Author/Editor		Kecelj, Peter; Debeljak, Andrej; Triller, Nadja; Osolnik, Katarina; Eržen, Damjan; Kern, Izidor
Title		Bronhoskopska igelna aspiracija perifernih pljučnih infiltratov
Translated title		Bronchoscopic needle aspiration of peripheral lung lesions
Type		članek
Source		Endoskopska revija
Vol. and No.		Letnik 7, št. 16-17
Publication year		2002
Volume		str. 47-51
Language		slo
Abstract		Transbronchial needle aspiration (TBNA) is an underused technique for diagnosing a variety of lung pathologies. This prospective study included 37 patients with an undiagnosed periferal lung infiltrate. Bronchial lung biopsy (BLB) and TBNA of the infiltrate were performed under diascopic control. Malignant diseases were diagnosed in 23 patients: adenocellular carcinoma in 9, squamous cell carcinoma in 5, non-small cell lung carcinoma in 3, small cell lung carcinoma in 3, and metastatic spread from extrapulmonary malignant disease to the lung in 3 patients. TBNA was positive in 12 patients (52%), and in 2 patients it was the only procedure yielding positive results. Benign lesions were diagnosed in 14 patients: pneumonia in regression in 7, hamartoma in 2, pulmonary tuberculosis in 2, posttuberculosis fibrosis in 2, and asbestosis in 1 patient. Methicillin-sensitive Staphylococcus aureus was isolated from one aspirate. In other benign lesions, TBNA was found to be of little diagnostic value. TBNA increases the diagnostic sensitivity of bronchoscopy in patients with malignant diseases of the lung.
Summary		Bronhoskopska igelna aspiracija (BIA) je preredko uporabljena diagnostična metoda v bronhoskopiji. Uporabljamo jo za opredeljevanje bolezenskih sprememb, ki so dosegljive v mediastinumu, ki submukozno rastočih sprememb in perifernih infiltratov pljuč. V prospektivno študijo smo vključili 37 bolnikov z neopredeljenim perifernim pljučnim infiltratom. Infiltrat smo poskušali opredeliti s pomočjo bronhoskopske pljučne biopsije (BPB) in bronhoskopske igelne aspircije (BIA) pod diaskopsko kontrolo. Ob neuspehu obeh metod smo uporabili transtorakalno igelno aspiracijo (TTIB) ali celo kirurško biopsijo. Pri 23 bolnikih smo odkrili maligno bolezen: žleznega raka (n=9), ploščatoceličnega raka (n=5), nedrobnoceličnega raka (n=3), drobnoceličnega raka (n=3) pljuč ter zasevke iz drugih organov (n=3). BIA je imela diagnostičen pomen pri 12 bolnikih (52%), pri dveh bolnikih je bila BIA edina metoda s pozitivnim odvzemom. Pri 14 bolnikih smo odkrili benigno bolezen: pljučnica v regresiji (n=7), hamartom (n=2), pljučna tuberkuloza (n=2), azbestoza (n=1), stanje po pljučni tuberkulozi (n=2). V aspiratu, odvzetem z BIA, smo v enem primeru osamili na meticilin občutljiv Staphylococcus aureus, sicer BIA ni pomagala pri diagnozi benignih procesov. BIA poveča diagnostično občutljivost bronhoskopije, posebej pri sumu na pljučnega raka.
Descriptors		BRONCHOSCOPY LUNG NEOPLASMS LUNG DISEASES BIOPSY, NEEDLE