Percutaneous Transthoracic Aspiration Needle Biopsy

Sagel, Stuart S.; Ferguson, T. Bruce; Forrest, John V.; Roper, Charles L.; Weldon, Clarence S.; Clark, Richard E.

doi:10.1016/s0003-4975(10)62917-7

Cited by 92 publications

(20 citation statements)

References 15 publications

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“…This result is comparable to other studies, where success rates vary from 73 to 99% [1][2][3][4][5][7][8][9][10][11][12][13][14],…”

Section: Discussionsupporting

confidence: 89%

“…All but 3 cases (94%) had a cytologically correct tumor classification compared with the histologi cal diagnosis in the group of malignant and benign tumors where histological ma terial was available (table II). The diag nostic specificity of the cytological classi fication has varied between 53 and 100% in other investigations [I, 2, 16, 20-22], whereas many studies [3][4][5][7][8][9][10][11][12][13][14], do not report comparison between cytological and histological findings.…”

Section: Discussionmentioning

confidence: 99%

“…During the last two decades, transtho racic fine-needle aspiration (FNA) guided by fluoroscopy has gained acceptance as a useful method of diagnosing peripheral lung lesions, with a sensitivity ranging from 73 to 99% [1][2][3][4][5]. The purpose of the present retrospective study was to evaluate the validity and complications of the FNA performed with two different types of roentgenological equipment and by physi cians under training without experience with the FNA technique.…”

Section: Introductionmentioning

confidence: 99%

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Transthoracic Fine-Needle Aspiration Guided by Fluoroscopy: Validity and Complications with 19 Operators

Mørkve

Skaarland²,

Myking³

et al. 1988

Respiration

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During a 3-year period, 19 physicians performed 271 transthoracic fine-needle aspirations (FNA) in 199 patients, using a 23-gauge aspiration needle with an 18-gauge guiding needle. The diagnosis was confirmed by cytological examination of the needle aspirates in 90 out of 122 patients with malignant tumors, giving a sensitivity of 74%. The specificity of the cytological diagnosis was 100%. Both cytological and histological material was available in 49 patients. The tumor typing from the FNA specimens and the biopsies was in agreement in all but 3 cases. Pneumothorax occurred in 27% of the patients, but only 3.5% required tube drainage. Small variations (p > 0.05) in number of diagnostic punctures and rate of complications were evident among the participating physicians and between two fluoroscopic equipments.

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“…This result is comparable to other studies, where success rates vary from 73 to 99% [1][2][3][4][5][7][8][9][10][11][12][13][14],…”

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Transthoracic Fine-Needle Aspiration Guided by Fluoroscopy: Validity and Complications with 19 Operators

Mørkve

Skaarland²,

Myking³

et al. 1988

Respiration

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show abstract

“…Therefore, as Sagel et al [13] have re cently proposed, there are several specific indications for needle aspiration biopsy. First, needle aspiration biopsy is indicated in patients with a pulmonary mass or mas ses in whom tissue diagnosis is required be fore other therapy is initiated, but are un suitable for curative surgery because of se vere medical problems or metastatic disease [9,14], Secondly, this procedure is indicat ed in patients with a chest mass that was not seen during a previous FFB, or is assumed to be out of the visual range of the FFB: Pancoast tumors and lesions in the superior segment of either lower lobe [9,11].…”

Section: ]mentioning

confidence: 99%

Needle Aspiration Biopsy in Suspected Pulmonary Carcinoma

Dull¹

1980

Respiration

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The results of 22 needle aspiration biopsies performed over a period of 1 year were analyzed to help determine the role of this procedure in diagnosing suspected pulmonary carcinoma. The sensitivity for diagnosing pulmonary carcinoma was 79% while the specificity was 100%. The accuracy was greatest when the pulmonary mass was against the chest wall. This study suggests that needle aspiration biopsy has an important role in diagnosing suspected pulmonary carcinoma and is the procedure of choice when the mass is against the chest wall

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“…CNB is more sensitive when defining benign lung lesions. Moreover, it is more accurate at characterizing lymphoproliferative diseases and subtyping malignancies, where the assessment of tissue architecture is crucial to the diagnosis (Sagel et al, 1978;Kim et al, 2002). However, CNB is more invasive and although considered to be generally safe, it may be associated with increased complications (Norenberg et al, 1974;Arnold et al, 2002).…”

Section: Introductionmentioning

confidence: 99%