array:24 [
  "pii" => "S0873215915301586"
  "issn" => "08732159"
  "doi" => "10.1016/S0873-2159(15)30158-6"
  "estado" => "S350"
  "fechaPublicacion" => "2009-07-01"
  "aid" => "2"
  "copyright" => "Sociedade Portuguesa de Pneumologia/SPP"
  "copyrightAnyo" => "2009"
  "documento" => "simple-article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "fla"
  "cita" => "Rev Port Pneumol. 2009;15:589-95"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2799
    "formatos" => array:3 [
      "EPUB" => 242
      "HTML" => 1915
      "PDF" => 642
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0873215915301598"
    "issn" => "08732159"
    "doi" => "10.1016/S0873-2159(15)30159-8"
    "estado" => "S350"
    "fechaPublicacion" => "2009-07-01"
    "aid" => "3"
    "copyright" => "Sociedade Portuguesa de Pneumologia/SPP"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Rev Port Pneumol. 2009;15:597-611"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2692
      "formatos" => array:3 [
        "EPUB" => 218
        "HTML" => 1766
        "PDF" => 708
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original&#47;Original Article</span>"
      "titulo" => "Bi&#243;psia pulmonar cir&#250;rgica em doentes sob ventila&#231;&#227;o invasiva e com suspeita de doen&#231;a difusa do par&#234;nquima pulmonar"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "597"
          "paginaFinal" => "611"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Open lung biopsy in patients on mechanical ventilation with suspected diffuse lung disease"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Nat&#225;lia Melo, Sandra Figueiredo, Ant&#243;nio Morais, Concei&#231;&#227;o Souto Moura, Paulo Pinho, Pedro Bastos, Teresa Oliveira"
          "autores" => array:7 [
            0 => array:2 [
              "nombre" => "Nat&#225;lia"
              "apellidos" => "Melo"
            ]
            1 => array:2 [
              "nombre" => "Sandra"
              "apellidos" => "Figueiredo"
            ]
            2 => array:2 [
              "nombre" => "Ant&#243;nio"
              "apellidos" => "Morais"
            ]
            3 => array:2 [
              "nombre" => "Concei&#231;&#227;o Souto"
              "apellidos" => "Moura"
            ]
            4 => array:2 [
              "nombre" => "Paulo"
              "apellidos" => "Pinho"
            ]
            5 => array:2 [
              "nombre" => "Pedro"
              "apellidos" => "Bastos"
            ]
            6 => array:2 [
              "nombre" => "Teresa"
              "apellidos" => "Oliveira"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915301598?idApp=UINPBA00004E"
    "url" => "/08732159/0000001500000004/v1_201509151451/S0873215915301598/v1_201509151451/pt/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0873215915301574"
    "issn" => "08732159"
    "doi" => "10.1016/S0873-2159(15)30157-4"
    "estado" => "S350"
    "fechaPublicacion" => "2009-07-01"
    "aid" => "1"
    "copyright" => "Sociedade Portuguesa de Pneumologia&#47;SPP"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "fla"
    "cita" => "Rev Port Pneumol. 2009;15:575-87"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2541
      "formatos" => array:3 [
        "EPUB" => 228
        "HTML" => 1676
        "PDF" => 637
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original&#47;Original Article</span>"
      "titulo" => "Evolu&#231;&#227;o da mortalidade por cancro do pulm&#227;o em Portugal &#40;1955-2005&#41;"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "575"
          "paginaFinal" => "587"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Trends in lung cancer mortality in Portugal &#40;1955-2005&#41;"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Lu&#237;s Alves, Joana Bastos, Nuno Lunet"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Lu&#237;s"
              "apellidos" => "Alves"
            ]
            1 => array:2 [
              "nombre" => "Joana"
              "apellidos" => "Bastos"
            ]
            2 => array:2 [
              "nombre" => "Nuno"
              "apellidos" => "Lunet"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915301574?idApp=UINPBA00004E"
    "url" => "/08732159/0000001500000004/v1_201509151451/S0873215915301574/v1_201509151451/pt/main.assets"
  ]
  "pt" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Artigo Original&#47;Original Article</span>"
