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Ultrasound-Guided Fine Needle Aspiration Biopsy in the Diagnosis of Chronic Pulmonary Infection
- Source :
- Respiration. 64:319-325
- Publication Year :
- 1997
- Publisher :
- S. Karger AG, 1997.
-
Abstract
- Fourteen patients, with abnormalities on their chest radiographs found over a period ofor = 4 weeks and diagnosed as chronic pulmonary infections in the follow-up, underwent ultrasound-guided fine-needle aspiration biopsy (US-guided FNAB). Six patients also underwent color Doppler ultrasound examination before needle aspiration biopsy. Nine patients had a confirmed diagnosis [tuberculosis (n = 1), cryptococcosis (n = 3), actinomycosis (n = 2), and aspergillosis (n = 1)] or a suggestive diagnosis [caseating granulomatous inflammation (n = 1) and caseous necrosis (n = 1)] made after US-guided FNAB. The remaining 5 patients were finally diagnosed by US-guided large-bore cutting biopsy (n = 1, tuberculosis) and surgical resection [aspergillosis and organized pneumonia (n = 1), mucormycosis and organized pneumonia (n = 1), penicillium infection and organized pneumonia (n = 1), and cryptococcosis (n = 1)]. In 8 patients receiving gray scale US examination only, complications developed in 2 patients after US-guided FNAB [minimal pneumothorax (n = 1) and hemoptysis (n = 1)]. Of the 6 patients who also underwent color Doppler US examination, 4 had detectable blood vessels within the lesion. Thus, the site for US-guided FNAB was changed in 2 patients to prevent injury to prominent blood vessels. There were no complications observed following color Doppler US examination. We conclude that US-guided FNAB is useful for diagnosing chronic pulmonary infections, and color Doppler US is valuable for preventing injury to blood vessels.
- Subjects :
- Adult
Male
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Radiography
Pulmonary infection
Sensitivity and Specificity
Diagnosis, Differential
Biopsy
medicine
Humans
Ultrasonography, Doppler, Color
Lung
Respiratory Tract Infections
Aged
medicine.diagnostic_test
business.industry
Biopsy, Needle
Ultrasound
Respiratory disease
Middle Aged
medicine.disease
Ultrasound guided
Surgery
Treatment Outcome
Fine-needle aspiration
medicine.anatomical_structure
Chronic Disease
Female
Radiology
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 14230356 and 00257931
- Volume :
- 64
- Database :
- OpenAIRE
- Journal :
- Respiration
- Accession number :
- edsair.doi.dedup.....81a0da362824a5be882cd9b66c551159