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Rendimiento de la punción aspirativa transtraqueal y transbronquial para el diagnóstico anatomopatológico de la neoplasia broncopulmonar

Trans-tracheal and trans-bronchial needle aspiration for the anatomo-pathology diagnosis of broncho-pulmonary neoplasia

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Resumen

Objetivo. Determinar el rendimiento diagnóstico de la punción aspirativa transtraqueal (PATT) y transbronquial (PATB) para el diagnóstico anatomopatológico de la neoplasia broncopulmonar.

Material y métodos. Se practicó PATT cuando existían adenopatías mediastínicas iguales o mayores a 2 cm y PATB cuando existía lesión endoscópicamente visible y mediastino normal.

Resultados. En 57 pacientes con lesión visible, la PATT fue diagnóstica en 27/38 (71,0%) y la PATB en 12/19 (63,1%) (única técnica diagnóstica en 6/57, 10,5%). La PATT fue diagnóstica en 13/26 pacientes sin lesión visible (50,0%) (única técnica diagnóstica en 11, 42,3%).

Conclusión. El uso de PATT/PATB en la neoplasia broncopulmonar incrementa los diagnósticos endoscópicos en más del 10%.

Abstract

Objective. To determine the efficacy of trans-tracheal and trans-bronchial needle aspiration (TTNA and TBNA, respectively) in the anatomo-pathology diagnosis of broncho-pulmonary neoplasia.

Materials and methods. TTNA was performed when there were mediastinic adenopathies ≥2 cm and TBNA where there were endoscopically-visible lesions with normal mediastinum.

Results. In 57 patients with visible lesions, TTNA was diagnostic in 27/38 (71.0%) and TBNA in 12/19 (63.1%); single technique diagnosis in 6/57 (10.5%). TTNA was diagnostic in 13/26 patients without visible lesions (50.0%); single technique diagnosis in 11 (42.3%).

Conclusion. The use of TTNA/TBNA in bronchopulmonary neoplasia increases endoscopic diagnosis by more than 10%.

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Authors and Affiliations

  1. Servicio de Neumología, Hospital Germans Trias i Pujol, Badalona, España

    José Sanz Santos, Marila Saab, Antoni Rosell Gratacós & Eduard Monsó Molas

  2. Servicio de Anatomía Patológica, Hospital Germans Trias i Pujol, Badalona, España

    Eva Castellà Fernández & Mariona Llatjós Sanuy

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  1. José Sanz Santos
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  2. Marila Saab
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  3. Eva Castellà Fernández
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  4. Antoni Rosell Gratacós
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  5. Mariona Llatjós Sanuy
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  6. Eduard Monsó Molas
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Santos, J.S., Saab, M., Fernández, E.C. et al. Rendimiento de la punción aspirativa transtraqueal y transbronquial para el diagnóstico anatomopatológico de la neoplasia broncopulmonar. Rev Oncol 6, 439–442 (2004). https://doi.org/10.1007/BF02712374

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