The use of computerised tomography guided percutaneous fine needle aspiration in the evaluation of solitary pulmonary nodules.

Hdl Handle:
http://hdl.handle.net/10147/233252
Title:
The use of computerised tomography guided percutaneous fine needle aspiration in the evaluation of solitary pulmonary nodules.
Authors:
Khan, K A; Zaidi, S; Swan, N; Browne, R; Torreggiani, W; Lane, S; Moloney, E
Affiliation:
Department of Respiratory Medicine, AMNCH, Tallaght, Dublin 24. drkhan95@hotmail.com
Citation:
The use of computerised tomography guided percutaneous fine needle aspiration in the evaluation of solitary pulmonary nodules. 2012, 105 (2):50-2 Ir Med J
Publisher:
Irish Medical Journal (IMJ)
Journal:
Irish medical journal
Issue Date:
Feb-2012
URI:
http://hdl.handle.net/10147/233252
PubMed ID:
22455240
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/22455240
Abstract:
The evaluation of a solitary pulmonary nodule (SPN) has changed over the years with increased access to percutaneous computerised tomography (CT) guided fine needle aspiration (FNA), where bronchoscopy is unhelpful. The aim of our study was to evaluate the sample adequacy, diagnostic and complication rate of CT-FNA of a SPN at our academic teaching hospital over an 18 month period. CT-FNA was performed by a radiologist, with a cytopathologist in attendance to confirm the adequacy of the sample obtained. The size of the nodule, sample material and adequacy, diagnosis and complications were recorded. A total of 101 patients were included, 54 male and the mean age was 68 +/- 11 years. The mean size of the SPN was 2.3 cm (range 1-11 cm). 56 (56%) patients had a right SPN, 45 (45%) had a left SPN. CT-FNA was diagnostic in 80 (80%) patients and non-diagnostic in 21 (20%) patients. The sample was insufficient for immunocytochemistry, although the morphological appearance was diagnostic in 20 (25%) of the 80 patients. Pneumothorax occurred in 26/101 (26%) patients post CT-FNA, of these 7 (27%) required chest drain insertion, while 19 (73%) were managed conservatively. CT FNA is a useful tool for the diagnosis of a SPN, with our diagnostic accuracy comparable to that reported in the literature. However, CT-FNA may not provide adequate sample volume to perform ancillary testing and has a moderate complication rate.
Item Type:
Article
Language:
en
MeSH:
Aged; Biopsy, Fine-Needle; Female; Humans; Lung Neoplasms; Male; Middle Aged; Pneumothorax; Solitary Pulmonary Nodule; Surgery, Computer-Assisted; Tomography, X-Ray Computed
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorKhan, K Aen_GB
dc.contributor.authorZaidi, Sen_GB
dc.contributor.authorSwan, Nen_GB
dc.contributor.authorBrowne, Ren_GB
dc.contributor.authorTorreggiani, Wen_GB
dc.contributor.authorLane, Sen_GB
dc.contributor.authorMoloney, Een_GB
dc.date.accessioned2012-07-11T15:02:37Z-
dc.date.available2012-07-11T15:02:37Z-
dc.date.issued2012-02-
dc.identifier.citationThe use of computerised tomography guided percutaneous fine needle aspiration in the evaluation of solitary pulmonary nodules. 2012, 105 (2):50-2 Ir Med Jen_GB
dc.identifier.issn0332-3102-
dc.identifier.pmid22455240-
dc.identifier.urihttp://hdl.handle.net/10147/233252-
dc.description.abstractThe evaluation of a solitary pulmonary nodule (SPN) has changed over the years with increased access to percutaneous computerised tomography (CT) guided fine needle aspiration (FNA), where bronchoscopy is unhelpful. The aim of our study was to evaluate the sample adequacy, diagnostic and complication rate of CT-FNA of a SPN at our academic teaching hospital over an 18 month period. CT-FNA was performed by a radiologist, with a cytopathologist in attendance to confirm the adequacy of the sample obtained. The size of the nodule, sample material and adequacy, diagnosis and complications were recorded. A total of 101 patients were included, 54 male and the mean age was 68 +/- 11 years. The mean size of the SPN was 2.3 cm (range 1-11 cm). 56 (56%) patients had a right SPN, 45 (45%) had a left SPN. CT-FNA was diagnostic in 80 (80%) patients and non-diagnostic in 21 (20%) patients. The sample was insufficient for immunocytochemistry, although the morphological appearance was diagnostic in 20 (25%) of the 80 patients. Pneumothorax occurred in 26/101 (26%) patients post CT-FNA, of these 7 (27%) required chest drain insertion, while 19 (73%) were managed conservatively. CT FNA is a useful tool for the diagnosis of a SPN, with our diagnostic accuracy comparable to that reported in the literature. However, CT-FNA may not provide adequate sample volume to perform ancillary testing and has a moderate complication rate.en_GB
dc.language.isoenen
dc.publisherIrish Medical Journal (IMJ)en_GB
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/22455240en_GB
dc.rightsArchived with thanks to Irish medical journalen_GB
dc.subject.meshAged-
dc.subject.meshBiopsy, Fine-Needle-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshLung Neoplasms-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshPneumothorax-
dc.subject.meshSolitary Pulmonary Nodule-
dc.subject.meshSurgery, Computer-Assisted-
dc.subject.meshTomography, X-Ray Computed-
dc.titleThe use of computerised tomography guided percutaneous fine needle aspiration in the evaluation of solitary pulmonary nodules.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Respiratory Medicine, AMNCH, Tallaght, Dublin 24. drkhan95@hotmail.comen_GB
dc.identifier.journalIrish medical journalen_GB
dc.description.provinceLeinsteren

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