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فائدة الرشافة بالإبرة عبر القصبات في تشخيص ضخامة العقد المنصفية
Other Title(s)
Diagnostic yield of tran bronchial needle aspiration in mediastinal adenopathies
Author
Source
Issue
Vol. 28, Issue 1 (30 Jun. 2012), pp.65-75, 11 p.
Publisher
Publication Date
2012-06-30
Country of Publication
Syria
No. of Pages
11
Main Subjects
Abstract EN
Background: Transbronchial needle aspiration (TBNA) is a minimally invasive alternative technique for evaluating mediastinal adenopathies .
Transbronchial needle aspiration has proved its efficacy, safety, and cost-effectiveness in diagnosing and staging bronchogenic carcinoma as well as in diagnosing benign diseases such as sarcoidosis and tuberculosis Objective: To evaluate the diagnostic yield of transbronchial needle aspiration in mediastinal adenopathies Methods: The final diagnosis was evaluated for 122 patients investigated in division of chest diseases in Internal Medicine in Al-mowassat Hospital, Damascus University.
Age of patients ranges 18-74 years .The technique was performed in cases of mediestinale denopathies confirmed by chest CT and non diagnosed by other procedures .
we used standard flexible bronchoscopy model Olympus with 21 gauge needle for cytological examination .
All patients had simple chest X.Ray and chest CT.
Results: 55 cases diagnosed by TBNA out of 99 cases (55,55%) , 52 cases were malignant , and 3 cases were benign .
.
Diagnosis included : 41 cases carcinoma ( 26 NSCC , 14 SCC , 1 metastase ) , 8 lymphoma , 2 malignancy , 1 thymoma .
Transpronchial needle aspiration was negative in 29 cases of malignancy confirmed by other procedures .23 cases dropped because of inadecuate penetration ( 7 cases ) , discharged against medical advise (6 cases ) and inadecuate information (10 cases ) .18 cases were benign , 3 cases of theme diagnosed by TBNA (16,66%) Conclusion: This study demonstrate that TBNA is a minimally invasive diagnostic technique with a high yield in the diagnosis of mediastinal adenopathies.
Malignancy and type of malignancy are major determinants of TBNA yield.
TBNA based on CT should be considered an integral part of the bronchoscopic examination when evaluating patients for mediastinal adenopathies
American Psychological Association (APA)
المسالمة، محمد علي. 2012. فائدة الرشافة بالإبرة عبر القصبات في تشخيص ضخامة العقد المنصفية. مجلة جامعة دمشق للعلوم الطبية،مج. 28، ع. 1، ص ص. 65-75.
https://search.emarefa.net/detail/BIM-747225
Modern Language Association (MLA)
المسالمة، محمد علي. فائدة الرشافة بالإبرة عبر القصبات في تشخيص ضخامة العقد المنصفية. مجلة جامعة دمشق للعلوم الطبية مج. 28، ع. 1 (2012)، ص ص. 65-75.
https://search.emarefa.net/detail/BIM-747225
American Medical Association (AMA)
المسالمة، محمد علي. فائدة الرشافة بالإبرة عبر القصبات في تشخيص ضخامة العقد المنصفية. مجلة جامعة دمشق للعلوم الطبية. 2012. مج. 28، ع. 1، ص ص. 65-75.
https://search.emarefa.net/detail/BIM-747225
Data Type
Journal Articles
Language
Arabic
Notes
يتضمن مراجع ببليوجرافية : ص. 74-75
Record ID
BIM-747225