ABSTRACT
Transbronchial needle aspiration (TBNA) of mediastinal or hilar enlarged lymph nodes is a useful and safe technique. Nevertheless, its use has not become widespread, and the necessity of a specific training to obtain good results has been reported. In order to evaluate the clinical usefulness and cost-effectiveness of TBNA in inexperienced brochoscopists in this technique, a prospective study was conducted of this technique used in all patients with a chest CT with paratracheobronchial lymph nodes larger than 10 mm who had a fiberbronchoscopy ordered. TBNA was performed in 66 lymph node staging in 59 patients. In 76% of cases adequate specimens were obtaned, and a cytohistologic diagnosis was established in 59%. In 44% of patients, TBNA avoided other more invasive diagnostic procedures. Had TBNA not been performed, cost was estimated to have been at least five times higher. We conclude that TBNA could be a useful cost-effective technique in inexperienced teams.
Subject(s)
Biopsy, Needle , Lung Diseases/pathology , Lymphatic Diseases/pathology , Biopsy, Needle/economics , Bronchi , Cost-Benefit Analysis , Female , Humans , Male , Mediastinoscopes , Mediastinum , Middle Aged , Prospective StudiesSubject(s)
Home Nursing , Respiration, Artificial , Equipment Design , Follow-Up Studies , Home Nursing/standards , Humans , Lung Diseases, Obstructive/nursing , Lung Diseases, Obstructive/therapy , Respiration Disorders/nursing , Respiration Disorders/therapy , Respiration, Artificial/instrumentation , Respiration, Artificial/methods , Respiration, Artificial/nursing , Respiration, Artificial/standards , Respiratory Function Tests , Sleep Apnea Syndromes/nursing , Sleep Apnea Syndromes/therapy , Tracheostomy/nursing , Ventilators, MechanicalABSTRACT
La punción-aspiración transbronquial (PATB) de adenopatías mediastínicas o hiliares es una técnica útil y segura. Sin embargo, su uso no se ha generalizado, describiéndose la necesidad de un entrenamiento específico para la obtención de buenos resultados. Con el objetivo de evaluar la utilidad clínica y el coste-efectividad de la PATB en broncoscopistas sin experiencia previa en la misma hemos realizado de forma prospectiva esta técnica a todos los pacientes con una tomografía axial computarizada (TAC) torácica con adenopatías paratraqueobronquiales mayores de 10 mm y a los que se les había solicitado una fibrobroncoscopia. Se realizó la PATB en 66 estaciones ganglionares de 59 pacientes. En el 76 por ciento de los casos se obtuvieron muestras adecuadas, pudiéndose realizar un diagnóstico citohistológico en el 59 por ciento. La PATB evitó en el 44 por ciento de los pacientes la realización de otros procedimientos más cruentos para el diagnóstico. De no haberse realizado la PATB estimamos que el coste hubiera sido como mínimo 5 veces superior. Concluimos que la PATB podría ser una técnica con una buena rentabilidad y coste-efectividad en equipos sin experiencia previa en la misma (AU)
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Subject(s)
Middle Aged , Male , Female , Humans , Biopsy, Needle , Prospective Studies , Mediastinoscopes , Bronchi , Cost-Benefit Analysis , Mediastinum , Lymphatic Diseases , Lung DiseasesABSTRACT
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Subject(s)
Humans , Respiration, Artificial , Home Nursing , Sleep Apnea Syndromes , Tracheostomy , Respiration Disorders , Ventilators, Mechanical , Equipment Design , Follow-Up Studies , Respiratory Function Tests , Lung Diseases, ObstructiveABSTRACT
Inflammatory pseudotumor (IP) of the lung is a rare pathological entity and its ethiopatology is unknown. It is considered to be a benign lesion with an array of histologic appearances. Although, the pulmonary affection is the most frequent, any other organ can be involved. We report two cases de pulmonary IP, one of them endobronchial, and discuss the clinical and anatomopathological features and review the pertinent literature.