    "titulo" => "Bi&#243;psia transtor&#225;cica com agulha cortante <span class="elsevierStyleItalic">&#40;Trucut&#41;</span> para o diagn&#243;stico dos tumores mediast&#237;nicos"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "589"
        "paginaFinal" => "595"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Mauro Zamboni, Deborah C&#46; Lannes, Paulo de Biasi Cordeiro, Edson Toscano, Emanuel B&#46; Torquato, Samuel S&#46; de Biasi Cordeiro, Aureliano Cavalcanti"
        "autores" => array:7 [
          0 => array:4 [
            "nombre" => "Mauro"
            "apellidos" => "Zamboni"
            "email" => array:1 [
              0 => "mauro&#46;zamboni&#64;gmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "af0005"
              ]
              1 => array:2 [
                "etiqueta" => "&#42;"
                "identificador" => "cr0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Deborah C&#46;"
            "apellidos" => "Lannes"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">2</span>"
                "identificador" => "af0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Paulo"
            "apellidos" => "de Biasi Cordeiro"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">3</span>"
                "identificador" => "af0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Edson"
            "apellidos" => "Toscano"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">4</span>"
                "identificador" => "af0020"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Emanuel B&#46;"
            "apellidos" => "Torquato"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">4</span>"
                "identificador" => "af0020"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "Samuel S&#46;"
            "apellidos" => "de Biasi Cordeiro"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">4</span>"
                "identificador" => "af0020"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "Aureliano"
            "apellidos" => "Cavalcanti"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">5</span>"
                "identificador" => "af0025"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:5 [
          0 => array:3 [
            "entidad" => "TE SBPT &#8211; Pneumologista do Grupo de Oncologia Tor&#225;cica do HC I &#8211; INCA&#47;MS&#47;TE SBPT &#8211; Pulmonologist&#44; Thoracic Oncology Group&#44; HC I &#8211; INCA&#47;MS"
            "etiqueta" => "1"
            "identificador" => "af0005"
          ]
          1 => array:3 [
            "entidad" => "Pneumologista do Grupo de Oncologia Tor&#225;cica do HC I &#8211; INCA&#47;MS&#47;Pulmonologist&#44; Thoracic Oncology Group HC I &#8211; INCA&#47;MS"
            "etiqueta" => "2"
            "identificador" => "af0010"
          ]
          2 => array:3 [
            "entidad" => "TE SBCT &#8211; Cirurgi&#227;o tor&#225;cico &#8211; Director do HC I &#8211; INCA&#47;MS&#47;TE SBCT &#8211; Thoracic Surgeon&#44; Head&#44; HC I &#8211; INCA&#47;MS"
            "etiqueta" => "3"
            "identificador" => "af0015"
          ]
          3 => array:3 [
            "entidad" => "TE SBCT &#8211; Cirurgi&#245;es tor&#225;cicos do HC I &#8211; INCA&#47;MS&#47;TE SBCT &#8211; Thoracic Surgeons&#44; HC I &#8211; INCA&#47;MS"
            "etiqueta" => "4"
            "identificador" => "af0020"
          ]
          4 => array:3 [
            "entidad" => "TE SBCT &#8211; Cirurgi&#227;o tor&#225;cico &#8211; Chefe do Servi&#231;o de Cirurgia Tor&#225;cica &#8211; HC I &#8211; INCA&#47;MS&#47;TE SBCT &#8211; Thoracic Surgeon&#44; Head&#44; Thoracic Surgery Unit&#44; HC I &#8211; INCA&#47;MS"
            "etiqueta" => "5"
            "identificador" => "af0025"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cr0005"
            "etiqueta" => "&#42;"
            "correspondencia" => "<span class="elsevierStyleBold">Correspond&#234;ncia</span>&#47;<span class="elsevierStyleBold">Correspondence to</span>&#58; Mauro Zamboni Rua Sorocaba 464&#47;302 &#8211; CEP 22271-110 &#8211; Rio de Janeiro &#8211; RJ &#8211; Brasil&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Transthoracic biopsy with core cutting needle &#40;Trucut&#41; for the diagnosis of mediastinal tumors"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2008-07-14"
    "fechaAceptado" => "2009-02-05"
    "PalabrasClave" => array:2 [
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec570207"
          "palabras" => array:4 [
            0 => "Bi&#243;psia por agulha"
            1 => "bi&#243;psia com agulha Trucut"
            2 => "neoplasias do mediastino"
