CT引导下经皮胸膜穿刺活检在恶性间皮瘤诊断中的应用
CT-guided pleural needle biopsy in the diagnosis of malignant mesothelioma.
作者信息
Metintaş M, Ozdemir N, Işiksoy S, Kaya T, Ekici M, Erginel S, Harmanci E, Erdinç P, Ulgey N, Alataş F
机构信息
Department of Chest Diseases, Osmangazi University Medical Faculty, Eskişehir, Turkey.
出版信息
J Comput Assist Tomogr. 1995 May-Jun;19(3):370-4. doi: 10.1097/00004728-199505000-00006.
OBJECTIVE
Our goal was to determine the sensitivity of CT-guided closed pleural needle biopsy (CPNB) for the histopathologic diagnosis of diffuse malignant pleural mesothelioma (DMPM).
MATERIALS AND METHODS
Thirty patients with DMPM were studied with CT-guided CPNB. Tumor specimens were classified according to their cell types.
RESULTS
In 25 (83.3%) patients, the diagnosis was made by CT-guided CPNB. The remaining five patients were diagnosed by thoracoscopy, thoracotomy, or excisional biopsy of the chest wall mass. Pneumothorax was observed in 9.5% of patients and local seeding of tumor in 21.7% of patients who underwent CPNB.
CONCLUSION
Properly performed CPNB under CT guidance may yield an increased sensitivity for the diagnosis of diffuse malignant pleural mesothelioma.
目的
我们的目标是确定CT引导下闭合性胸膜针吸活检（CPNB）对弥漫性恶性胸膜间皮瘤（DMPM）组织病理学诊断的敏感性。
材料与方法
对30例DMPM患者进行了CT引导下CPNB检查。肿瘤标本根据细胞类型进行分类。
结果
25例（83.3%）患者通过CT引导下CPNB确诊。其余5例患者通过胸腔镜检查、开胸手术或胸壁肿块切除活检确诊。接受CPNB的患者中，9.5%出现气胸，21.7%出现肿瘤局部种植。
结论
在CT引导下正确进行CPNB可能会提高弥漫性恶性胸膜间皮瘤诊断的敏感性。
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