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KMID : 0383819890360040328
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Tuberculosis and Respiratory Diseases
1989 Volume.36 No. 4 p.328 ~ p.332
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Usefulness of Computed Tomography Guided Percutaneous Fine Needle Aspiration Lung Biopsy
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최광진
김태형/이경수/박재기/이병기/이중기/김상훈/이원식/정태훈
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Abstract
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Computed tomography (CT)-guided fine needle aspiration biopsies were done in 62
patients with abnormal mass-like densities on routine chest films. When CT-guided
needle aspiration revealed no diagnostic findings in these patients, additional
histopathological examinations of specimens obtained by open thoracotomy, lymph node
biopsy and/or transbronchial lung biopsy were carried out for definitive diagnosis. The
overall diagnostic rate of CT-guided needle aspiration was 80.6% higher in neoplastic
diseases (83%) and lower in infectious diseases (63%). The diagnostic rate was more
satisfactory in patients with lesions in or adjacent to the mediastinum, and also in the
middle lung fields. The CT-guided biopsy was complicated by 3 cases of pneumothorax,
all of which had lesions in posterior portions of right lower lobes and necessitated chest
tube insertion for treatment. Nevertheless, our study reconfirms that the procedure is a
relatively safe, simple and satisfactory diagnostic tool in patients with mass-like lesions
within the thorax.
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KEYWORD
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