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Titolo:
CT BRONCHUS SIGN-GUIDED BRONCHOSCOPIC MULTIPLE DIAGNOSTIC - PROCEDURES IN CARCINOMATOUS SOLITARY PULMONARY NODULES AND MASSES
Autore:
BILACEROGLU S; KUMCUOGLU Z; ALPER H; OSMA E; CAGIRICI U; GUNEL O; BAYOL U; CELIKTEN E; PERIM K; KOSE T;
Indirizzi:
INONU CAD 656-15 TR-35290 IZMIR TURKEY IZMIR TRAINING HOSP THORAC MED & SURG,DEPT THORAC MED IZMIR TURKEY IZMIR TRAINING HOSP THORAC MED & SURG,DEPT THORAC SURG IZMIR TURKEY IZMIR TOMOG CTR IZMIR TURKEY EGE UNIV,FAC ENGN,DEPT RADIOL IZMIR TURKEY EGE UNIV,FAC ENGN,DEPT PATHOL IZMIR TURKEY EGE UNIV,FAC ENGN,DEPT COMP ENGN IZMIR TURKEY DOKUZ EYLUL UNIV,DEPT RADIOL TR-35210 ALSANCAK TURKEY YENISEHIR SOCIAL INSURANCE HOSP,DEPT PATHOL IZMIR TURKEY
Titolo Testata:
Respiration
fascicolo: 1, volume: 65, anno: 1998,
pagine: 49 - 55
SICI:
0025-7931(1998)65:1<49:CBSBMD>2.0.ZU;2-C
Fonte:
ISI
Lingua:
ENG
Soggetto:
FLEXIBLE FIBEROPTIC BRONCHOSCOPY; NEEDLE ASPIRATION BIOPSY; PERIPHERAL CARCINOMA; LUNG ASPIRATION; LESIONS; SPECIMENS; ACCURACY; CANCER;
Keywords:
CT BRONCHUS SIGN; SOLITARY PULMONARY NODULE/MASS; TRANSBRONCHIAL NEEDLE ASPIRATION; TRANSBRONCHIAL LUNG BIOPSY; BRUSHING; BRONCHIAL WASHING; FIBEROPTIC BRONCHOSCOPY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
29
Recensione:
Indirizzi per estratti:
Citazione:
S. Bilaceroglu et al., "CT BRONCHUS SIGN-GUIDED BRONCHOSCOPIC MULTIPLE DIAGNOSTIC - PROCEDURES IN CARCINOMATOUS SOLITARY PULMONARY NODULES AND MASSES", Respiration, 65(1), 1998, pp. 49-55

Abstract

CT bronchus sign (BS) designates a bronchus leading directly to a peripheral pulmonary lesion. The objective of this investigation is to determine the contribution of BS-guided bronchoscopic multiple diagnostic procedures (BMDPs) to the diagnostic yield of solitary nodules or masses (SPNMs) suspected of pulmonary carcinoma (PC). A prospective study was carried out in 92 patients with a 2-5 cm diameter SPNM at the level of third to fifth bronchial branching and without endobronchial tumors. Within 10 days after 2-mm CT scans were done, in each of 92, bronchial washing (BW), brushing (BR), transbronchial needle aspiration (TBNA) and transbronchial lung biopsy (TBB) were performed respectively, via fiberoptic bronchoscopy (FB) under fluoroscopic guidance. In 40 (82%) of 49 with BS and in 19 (44%) of 43 without BS, FB established the diagnosis (p < 0.01). In 84 cases of PC, BW, BR, TBNA and TBB provided the diagnostic yields of 4% (3), 26% (22), 57% (48) and 49% (41), respectively; the combined yield reached 68% (57). A metastasis and a tuberculoma were diagnosed exclusively by TBB, and TBNA, respectively. All differences of diagnostic yield except that between TBNA and TBB (p > 0.05) were determined to be significant (p < 0.05). Thoracotomy verified diagnosis in 48 of 59 cases diagnosed and 19 of 33 undiagnosedby FB, and various tissue biopsies or clinical follow-up in 11 diagnosed and 14 undiagnosed by FB. The above data suggest that in the diagnosis of PC as a SPNM at the level of third-fifth bronchial branching, combining the guidance of CT BS, and BMDPs under fluoroscopic guidancecan increase the yield considerably.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 06:38:38