| Coaxial transthoracic fine-needle biopsy in patients with a history of malignant lymphoma. | |
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MedLine Citation:
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PMID: 1549668 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Efficacy and safety of coaxial transthoracic fine-needle biopsy were evaluated in 54 patients with a history of malignant lymphoma and new chest lesions. Twenty-one patients had recurrent lymphoma. Correct diagnosis was made in 17 of the 21 patients (81%) after one biopsy. The sensitivity increased to 95% with repeat needle biopsy in three patients. Immunophenotyping (determining phenotype by means of immunologic examination) was essential for a definitive diagnosis of lymphoma in three patients. Non-lymphomatous malignancies were correctly diagnosed in 14 patients. An infectious organism was identified in 11 of 19 patients (58%) with benign lesions. Pneumothorax occurred in eight patients (15%), necessitating placement of a chest tube in two (4%). Mild hemoptysis was observed in four patients (7%). The authors conclude that coaxial transthoracic fine-needle biopsy in patients with a history of lymphoma is safe and accurate. The use of large cutting needles or surgical biopsy can be restricted to patients with false-negative findings at percutaneous biopsy and to patients in whom histologic transformation of lymphoma is suspected. |
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Authors:
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G R Wittich; K W Nowels; R L Korn; R M Walter; D E Lucas; M D Dake; R B Jeffrey |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Radiology Volume: 183 ISSN: 0033-8419 ISO Abbreviation: Radiology Publication Date: 1992 Apr |
Date Detail:
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Created Date: 1992-04-17 Completed Date: 1992-04-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0401260 Medline TA: Radiology Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 175-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Radiology, Stanford University Medical Center, CA 94305. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Biopsy, Needle* / methods Diagnosis, Differential Female Hodgkin Disease / diagnosis, radiography Humans Immunophenotyping Lymphoma / diagnosis*, radiography Male Middle Aged Neoplasm Recurrence, Local Prospective Studies Thoracic Neoplasms / diagnosis*, radiography Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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