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


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