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We reviewed our experience with 2,114 percutaneous aspiration needle biopsies of intrathoracic lesions. Aspiration was performed for cytological diagnosis employing biplane fluoroscopy and a 20 gauge needle, 0.9 mm in outside diameter. A satisfactory specimen was obtained in 88% of biopsies, and the chance of obtaining a correct diagnosis of a malignant lesion was 81.5%. The false positive rate was 2.3%, and the cytologists could always distinguish between primary and secondary neoplasms. A false negative rare of 13.6% (36 patients) resulted in only three delayed thoracotomies and two instances of interval metastases discovered at mediastinoscopy. Cellular specificity in primary tumors was not sufficiently accurate to affect therapy. Pneumothoraces occurred frequently (31.9% of patients) but wee generally small; 10.4% of patients required chest drainage. There were no recorded instances of tumor implantation in needle tracts. We conclude that a rapid and accurate diagnosis of intrathoracic pathology can be obtained by this technique. It is associated with an acceptable morbidity and may greatly expedite both patient care and investigation.
T R Todd, and
G Weisbrod, and
L C Tao, and
D E Sanders, and
N C Delarue, and
D W Chamberlain, and
R Ilves, and
F G Pearson, and
W Cass, and
J D Cooper
July 1980,
The Annals of thoracic surgery,
T R Todd, and
G Weisbrod, and
L C Tao, and
D E Sanders, and
N C Delarue, and
D W Chamberlain, and
R Ilves, and
F G Pearson, and
W Cass, and
J D Cooper
April 1974,
British journal of diseases of the chest,
T R Todd, and
G Weisbrod, and
L C Tao, and
D E Sanders, and
N C Delarue, and
D W Chamberlain, and
R Ilves, and
F G Pearson, and
W Cass, and
J D Cooper
January 1977,
Cleveland Clinic quarterly,
T R Todd, and
G Weisbrod, and
L C Tao, and
D E Sanders, and
N C Delarue, and
D W Chamberlain, and
R Ilves, and
F G Pearson, and
W Cass, and
J D Cooper
September 1967,
Thorax,
T R Todd, and
G Weisbrod, and
L C Tao, and
D E Sanders, and
N C Delarue, and
D W Chamberlain, and
R Ilves, and
F G Pearson, and
W Cass, and
J D Cooper
March 1992,
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine,
T R Todd, and
G Weisbrod, and
L C Tao, and
D E Sanders, and
N C Delarue, and
D W Chamberlain, and
R Ilves, and
F G Pearson, and
W Cass, and
J D Cooper
November 1993,
Harefuah,
T R Todd, and
G Weisbrod, and
L C Tao, and
D E Sanders, and
N C Delarue, and
D W Chamberlain, and
R Ilves, and
F G Pearson, and
W Cass, and
J D Cooper
January 1991,
Vojnosanitetski pregled,
T R Todd, and
G Weisbrod, and
L C Tao, and
D E Sanders, and
N C Delarue, and
D W Chamberlain, and
R Ilves, and
F G Pearson, and
W Cass, and
J D Cooper
April 1982,
New York state journal of medicine,
T R Todd, and
G Weisbrod, and
L C Tao, and
D E Sanders, and
N C Delarue, and
D W Chamberlain, and
R Ilves, and
F G Pearson, and
W Cass, and
J D Cooper
December 1988,
Postgraduate medicine,
T R Todd, and
G Weisbrod, and
L C Tao, and
D E Sanders, and
N C Delarue, and
D W Chamberlain, and
R Ilves, and
F G Pearson, and
W Cass, and
J D Cooper
July 1993,
Journal of the Medical Association of Thailand = Chotmaihet thangphaet,
