Presentamos nuestra experiencia con la punción aspirativa transtorácica (PAT) a nivel mediastínico. Esta técnica ha mostrado una alta sensibilidad diagnóstica independientemente del tipo de lesión y de la localización de la misma.
Se estudian 37 pacientes con masa mediastínica a los que se les practicó PAT, siendo ésta útil en 30 (81,08%) y no obteniendo diagnóstico citopatológico en 6 casos (16,2%). Del total de diagnósticos resalta el de carcinoma broncogénico con el 51,3%.
Se discute su rentabilidad frente a otras técnicas así como sus indicaciones y complicaciones.
Fine needle aspiration biopsy of the mediastinum proved a highly accurate diagnostic technique independent of the type of lesions or their localization.
The authors report their experience with 37 patients with mediastinal masses in whom the technique was used. The procedure was successful in 30 patients (81.1%) while in six patients (16.2%) no cytological diagnosis was obtained. It is noteworthy that in 19 patients (51.3%) a diagnosis of bronchogenic carcinoma was obtained.
The efficacy of the procedure is compared to that of other diagnostic techniques and the indications and complications discussed.
