Transthoracic fine-needle aspiration guided by fluoroscopy: validity and complications with 19 operators.
During a 3-year period, 19 physicians performed 271 transthoracic fine-needle aspirations (FNA) in 199 patients, using a 23-guage aspiration needle with an 18-guage guiding needle. The diagnosis was confirmed by cytological examination of the needle aspirates in 90 out of 122 patients with malignant tumors, giving a sensitivity of 74%. The specificity of the cytological diagnosis was 100%. Both cytological and histological material was available in 49 patients. The tumor typing from the FNA specimens and the biopsies was in agreement in all but 3 cases. Pneumothorax occurred in 27% of the patients, but only 3.5% required tube drainage. Small variations (p greater than 0.05) in number of diagnostic punctures and rate of complications were evident among the participating physicians and between two fluoroscopic equipments.
Mørkve
O
O
Department of Thoracic Medicine, Haukeland Hospital, University of Bergen, Norway.
Skaarland
E
E
Myking
A
A
Stangeland
L
L
Gulsvik
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001707:Biopsy, Needle / Q000009:adverse effects / Q000379:methods*; D003581:Cytodiagnosis; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis; D008175:Lung Neoplasms / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D011030:Pneumothorax / Q000209:etiology*; D012189:Retrospective Studies