Transthoracic Needle Asdiration, 30 Cases

Nam, Song Hyun; Kim, Woo Sung; Woo, Jun Hee; Rho, Yong Ho; Shim, Yeung Soo; Kim, Keun Youl; Han, Young Chol; Park, Jae Hyung; Ham, Eui Keun

doi:1983.30.4.205

Tuberc Respir Dis > Volume 30(4); 1983 > Article

Case report

Tuberculosis and Respiratory Diseases 1983;30(4):205-213.
DOI: https://doi.org/10.4046/trd.1983.30.4.205 Published online December 1, 1983.

Transthoracic Needle Asdiration, 30 Cases

Song Hyun Nam¹, Woo Sung Kim¹, Jun Hee Woo¹, Yong Ho Rho¹, Yeung Soo Shim¹, Keun Youl Kim¹, Young Chol Han¹, Jae Hyung Park², Eui Keun Ham³

¹Department of Internal Medicine, College of Medicine, Seoul National University, Seoul, Korea
²Department of Radiology, College of Medicine, Seoul National University, Seoul, Korea
³Department of Pathology, College of Medicine, Seoul National University, Seoul, Korea

경피적 폐침생검 30예

남송현¹, 김우성¹, 우준희¹, 노용호¹, 심영수¹, 김건열¹, 한용철¹, 박재형², 함의근³

Abstract

30 patients with either pulmonary nodule or pulmonary mass had lung aspirations using Chiba fine needle, 22-23 gauge. 1) Men were 20, Women were 10, Mean age was 52±12 years. 2) Overall success rate was 87% (26/30), and accuracy was 73% (22/30). 3) In success cases, benign lesion was 11 (42%), malignant lesion was 15(58%). In benign lesions, there were Tuberculoma 9, Hamartoma 1, Aspergilloma 1, and in malignant lesion, Squamous cell Ca 6, Small cell Ca 3, Undifferentiated large cell Ca 2, Adenoca 2, Unclassified malignant celll 2. 4) Complications were minimal, mild pneumothorax occured in 2 patients(7%) and mild hemoptysis occured in 1 partients(3%) (Blood-tinged sputum occured in many subjects but they were excluded in counting of complications) 5) In 15 cases, the size of lesion was smaller than 4 cm in diameter. Among them 12 cases (80%) were benign. Rest of 15 cases, 80% were malignant(p<0.05). 6) Past history of pulmonary tuberculosis with treatment did not relate to benign or malignant diagnosis. 7) Subjects with respiratory symptoms had higher rate of malignant than without. (74% vs 18%) (P<0. 05)