The contribution of percutaneous fine needle aspiration biopsy of the lung to the diagnosis of lung lesions has been evaluated. Between 1976 and 1981 this method was used in 600 patients of the Research Institute of Tuberculosis and Respiratory Diseases. In 72 patients the diagnosis was not clearly confirmed during the follow-up period. Lung biopsy contributed to the diagnosis in 458 (88.7%) out of the remaining 528 patients. The main contribution of this method was in the examination of patients with malignancies. Of the 421 cases of malignant neoplasm, the cytological finding correlated with the definitive diagnosis in 88% of cases. False negative finding was in 11.3% and false positive in 0.7% of cases. In the discussion the possibilities of cytological examination as well as the causes of some errors are analyzed. The technique applied, indications and contraindications of this procedure as well as its complications are reported, indications and contraindications of this procedure as well as its complications are reported. Pneumothorax occurred in 21.2% of patients; in most cases it was only a small one. A pneumothorax requiring chest tube drainage or exsufflation occurred in 7% of cases. Small haemoptysis in 1.4% and there were no other complications.

• MeSH
• dospělí MeSH
• jehlová biopsie metody   MeSH
• lidé středního věku MeSH
• lidé MeSH
• nádory plic diagnóza   MeSH
• plíce patologie   MeSH
• plicní nemoci diagnóza   MeSH
• plicní tuberkulóza diagnóza   MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

The authors evaluated percutaneous aspiration biopsies of intrathoracic lesions in 348 patients where the obtained cytological results were compared with the histological finding from resections or post-mortem preparations. In 274 patients malignant and in 74 benign disease was confirmed. In the differentiation of malignant and benign disease the sensitivity of cytology was 84.3%, the specificity 91.9% and the accuracy 85.9%. The type of bronchogenic carcinoma was correctly diagnosed by cytological examination in 69.5%, in squamous cell carcinoma in 76.8%, in small-cell carcinoma in 80% and in adenocarcinoma in 59.1%. The same cytological finding as in the primary tumour was recorded in 73.5% of the patients with metastases in the lungs. Less favourable results as regards assessment of the type of tumour were obtained in other tumours, in particular in lymphogranulomas and non-Hodgkin lymphomas. In 25% it proved possible to assess by cytological examination the type of benign lung tumour.

• MeSH
• bronchogenní karcinom diagnóza   MeSH
• cytodiagnostika MeSH
• jehlová biopsie * metody   MeSH
• lidé MeSH
• nádory hrudníku diagnóza   MeSH
• nádory plic diagnóza   MeSH
• prediktivní hodnota testů MeSH
• senzitivita a specificita MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• anglický abstrakt MeSH
• časopisecké články MeSH