Marel M, Melínová L, Potocková L, Stastný B, Ramaizl R, Najbrt J
II. katedra TRN I. lékarské fakulty Univerzity Karlovy, Praha.
Cas Lek Cesk. 1990 Jun 8;129(23):727-9.
Referring to a group of 144 patients with lung cancer planned for lung surgery, the authors compared the results of the needle biopsy of hilar, bifurcation and paratracheal nodes with the pathologist's finding in the resected portions of the lungs. In the hilar region, there were 89.5% findings in agreement with postoperative, 10.5% different findings. These were six patients where falsely negative results were found in 2 patients, falsely positive results in 4 patients. In the bifurcation and paratracheal regions, the cytologist's and pathologist's findings were entirely in agreement. At the same time the authors considered peribronchial needle biopsy for the ability to detect the lymph node. In the group of patients, in whom the nodes had not been reached by the needle, the pathologist described enlarged nodes in 14.7% patients in the hilar region, a 2.9% rate in the region of the bifurcation, and a 12.2% rate in the paratracheal region. In the authors' opinion, the method of peribronchial needle biopsy is sufficiently accurate and very useful for the intrathoracic staging of bronchogenic carcinoma. They see it as an inseparable part of bronchoscopy in patients with lung cancer.
作者针对一组计划接受肺部手术的144例肺癌患者，将肺门、隆突及气管旁淋巴结穿刺活检结果与病理学家在切除肺组织中的发现进行了比较。在肺门区域，89.5%的结果与术后情况相符，10.5%的结果不同。其中有6例患者，2例出现假阴性结果，4例出现假阳性结果。在隆突和气管旁区域，细胞学家与病理学家的发现完全一致。同时，作者考虑经支气管针吸活检检测淋巴结的能力。在未通过针吸到达淋巴结的患者组中，病理学家描述肺门区域有14.7%的患者淋巴结肿大，隆突区域为2.9%，气管旁区域为12.2%。作者认为，经支气管针吸活检方法对于支气管肺癌的胸内分期足够准确且非常有用。他们将其视为肺癌患者支气管镜检查中不可或缺的一部分。
