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Vol. 27. Issue 2.
Pages 68-70 (March 1991)
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Vol. 27. Issue 2.
Pages 68-70 (March 1991)
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Punción bronquial aspirativa en las neoplasias localizadas en bronquios centrales
Transbronchial needle aspiration in neoplasms localized at the central bronchi
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J. Castella, S. Hernández Flix, C. Puzo, I. Padilla, E. García Pachón, R. Cornudella
Servicios de Aparato Respiratorio. Hospital de la Sta. Creu i Sant Pau. Barcelona
P. de las Heras*
* Anatomía Patológica. Hospital de la Sta. Creu i Sant Pau. Barcelona
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Se estudia la posible utilidad de la punción bronquial aspirativa a través del broncofibroscopio en 125 neoplasias localizadas en bronquios centrales accesibles a la visión endoscópi-ca. En todos los casos, la imagen endobronquial sugería la posible negatividad de la biopsia, el legrado y el broncoaspirado debido a: 1) crecimiento peribronquial del tumor o 2) masa endobronquial difícil de biopsiar de forma eficaz a causa de necrosis, carácter hemorragíparo o difícil acceso. En ambas circunstancias, la adición de la punción a las demás técnicas aumentó de forma significativa el rendimiento diagnóstico de la broncoscopia: del 72% al 83% (p < 0,05) en los 78 tumores de crecimiento peribronquial y del 70% al 87% (p < 0,025) en las 47 masas endobronquiales. Estos resultados confirman la utilidad de la punción bronquial aspirativa en el diagnóstico de las neoplasias bronquiales centrales con imagen endoscópica que haga sospechar la negatividad de otras técnicas.

In 125 neoplasms localized at the central bronchi and visually accessible at endoscopy, the usefulness of transbronchial needle aspiration through the fiberoptic bronchoscopy was evaluated. In all cases the endobronchial observation suggested that the biopsy or bronchoaspirate will not be successful in obtaining specimen because: a) the tumor showed a periobronchial growing, or b) the endobronchial mass exhibited necrosis, hemorrhage or a difficult access. In both circumstances aspirative punction increased the diagnostic yield of bronchoscopy: from 72% to 83% (p<0,05) in the 78 tumors of peribronchial growing and from 70% to 87% (p<0,025) in the 47 endobronchial tumors. These results confirm the usefulness of transbronchial needle aspiration in the diagnosis of central bronchial neoplasms in which endoscopio observation suggests that the other techniques will have important limitations.

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Bibliografía
[1.]
D.C. Zavala.
Diagnostic fiberoptic bronchoscopy: technique and results of biopsy in 600 patients.
Chest, 68 (1975), pp. 12-19
[2.]
C. Puzo, J. Castella, D. Nauffal, J. Taires, J. Sauret, J.M. Rodríguez-Arias.
Carcinoma de pulmón III: diagnóstico broncoscópico.
Med Clin (Barc), 71 (1978), pp. 86-88
[3.]
D. Shure, P.F. Fedullo.
Transbronchial needle aspiration in the diagnosis of submucosal and peribronchial bronchogenic carcinoma.
Chest, 88 (1985), pp. 49-51
[4.]
J.R. Horsley, R.E. Miller, R.W.M. Amy, E.G. King.
Bronchial submucosal needle aspiration performed through the fiberoptic bronchoscope.
Acta Cytol, 28 (1984), pp. 211-217
[5.]
A. Marín.
Valoración prospectiva de la punción aspirativa transbronquial y del lavado broncoalveolar en el diagnóstico del cáncer primitivo de pulmón.
Tesis Doctoral. Universitat de Barcelona, (1987),
[6.]
D.A. Schenk, C.L. Bryan, J.H. Bower, D.L. Myers.
Transbronchial needle aspiration in the diagnosis of bronchogenic carcinoma.
Chest, 92 (1987), pp. 83-85
[7.]
D.L. Rosenthal, J.M. Wallace.
Fine needle aspiration of pulmonary lesions via fiberoptic bronchoscopy.
Acta Cytol, 28 (1984), pp. 203-210
[8.]
N. Bhat, P. Bhagat, E.S. Pearlman, et al.
Transbronchial needle aspiration biopsy in the diagnosis of pulmonary neoplasms.
Diagn Cytopathol, 6 (1989), pp. 14-17
[9.]
D. Shure.
Transbronchial biopsy and needle aspiration.
Chest, 95 (1989), pp. 1.130-1.137
[10.]
R.M. Versteegh, J. Swierenga.
Bronchoscopic evaluation of the operability of pulmonary carcinoma.
Acta Otolaryngol, 56 (1963), pp. 603-611
[11.]
E.M. Harrow, F.A. Oldenburg, M.S. Lingenfelter, A.M. Smith.
Transbronchial needle aspiration in clinical practice. A five-year experience.
Chest, 96 (1989), pp. 1.268-1.272
[12.]
E.D. Wagner, I. Ramzy, S.D. Greensberg, J.M. González.
Transbronchial fine-needle aspiration. Reliability and limitations.
Am J ClinPathol, 92 (1989), pp. 36-41
[13.]
K.P. Wang, R. Brower, E.F. Haponik, S. Siegelman.
Flexible transbronchial needle aspiration for staging of bronchogenic carcinoma.
Chest, 84 (1983), pp. 571-576
[14.]
G.B. Ratto, C. Meren, G. Motta.
The prognostic significance of preoperative assessment of mediastinal lymph nodes in patients with lung cancer.
Chest, 93 (1988), pp. 807-813
[15.]
D.A. Schenk, J.H. Bower, C.L. Bryan, et al.
Transbronchial needle aspiration staging of bronchogenic carcinoma.
Am Rev Respir Dis, 134 (1986), pp. 146-148
[16.]
D. Shure, P.F. Fedullo.
The role of transcarinal needle aspiration in the staging of bronchogenic carcinoma.
Chest, 86 (1984), pp. 693-696
[17.]
A.D. Blainey, M. Curling, M. Green.
Transbronchial aspiration of subcarinal lymph nodes.
Br J Dis Chest, 82 (1988), pp. 149-154
[18.]
D. Shure, P.F. Fedullo.
Transbronchial needle aspiration of peripheral masses.
Am Rev Respir Dis, 128 (1983), pp. 1.090-1.092
[19.]
K.P. Wang, E.F. Haponik, E.J. Brill, N. Khouri, Y. Erozan.
Transbronchial needle aspiration of peripheral pulmonary nodules.
Chest, 86 (1984), pp. 819-823
[20.]
K.P. Wang.
Flexible transbronchial needle aspiration biopsy for histologic specimens.
Chest, 88 (1985), pp. 860-863
[21.]
A.C. Mehta, M.S. Kavuru, D.P. Meecker, G.N. Gephard, C. Nunez.
Transbronchial needle aspiration for histologic specimens.
Chest, 96 (1989), pp. 1.228-1.232
Copyright © 1991. Sociedad Española de Neumología y Cirugía Torácica
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