Document Detail

[Quality assurance of rapid on-site evaluation of CT-guided fine-needle aspiration cytology of lung nodules].
MedLine Citation:
PMID:  23274231     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: The methods available for the diagnosis of lung cancer include radiologic, cytologic and pathologic procedures.
AIMS: The aim of this study was to determine the quality assurance of CT guided fine needle aspiration cytology of lung nodules.
METHODS: Cytology results were rated to 4 categories (positive; suspicious; negative; not representative). All cytology reports were compared with the final histology diagnosis.
RESULTS: A total of 128 patients underwent CT-guided percutaneous fine-needle aspiration biopsy cytology (63 males; 65 females; mean age 62.8 years). Smears were adequate in 99 cases and inadequate in 29 cases. The average diameter of the nodules was 3.28 cm. Thirty three (25.6%) of the cases were histologically verified and 2 falsely negative and 2 falsely positive cases were detected. The sensitivity and the positive predictive value were 88.8% and 88.8%, respectively. Pneumothorax developed in 7 (5.4%) cases.
CONCLUSION: These results suggest that CT-guided transthoracic fine needle aspiration cytology has a high diagnostic accuracy and an acceptable complication rate. The auditing valves of the results meet the proposed threshold values.
Mihály Bak; Judit Hidvégi; Judit Andi; Mária Bahéry; Eszter Kovács; Ferenc Schneider; Szilárd Kostic; Ferenc Rényi-Vámos; János Szőke; Tibor Nyári; Mária Gődény; Miklós Kásler
Publication Detail:
Type:  English Abstract; Journal Article    
Journal Detail:
Title:  Orvosi hetilap     Volume:  154     ISSN:  0030-6002     ISO Abbreviation:  Orv Hetil     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-31     Completed Date:  2013-03-08     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  0376412     Medline TA:  Orv Hetil     Country:  Hungary    
Other Details:
Languages:  hun     Pagination:  28-32     Citation Subset:  IM    
Vernacular Title:
A CT-vezérelt vékonytű-aspirációs citológiai vizsgálat minőségbiztosítása a tüdődaganatok diagnosztikájában.
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MeSH Terms
Biopsy, Fine-Needle / methods*
Image-Guided Biopsy / methods*
Lung / pathology,  radiography
Middle Aged
Quality Assurance, Health Care*
Solitary Pulmonary Nodule / pathology*,  radiography*
Tomography, X-Ray Computed*

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