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Vol. 20. Issue 6.
Pages 253-255 (November - December 1984)
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Vol. 20. Issue 6.
Pages 253-255 (November - December 1984)
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Valoracion de la broncofibroscopia y de la puncion transparietal en el diagnostico del nodulo pulmonar solitario
An evaluation of fiberoptic bronchoscopy and transparietal puncture in the diagnosis of a solitary pulmonary nodule
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J.M. Gali*, J. Alegret**, C. Puzo*, J. Castella*, J. Caceres**, R. Cornudella*
* Servicio Aparato Respiratorio. Hospital de la Santa Creu i Sant Pau. Barcelona
** Servicio Radiodiagnóstico. Hospital de la Santa Creu i Sant Pau. Barcelona
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Se revisa la eficacia de la broncoscopia (BF) y de la punción torácica transparietal (PTT) en 100 enfermos con un nódulo pulmonar solitario.

La BF se practicó en los 100 casos y permitió el diagnóstico en 48. En 14 se detectaron lesiones endobronquiales y la biopsia fue diagnóstica. En seis casos sólo la citología de esputos post-BF fue positiva. El rendimiento de los métodos endoscópicos (biopsia, broncoaspirado, legrado y esputos post-BF) fue significativamente más alto en los casos en que había síntomas de afectación bronquial, cuando el diámetro máximo del nódulo era superior a 2 cm y cuando la distancia a la carina traqueal era inferior a 5 cm.

La PTT se practicó en 36 casos con BF no diagnóstica, y fue positiva en 22 (72%), aumentando de forma significativa el número de diagnósticos. Como complicaciones se registró neumotórax en siete pacientes (19,4%), uno de los cuales (2,7%) requirió drenaje torácico.

La práctica sucesiva de BF y PTT permitió el diagnóstico en 70 de los 100 pacientes con un nódulo pulmonar solitario.

The efficacy of bronchoscopy (FB) and transparietal thoracic puncture (TTP) were evaluated in 100 patients with solitary pulmonary nodules.

FB was performed in 100 cases; a definite diagnosis could be established in 48 of these. In 14 endobronchial lesions were detected and diagnosis established through biopsy. In six cases cytology established a positive postFB diagnosis in the sputum.

The efficacy of endoscopic methods (biopsy, bronchial aspiration, post-FB diagnosis in the sputum) was significantly higher of the nodule was more than 2 cm and when the distance to the tracheal carina was less than 5 cm.

TTP was performed in 36 cases in which FB could not establish the diagnosis with positive results in 22 patients (72%) thus increasing significantly the number of established diagnoses.

Complications included pneumothorax in seven patients (19.4%), one of which required thoracic draining

(2.7%).

Sucessive FB and TTP established the diagnosis in 70 out of 100 patients with a solitary pulmonary nodule.

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Copyright © 1984. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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