The Successful and Complication of Transthoracic Needle Aspiration of Thoracic Mass under CT scan Guidance
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2010-01-13
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Vajira Medical Journal
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Abstract The Successful and Complication of Transthoracic Needle Aspiration of Thoracic Mass under CT scan Guidance Akom Rangted MD* Somnuek Jedapatakul MD** *Department of Radiology, BMA Medical College and Vajira Hospital **Department of Pathology, BMA Medical College and Vajira Hospital Objective: To evaluate the successful and complications of transthoracic needle aspiration (TTNA) of thoracic mass under CT scan guidance in BMA Medical college and Vajira Hospital. Study design: Descriptive study. Subjects: One hundred patients with thoracic mass underwent transthoracic needle aspiration (TTNA) at Diagnostic Radiology Division, Department of Radiology during January 2000 to June 2006 were enrolled. Methods: Demographic data, clinical data and cytological reports from medical records were retrospectively reviewed and analyzed. Main outcome measures: Successful rate, complications. Results: From 100 patients, 93 patients presented with lung mass and 7 patients with mediastinal mass. Satisfactory specimen for conclusive cytological diagnosis and unsatisfactory specimen (inadequate) were 94% and 6%. For satisfactory specimens, 56% were diagnosed malignant neoplasm and 38% were benign lesion. The complication occured in 3 patients. Two patients had minimal pneumothorax detected by CT scan and 1 patient had transient minimal hemoptysis. These three patients did not require further treatment after observation. Conclusions: The successful of TTNA of thoracic mass lesion under CT scan in BMA Medical College and Vajira Hospital was high and complication rate was acceptable. Vajira Med J 2007 ; 51 : 41 - 46
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Vajira Medical Journal; Vol. 51 No. 1 January - April 2007; 41-46