a complication of the method. Most will be asymptomatic; a small proportion will require treatment. There will also be the occasional haemoptysis. The procedure can be quickly performed and it is well tolerated by the patient. It causes less discomfort than bronchoscopy or scalene lymph node biopsy. The interpretation of the cytological material presents no undue difficulty to the pathologist experienced in conventional pulmonary exfoliative cytology.Aspiration biopsy of pulmonary infiltrates, first practised in the nineteenth century, was primarily used to obtain material for culture in lobar pneumonia (Horder, 1909). The first recorded instance of aspiration biopsy of a pulmonary carcinoma occurred in 1886 (Menetrier, 1886). These early experiences, unassisted by radiographic localization of the lesions, were fairly successful in attaining their purpose; they also proved that needle aspiration was not necessarily complicated by empyema. Now the preciseness of modern radiological techniques makes it possible to aspirate small thoracic masses and infiltrates.Nordenstrom in Sweden pioneered the use of small-bore needles and television x-ray fluoroscopy in the aspiration of thoracic masses (Nordenstr6m, 1965a, b). He used this technique on more than 800 patients; only in two did serious complications occur. Although small pneumothoraces were frequent, the procedure was considered safe enough to be performed on out-patients. We have adopted Nordenstrom's method and we report our results. METHODRoutine radiographic examinations of the chest are used to identify and localize the lesion. The patient is positioned on a horizontal x-ray table equipped with television fluoroscopy, preferably of the C-arm type. Fluoroscopy is used to localize the lesion, plan the approach, and mark the skin for puncture. The chest wall closest to the lesion is chosen, and the patient is positioned so that the direction of thrust of the needle toward the lesion is perpendicular to the floor and parallel to the x-ray beam. Occasionally the skeleton imposes an obstacle, making it necessary to use an oblique course. Such a course is obligatory in lesions confined to the mediastinum.The skin is cleansed, and the soft tissues are anaesthetized down to, and including, the pleura. A sterile No. 18 or No. 20 thin-walled spinal needle, complete with stylet and of sufficient length, usually 8 to 10 in. (20 to 25 cm.), is advanced through the anaesthetized area over the superior aspect of the adjacent rib and into the lung. Occasionally a jabbing motion is necessary to penetrate the mass....

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Lung Puncture: A New Application of Clinical Pathology.

Cited by 29 publications

References 0 publications

Reappraisal of Lung Tap: Review of an Old Method for Better Etiologic Diagnosis of Childhood Pneumonia

Reappraisal of Lung Tap: Review of an Old Method for Better Etiologic Diagnosis of Childhood Pneumonia

Open Lung Biopsy: A Safe, Reliable and Accurate Method for Diagnosis in Diffuse Lung Disease

Aspiration biopsy of thoracic lesions

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