AI Summary & Key Takeaways
AI InsightAs a result of our study we think that in the diagnosis of peripheral lung lesions TNAB with very low complications can be preferred as a diagnostic method compared to invasive diagnostic methods.
📌 3 Key Takeaways
Abstract
CT- guided transthoracic needle aspiration biopsy (TNAB) is a frequently used method in the diagnosis of peripheral lung lesions. Solitary pulmonary nodule , multiple pulmonary nodules lokalized /multiple masses , pleural masses , mediastinal and hilar masses , spesific cavitary lesions and abscesses are indications for this procedure. In our study we evaluated the diagnostic value of TNAB , the rate of complications in patients with peripheral lesions. Between January 2006 and December 2007 we investigated 132 patients that undergone TNAB in our clinic. According to results malign cells were found in 47 patients. The pathological diagnosis was non -small cell carcinoma (NSCC) in 35 of the patients that showed histological type as squamous celll carcinoma in 5 and adenocarcinoma in 4 patients. Three patients had small celll carcinoma and the rest 9 patients were reported as malign epithelial cells. Only 5 patients with NSCC were operable . patients diagnosed malign epithelial cells were referred to chest surgery department for further diagnosis. 2 of them died during investigations. Six of the patients were NSCC and one was found as smal cell carcinoma. As a complication pneumothorax was detected in 6 of the patients (4.5 % ). 5 patients had minimal pneumothorax and only one needed thorax tube. As a result of our study we think that in the diagnosis of peripheral lung lesions TNAB with very low complications can be preferred as a diagnostic method compared to invasive diagnostic methods.
Özet
Periferik akcier lezyonlarının tanısında bilgisayarlı tomografi eşliinde transtorasik ince ine aspirasyon biopsisi (TT‹‹AB) sık kullanılan bir yontemdir. Tanısal amaclı soliter pulmoner nodul yada kitleler, multipl pulmoner noduller, lokalize yada multipl infiltratlar, plevral kitleler, mediastinal yada hiler kitleler, secilmiş kaviter lezyon yada apseler en onemli endikasyonlarıdır. Calı şmamızda akcierde periferik lezyonları olan hastalarda TT‹‹AB orneklerinin tanıdaki deeri ve komplikasyon sıklıını araştırdık. Ocak 2006- Aralık 2007 tarihleri arası nda servisimizde TT‹‹AB yapılan 132 hastayı retrospektif olarak incelendi. Servisimizde TT‹‹AB uygulanan hastaların 47 sinin patoloji sonucunda malign hucreler saptandı. Patoloji sonucları nda; 35 vakada kucuk hucreli dışı karsinom - bunların 5’i squamoz hucreli karsinom, 4’u adenokarsinom-, 3 vakada kucuk hucreli karsinom ve 9 vakada malign epitelyal hucreler tesbit edildi. Kucuk hucreli dı- şı karsinom vakalarının sadece 5’i operabldı. Patoloji tanısı malign epitelyal hucreler olarak gelen hastaların 7’si tanı amaclı cerrahi girişim icin Gous Cerrahasi Klini ine nakledildi, 6’sı kucuk hucreli dışı karsinomdu, biri operabl olup dierleri Onkoloji Kliniine nakledildi, biri kucuk hucreli karsinomdu, iki vaka tetkikler tamamlanamadan oldu. TT‹‹AB sonrasında hastaların %4.5’inde (n:6) pnomotorax meydana geldi, bunların 5’i minimal pnomotorax iken birine toraks tupu takıldı. Sonuc olarak periferik akcier lezyonlarında, TT‹‹AB komplikasyon riskine ramen dier invaziv yontemlerle karşılaştırıldıında oncelikle tercih edilmesi gereken bir yontemdir.