[Usefulness of CT-guided aspiration biopsy in combination with rapid cytology for diagnosis of benign pulmonary lesions].
OBJECTIVE
To evaluate the diagnostic accuracy of computed tomography (CT)-guided aspiration biopsy in combination with rapid cytology for benign pulmonary lesions.


METHODS
We performed percutaneous aspiration biopsy under CT guidance in combination with a rapid cytologic examination in 91 patients with pulmonary lesions. A 21-gauge modified Menghini needle coaxially placed through an 18-gauge needle was used in this procedure. Thirty-one lesions that were confirmed as a benign pulmonary lesion histologically, serologically, bacteriologically and/or clinically were evaluated in this study.


RESULTS
In 28(90.3%) of 31 lesions, sufficient material for cytologic diagnosis was obtained from the aspiration biopsy. Specific benign diagnosis for benign disease was obtained in 13 lesions (41.9%), while nonspecific diagnosis for benign disease was obtained in 15 lesions (48.4%). The overall accuracy of the rapid cytological examination was 90.3%. Pneumothorax developed in 17 patients (54.8%), with 7 patients (22.6%) requiring chest tube drainage. Only one patient complained of mild hemoptysis, which subsided with hemostatic agents.


CONCLUSIONS
Percutaneous aspiration biopsy combined with a rapid cytologic diagnosis provides a high degree of accuracy in the diagnosis of benign pulmonary lesions.
Kodama
F
F
Ogawa
T
T
Tanabe
Y
Y
D000328:Adult; D000368:Aged; D001707:Biopsy, Needle / Q000009:adverse effects / Q000379:methods*; D003581:Cytodiagnosis; D005260:Female; D006801:Humans; D008168:Lung / Q000473:pathology; D008171:Lung Diseases / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D011030:Pneumothorax / Q000209:etiology; D014057:Tomography, X-Ray Computed