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The diagnostic value of image guided percutaneous fine needle aspiration biopsy in equivocal mediastinal masses

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Abstract

Background and aims

The aim of this study was to assess the diagnostic value of image guided percutaneous fine needle aspiration (FNA) biopsy in equivocal mediastinal masses.

Patients

Sixty-six patients with an equivocal mediastinal mass who underwent FNA biopsy between 1993 and 2003 were eligible for final analysis. The cytological and definitive diagnosis of masses were grouped as primary 22 (33%)−30 (46%) and secondary (metastatic) neoplasms 18 (27%)−18 (27%) and nonneoplastic lesions 20 (30%)−18 (%27) respectively.

Results

The diagnostic accuracy (%95 C.I.) of FNA biopsy for primary mediastinal neoplasms, secondary neoplasms and nonneoplastic lesions were found to be 93.3 (83.8–98.2)%, 100 (95.1–100)%, 93.3 (83.8–98.2)%, respectively.

Conclusion

Image guided percutaneous FNA biopsy is a safe and highly accurate diagnostic method for equivocal mediastinal masses.

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Authors and Affiliations

  1. Istanbul Faculty of Medicine, Department of Pathology, Division of Cytopathology, Istanbul University, Istanbul, Turkey

    Mine G. Güllüoğlu & Dilek Yılmazbayhan

  2. Istanbul Faculty of Medicine, Department of Respiratory Medicine, Istanbul University, Istanbul, Turkey

    Zeki Kılıçaslan & Göksel Kalaycı

  3. Istanbul Faculty of Medicine, Department of Thoracic Surgery, Istanbul University, Istanbul, Turkey

    Alper Toker

  4. Istanbul Týp Fakültesi, Gögüs Cerrahisi Anabilim Dalý, Istanbul Universitesi, Cerrahi Monoblok, 4. kat, Millet cad. Çapa, Topkapý, 34390, Istanbul, Turkey

    Alper Toker

Authors
  1. Mine G. Güllüoğlu
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  2. Zeki Kılıçaslan
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  3. Alper Toker
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  4. Göksel Kalaycı
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  5. Dilek Yılmazbayhan
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Corresponding author

Correspondence to Alper Toker.

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Güllüoğlu, M.G., Kılıçaslan, Z., Toker, A. et al. The diagnostic value of image guided percutaneous fine needle aspiration biopsy in equivocal mediastinal masses. Langenbecks Arch Surg 391, 222–227 (2006). https://doi.org/10.1007/s00423-006-0029-5

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  • DOI: https://doi.org/10.1007/s00423-006-0029-5

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