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경피적 바늘흡입생검 시술 후 피하로 파종된 간세포양 가슴샘암
윤정희 ( Jung Hee Yoon ),서수홍 ( Soo Hong Seo ),계영철 ( Young Chul Kye ),안효현 ( Hyo Hyun Ahn ) 대한피부과학회 2010 대한피부과학회지 Vol.48 No.12
Percutaneous needle aspiration biopsy is a reliable and useful procedure for diagnosing tumor with a low rate of complications and high diagnostic reliability. Subcutaneous malignant seeding of the needle tract is a well-known complication of percutaneous needle aspiration biopsy. Implantation metastases of the abdominal and chest walls have been reported after puncturing the tumor lesions of the liver, kidney, adrenal gland, lung and pleura. We report here on a case of subcutaneous seeding of hepatoid thymic carcinoma on the right upper back after a percutaneous needle aspiration biopsy. (Korean J Dermatol 2010;48(12):1104∼1107)
김봉희,공경엽,Kim, Bohng-Hee,Gong, Gyung-Yub 대한세포병리학회 2002 대한세포병리학회지 Vol.13 No.2
To determine the usefulness on fine needle aspiration cytology(FNAC) of bone lesions and the complementary role of FNAC and percutaneous needle biopsy, 75 cases of FNAC taken from bone lesions were analyzed. Correlations with histopathology were possible in 47 cases, including 14 cases of simultaneous core biopsy and 33 cases of subsequent open biopsy due to inadequate aspirates. Among 75 cases, 4 cases were benign tumors and tumor-like lesion, 11 cases were malignant primary bone tumors, 17 cases were metastatic tumors, and 43 cases were nonneoplastic bone lesions. The aspirates were adequate in 35 cases(46.7%), in all of which the discrimination between benignancy and malignancy was possible. The main reason for Inadequate aspirates was due to hypocellularity. In the cases of aspiration and core biopsy simultaneously done, the diagnostic accuracy of aspiration, core biopsy, and both were 57%(8/14), 78.6%(11/14), and 92.9%(13/14), respectively. We conclude that a final diagnosis based on cytology is possible with the adequate aspirates and the clinical and radiological findings. Also we confirm the complementary role between FNAC and core biopsy in bone lesions.
CT 유도하 국소적 폐질환의 경피적 흡입생검의 장점과 결과 분석
박복환,변우목,조길호,황미수,장유송 영남대학교 의과대학 1993 Yeungnam University Journal of Medicine Vol.10 No.1
PTNB는 최근 CT 기술의 발전과 20 gauge 또는 22 gauge 의 세침의 개발로 합병증을 줄이는 한편, 성공율이 높아 점차 임상적으로 널리 이용되는 추세에 있다. 이에 저자는 최근 44례의 PTNB를 분석하여 다음과 같은 결과를 얻었다. 환자의 분포는 50대 남자가 17례로 가장 많았고 종괴의 크기와 위치는 4㎝ 전후가 36례(84%)로 가장 많았다. 종괴의 국소적 위치는 변연부에 위치한 것이 33례(75%)의 주로 폐의 변연부에 위치하였다. 조직 채취는 42례 (95%)에서 가능 했으며, PTNB의 민감도는 61% (27/44)였고 악성종괴와 양성종괴에 대한 민감도는 각각 79% (19/24), 44% (8/18)였다. 민감도가 비교적 낮은 이유는 단 1회 시술로 결과를 얻었고 민감도를 높이기 위한 반복 PTNB는 시행하지 않았기 때문으로 생각한다. 합병증인 기흉이나 각혈은 각각 1례에서 얻었고 모든 특별한 치료없이 호전되었다. 이상에서 PTNB는 다른 검사 방법보다 간편하고 안전하며 기관지경을 통한 생검이 불가능하거나 생검후에도 병리소견을 못얻을 경우 PTNB를 통해 양성질환과 악성질환을 구분하므로써 환자의 치료 방침 결정에 도움을 줄수 있을것으로 사료되며, 국소적 폐 질환의 진단에 있어서 PTNB의 유용성은 더욱 증가하리라고 전망된다. Percutaneous needle biopsy of pulmonary lesion with use of fluoroscopic guidance is well established as a diagnostic tool but limited by the small size and inaccessibility of certain lesions. However, percutaneous needle biopsy has been used increasingly in relation to advance and the safety of smaller biopsy needle and new imaging modalities such as ultrasound and CT. CT, because of its characteristics of high resolution, allows tissue sampling with considerable safety from area that heretofore could not be visualized under fluoroscopy. The authors summarized 44 pulmonary lesions hat underwent CT-guided transthoracic biopsy with fine-needle over a 14 month period and analyzed the sensitivity of PTNB. CT-guided PTNB was done with 20 gauge or 22 gauge Westcott biopsy needle (Manan medical products, USA). A diagnosis was made in 27 of 44 cases (61%) including malignancy in 19 of 24 cases and benignancy in 8 of 20 cases. The pulmonary mass lesions were located at the peripheral zone of the lung field in 33 cases and at the central zone in 11 cases. Complications were observed in 2 cases which were pneumothorax and hemoptysis each but specific therapy was not required. The sensitivity of PTNB by one session was 61% (27/44). The sensitivity of malignancy was 79% (19/24) and benignancy was 40% (8/20). These results suggest the usefulness of PTNB using fine needles be increased in earlier diagnosis and improved staging of pulmonary nodular lesions without significant complications.