Quality assurance of rapid on-site evaluation of CT-guided fine-needle aspiration cytology of lung nodules

被引：4

作者：

Bak, Mihaly ^{[1
]}

Hidvegi, Judit ^{[1
]}

Andi, Judit ^{[1
]}

Bahery, Maria ^{[1
]}

Kovacs, Eszter ^{[1
]}

Schneider, Ferenc ^{[1
]}

Kostic, Szilard ^{[1
]}

Renyi-Vamos, Ferenc ^{[1
]}

Szoke, Janos ^{[1
]}

Nyari, Tibor ^{[2
]}

Godeny, Maria ^{[1
]}

Kasler, Miklos ^{[1
]}

机构：

[1] Orszagos Onkol Intezet, Budapest, Hungary

[2] Szegedi Tudomanyegyet, Altalanos Orvostudomanyi Kar, Fizikai & Orvosi Informatikai Intezet, Szeged, Hungary

来源：

ORVOSI HETILAP | 2013年 / 154卷 / 01期

关键词：

computer tomography; fine-needle aspiration biopsy; cytology; lung nodules; cyto-histological correlation; quality assurance; PULMONARY NODULES; DIAGNOSTIC-ACCURACY; COMPUTED-TOMOGRAPHY; BIOPSY; LESIONS; SIZE;

D O I：

10.1556/OH.2013.29519

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction: The methods available for the diagnosis of lung cancer include radiologic, cytologic and pathologic procedures. Aims: The aim of this study was to determine the quality assurance of CT guided fine needle aspiration cytology of lung nodules. Methods: Cytology results were rated to 4 categories (positive; suspicious; negative; not representative). All cytology reports were compared with the final histology diagnosis. Results: A total of 128 patients underwent CT-guided percutaneous fine-needle aspiration biopsy cytology (63 males; 65 females; mean age 62.8 years). Smears were adequate in 99 cases and inadequate in 29 cases. The average diameter of the nodules was 3.28 cm. Thirty three (25.6%) of the cases were histologically verified and 2 falsely negative and 2 falsely positive cases were detected. The sensitivity and the positive predictive value were 88.8% and 88.8%, respectively. Pneumothorax developed in 7 (5.4%) cases. Conclusion: These results suggest that CT-guided transthoracic fine needle aspiration cytology has a high diagnostic accuracy and an acceptable complication rate. The auditing valves of the results meet the proposed threshold values. Orv. Hetil., 2013, 154, 28-32.

引用

页码：28 / 32

页数：5

共 30 条

[1] COMPUTED-TOMOGRAPHY IN GUIDING OF FINE NEEDLE ASPIRATION BIOPSY OF THE LUNG AND MEDIASTINUM [J].