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題 名 | Ultrasound-Guided Fine Needle Aspiration Biopsy in the Diagnosis of Pulmonary Cryptococcosis=超音波導引細針抽吸診斷肺隱球菌症 |
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作 者 | 郭聰懷; 徐武輝; 江自得; 黃枝梅; 陳志毅; 張銘誠; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 97:3 1998.03[民87.03] |
頁 次 | 頁197-203 |
分類號 | 415.46 |
關鍵詞 | 超音波; 肺隱球菌症; Cryptococcosis; Ultrasound; Fine needle aspiration biopsy; |
語 文 | 英文(English) |
英文摘要 | The purpose of this study was to assess the safety and reliability of ultrasound-guided fine needle aspiration biopsy (US-guided FNAB) combined with modified Papanicolaou's staining in the diagnosis of pulmonary cryptococcosis. The study included 10 patients (9 men, 1 woman, 28-70 yr). Percutaneous US-guided FNAB was performed through a puncture probe with central channel guidance (n=8) or in a 'free-hand' manner (2), depending on the size of the lesion and the experience of the operator. Sonography disclosed homogeneously hypoechoic lesions with air bronchograms over the peripheral or central portion in nine patients, and occasional heterogeneous echogenicity with necrotic tissue without air bronchogram in one. Thirteen lesions were found on the chest radiographs of the ] 0 patients; these could be divided into three patterns: infiltrates (2), nodules or masses (7), and consolidation (4). Using US-guided FNAB and immediate modified Papanicolaou's stain, a diagnosis of pulmonary cryptococcosis was confirmed in nine of the 10 patients. The remaining case was proven by surgical resection, No major complications developed after US-guided FNAB, We conclude that this technique, combined with modified Papanicolaou's staining, provides a safe, rapid, and reliable method for diagnosing pulmonary cryptococcosis. |
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