Author/Editor		Triller, Nadja; Marčun, Robert; Kern, Izidor; Debeljak, Andrej; Kecelj, Peter; Šuškovič, Stanislav; Eržen, Janez
Title		Ultrazvočno vodena transtorakalna igelna biopsija sprememb v prsnem košu
Translated title		Ultrasound guided transthoracic needle aspiration biopsy of thoracic lesiosns
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 69, št. 11
Publication year		2000
Volume		str. 749-51
Language		slo
Abstract		Background. Transthoracic needle aspiration biopsy of mediastinal lesions, peripheral pulmonary lesions, thoracic wall lesions and intrapleural lesions can be performed under ultrasonographic guidance. Our objective was to assess localisation of the lesions, sensitivity and safety of sonographycally guided needle aspiration biopsy. Methods. From January 1998 through Februry 2000, 21 patients with mediastinal lesions, thoracic wall lesions, peripheral pulmonary lesions and intrapleural lesions underwent sonographically guided needle aspiration biopsy. We compared citology with histology after surgical resection. Results. Ultrasound guided needle biopsy was performed in 42% of patients with mediastinal lesions, 29% with peripheral pulmonary lesions, 19% with thoracic wall lesions and 10% with pleural lesions. The diagnostic sensitivity of the needle aspiration biopsy under ultrasonographic guidance in malignant lesions was 94.1%. We have not been satisfied with the diagnosis of the benign lesions. One patient had mild haemorrhage. Conclusions. Ultrasound guided needle biopsy of mediastinal lesions, peripheral pulmonary lesions, thoracic wall lesions and intrapleural lesions is safe, radiation free procedure. The diagnostic yield is high in malignant lesions but low in benign.
Summary		Izhodišča. Transtorakalno punkcijo sprememb v prsnem košu, ki ležijo v mediastinumu, v plevralnem prostoru na obrobju pljuč ali v torakalni steni, lahko opravimo pod kontrolo ultrazvoka (UZ). Zanimala nas je lokalizacija punktiranih sprememb, kako varna je punkcija ter občutljivost preiskave. Metode. Od januarja 1998 do februarja 2000 smo UZ punktirali 21 bolnikov, ki so imeli spremembe v mediastinumu, v torakalni steni, v plevri in v obrobnih predelih pljuč. Citološke izvide punkcij smo primerjali s histološkimi izvidi operativno odvzetih vzorcev. Rezultati. Spremembe, ki smo jih punktirali, so bile v mediastinumu (42%), v obrobnih predelih pljuč (29%), v prsni steni (19%) in na plevri (10%). Senzitivnost preiskave pri bolnikih z malignimi boleznimi je bila 94,1%. Pri ugotavljanju benignih sprememb nismo bili uspešni. Zapletov preiskave je bilo malo, en bolnik je imel manjšo krvavitev. Zaključki. Transtorakalna igelna biopsija sprememb v mediastinumu, v prsni steni, v plevri in obrobnih pljučnih sprememb pod kontrolo UZ je varna preiskava. Bolnik ni izpostavljen sevanju. Senzitivnost pri ugotavljanju malignih bolezni je visoka, za ugotavljanje benignih sprememb pa nizka.
Descriptors		LUNG DISEASES MEDIASTINAL DISEASES PLEURAL DISEASES BIOPSY, NEEDLE