Biopsja aspiracyjna cienkoigłowa w diagnostyce guzów płuc

© Borgis - Medycyna Rodzinna 3-4/2002, s. 118-120

Marek Rojek¹, Beata Mesjasz², Zbigniew Celej¹, Danuta Szewczyk-Kabat³, Beata Skolimowska¹

Summary
Seventy-one patients with focal pulmonary lesions, whose nature could not be established by other diagnostic approaches, were included in the study. Fine-needle biopsy through the chest wall was performed using roentgenoscopic and ultrasonographic visualisation of lesions. On cytological examination of specimens obtained by transthoracic biopsy, histological types of lung cancer were diagnosed in 29 male patients. In the female group (29 patients) lung cancers were diagnosed in 11 cases. In the female and male groups, the non-neoplastic lesions diagnosed included specific inflammatory lesions, non-specific inflammatory pseudotumors and fluid-filled cysts. In 4 cases (1 male and 3 females) metastatic neoplastic lesions diagnosed by biopsy (and clinically confirmed) proved to be metastatic renal carcinoma. In 3 females with nodular pulmonary lesions fine-needle biopsy revealed that the breast was the starting point of neoplasia. There were no false-positive diagnoses. However, there was one case of false-negative diagnosis.

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