Sirpal Y M
Classified Specialist (Pathology), 5 Air Force Hospital, C/O 99 APO.
Med J Armed Forces India. 1997 Jan;53(1):40-44. doi: 10.1016/S0377-1237(17)30643-3. Epub 2017 Jun 26.
Role of transthoracic fine needle aspiration cytology (FNAC) in diagnosing 170 patients of non-resolving pneumonias was studied. There were 117 males and 35 females in the age range of 3 to 72 years. The neoplastic lesions diagnosed by FNAC included 51 primary lung cancers, 6 metastatic deposits, 1 malignant mesothelioma of pleura, 1 Hodgkin's disease and 4 thymomas. Benign lesions included 56 pneumonias and abscesses of bacterial and chemical origin, 35 pulmonary tuberculosis, 2 fungal granulomas and 1 sarcoid granuloma. Aspiration cytology was inconclusive in 13 cases. The sensitivity of FNAC was 95.5 per cent in diagnosing malignant lesions accurately while the accuracy of cytological characterization was 95.3 per cent There were no false positive reports. FNAC also helped in diagnosing sputum-negative pulmonary tuberculosis. Minor complications like syncopal attacks and haemoptysis of less than 5 mL occurred in 8.2 per cent of patient.
研究了经胸细针穿刺抽吸细胞学检查（FNAC）在170例迁延不愈肺炎患者诊断中的作用。患者年龄在3至72岁之间，其中男性117例，女性35例。经FNAC诊断的肿瘤性病变包括51例原发性肺癌、6例转移灶、1例胸膜恶性间皮瘤、1例霍奇金病和4例胸腺瘤。良性病变包括56例细菌性和化学性肺炎及脓肿、35例肺结核、2例真菌性肉芽肿和1例结节病肉芽肿。13例穿刺细胞学检查结果不明确。FNAC诊断恶性病变的敏感性为95.5%，细胞学特征诊断的准确性为95.3%，无假阳性报告。FNAC还有助于诊断痰菌阴性的肺结核。8.2%的患者出现了轻微并发症，如晕厥发作和咯血少于5毫升。
