[Transthoracic punctures in pulmonary foci].
In the period from August 1981 to April 1987, 169 percutaneous needle biopsies were performed on 149 patients in the Leyenburg Hospital in The Hague, after bronchoscopy had failed to provide a diagnosis. We studied the diagnostic yield and the occurrence of complications. A diagnosis of malignancy was made in 77 out of 98 patients with a final diagnosis of malignancy by other methods than needle biopsy. Sensitivity, specificity and the predictive value of a positive and a negative test were 78%, 100%, 100% and 67% respectively. The risk of complications was 7% (12/169), 5 patients required drainage because of pneumothorax. The low morbidity and the high diagnostic yield make percutaneous needle biopsy a valuable and safe diagnostic procedure.
Vints
A M
AM
Afd. Longziekten, Ziekenhuis Leyenburg, 's-Gravenhage.
van Saase
J L
JL
van Assen
G A
GA
D001707:Biopsy, Needle / Q000009:adverse effects; D005188:False Negative Reactions; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000473:pathology*; D008175:Lung Neoplasms / Q000473:pathology*; D008297:Male; D011030:Pneumothorax / Q000209:etiology; D011237:Predictive Value of Tests; D012680:Sensitivity and Specificity
Transthoracale puncties bij longhaarden.