TRANSTHORACIC FINE-NEEDLE ASPIRATION BIOPSY CYTOLOGY OF PULMONARY NEOPLASMS

被引:12
作者
HAYES, MMM
ZHANG, DY
BROWN, W
机构
[1] Departments of Pathology and Radiology, Plains Health Centre, Regina, Saskatchewan
关键词
TRANSTHORACIC FNAB; TECHNIQUE EVALUATION; HISTOLOGY CORRELATION; TYPING CARCINOMA; SMALL HOSPITAL;
D O I
10.1002/dc.2840100405
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
The experience with 212 transthoracic fine-needle aspiration biopsy cytology specimens of mass lesions of the lung at a small Canadian hospital is reviewed. The technique showed a sensitivity of 78.0%, a specificity of 85.7%, a positive predictive value of 98.5%, and a negative predictive value of 25.0% when the cytological diagnoses were compared with the final clinicopathological diagnoses listed in the patients' charts. There was only one false positive diagnosis of malignancy. Diagnoses based on cytology of the aspirates were compared with histological diagnoses in 127 cases and the accuracy of typing of the major groups of carcinoma was assessed. Distinction between small-cell carcinoma and non-small-cell carcinoma was usually accurate and fairly good correlation was achieved for all major types of carcinoma. The results for typing of the neoplasm are not as good as those from larger centres in the world. The technique is considered to be useful even in the setting of a small hospital. (C) 1994 Wiley-Liss, Inc.
引用
收藏
页码:315 / 319
页数:5
相关论文
共 30 条
[1]  
Cordozo PL, DeGraaf S, DeBoer MJ, Doesburg N, Kapsenberg PD, The results of cytology in 1,000 patients with pulmonary malignancy, Acta Cytol, 11, pp. 120-131, (1967)
[2]  
Sargent EN, Turner AF, Gordonson J, Schwinn CP, Pashky O, Percutaneous pulmonary needle biopsy: Report of 350 patients, AJR, 122, pp. 958-968, (1976)
[3]  
Suprun H, Pedio G, Ruttner JR, The diagnostic reliability of cytologic typing in primary lung cancer with a review of the literature, Acta Cytol, 24, pp. 494-500, (1980)
[4]  
Dahlgren SE, Lind B, Comparison between diagnostic results obtained by transthoracic needle biopsy and sputum cytology, Acta Cytol, 16, pp. 53-58, (1972)
[5]  
Fraire AE, Underwood RD, McLarty JW, Greenberg SD, Conventional respiratory cytology versus fine needle aspiration cytology in the diagnosis of Lung cancer, Acta Cytol, 35, pp. 385-388, (1991)
[6]  
Johnston WW, Fine needle aspiration biopsy versus sputum and bronchial material in the diagnosis of lung cancer: A comparative study of 168 patients, Acta Cytol, 32, pp. 641-646, (1988)
[7]  
Truong LD, Underwood RD, Greenberg SD, McLarty JW, Diagnosis and typing of lung carcinomas by cytopathologic methods: A review of 108 cases, Acta Cytol, 29, pp. 379-383, (1985)
[8]  
Dick R, Heard BE, Hinson KFW, Kerr IH, Pearson MC, Aspiration needle biopsy of thoracic lesions: An assessment of 227 biopsies, Br J Dis Chest, 68, pp. 86-94, (1974)
[9]  
Zaman MB, Hadju SI, Melamed MR, Watson RC, Transthoracic aspiration cytology of pulmonary lesions, Semin Diagn Pathol, 3, pp. 176-187, (1986)
[10]  
Am J Clin Pathol, 77, pp. 123-136, (1982)