            3 => "mediastino&#47; &#47;les&#245;es"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key-words"
          "identificador" => "xpalclavsec570206"
          "palabras" => array:5 [
            0 => "Biopsy"
            1 => "needle"
            2 => "Trucut needle biopsy"
            3 => "mediastinal&#47;lesions"
            4 => "mediastinal neoplasms"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Objetivo&#58;</span> Determinar a contribui&#231;&#227;o da bi&#243;psia percut&#226;nea com agulha cortante &#40;Trucut&#41; no diagn&#243;stico das massas mediast&#237;nicas&#46; <span class="elsevierStyleBold">M&#233;todo&#58;</span> Revis&#227;o retrospectiva de 56 doentes com massas mediast&#237;nicas submetidos a bi&#243;psias com agulha cortante orientadas&#44; mas n&#227;o guiadas&#44; pela tomografia computadorizada do t&#243;rax&#44; no per&#237;odo de 1999 a 2008&#46; <span class="elsevierStyleBold">Resultados&#58;</span> A bi&#243;psia percut&#226;nea com agulha cortante forneceu material adequado para o diagn&#243;stico em 49&#47;56 casos&#44; com &#237;ndice de positividade de 88&#37;&#46; Em 7&#47;56&#44; o material colhido foi insuficiente para definir o diagn&#243;stico &#40;12&#37;&#41;&#46; Este m&#233;todo foi capaz de definir o diagn&#243;stico em 88&#37; dos doentes&#58; 23&#47;56 &#40;41&#37;&#41; linfomas&#59; 12&#47;56 &#40;21&#37;&#41; timomas&#59; 5&#47;56 &#40;3&#37;&#41; carcinomas t&#237;micos&#59; 3&#47;56 &#40;2&#37;&#41; carcinoma indiferenciado de pequenas c&#233;lulas e 1&#47;56 &#40;0&#44;6&#37;&#41; adenocarcinoma metast&#225;tico&#44; carcinoma epiderm&#243;ide metast&#225;tico&#44; carcinoma neuroend&#243;crino primitivo&#44; plasmocitoma&#44; teratoma&#44; b&#243;cio&#46; Ap&#243;s a bi&#243;psia&#44; os doentes foram submetidos a radiografia do t&#243;rax&#46; N&#227;o houve nenhum tipo de complica&#231;&#227;o nestes doentes&#46; <span class="elsevierStyleBold">Conclus&#227;o&#58;</span> A bi&#243;psia transtor&#225;cica com agulha cortante <span class="elsevierStyleItalic">&#40;Trucut&#41;</span> orientada&#44; mas n&#227;o guiada pela tomografia computadorizada&#44; tem alto rendimento&#44; esclrrecendo o diagn&#243;stico na maioria dos portadores de massas mediast&#237;nicas e pode ser &#250;til&#44; evitando a toracotomia exploradora&#44; nos casos de tumores do mediastino inoper&#225;veis ou de tratamento quimioter&#225;pico&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;4&#41;&#58; 589-595</span></p></span>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Aim&#58;</span> To determine the contribution of percutaneous biopsy with core cutting needle &#40;Trucut&#41; in the diagnosis of mediastinal tumours&#46; <span class="elsevierStyleBold">Method&#58;</span> Retrospective review of 56 patients with mediastinal lesions who underwent percutaneous core cutting needle biopsy&#44; oriented but not guided by computer assisted tomography of the thorax&#44; 1999 &#8211; 2008&#46; <span class="elsevierStyleBold">Results&#58;</span> Percutaneous biopsy with core cutting needle provided adequate material in 49&#47;56&#44; with a total positive sample rate of 88&#37;&#46; In 7&#47;56 &#40;12&#37;&#41; cases the material was insufficient to define the diagnosis&#46; Percutaneous core cutting needle biopsy established a specific histological diagnosis in 88&#37; of the patients&#58; 23&#47;56 &#40;41&#37;&#41; lymphomas&#59; 12&#47;56 &#40;21&#37;&#41; thymomas&#59; 5&#47;56 &#40;3&#37;&#41; thymic carcinomas&#59; 3&#47;56 &#40;2&#37;&#41; small cell carcinoma and 1&#47;56 &#40;0&#46;6&#37;&#41; metastatic adenocarcinoma&#44; metastatic squamous cell carcinoma&#44; neuroendocrine primitive carcinoma&#44; plasmocytoma&#44; teratoma and goiter&#46; All patients underwent thoracic X-ray after the procedure&#46; No complications were found in these patients&#46; <span class="elsevierStyleBold">Conclusion&#58;</span> Percutaneous core cutting needle biopsy &#40;Trucut&#41; oriented but not guided by computer assisted tomography of the thorax is an easy and safe procedure which can provide a precise diagnosis in the majority of mediastinal tumours and can prevent the need for exploratory thoracic surgery in cases which are medically treatable or non-resectable&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;4&#41;&#58; 589-595</span></p></span>"
      ]
    ]
    "lecturaRecomendada" => array:1 [
      0 => array:3 [
        "vista" => "all"
        "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia&#47;Bibliography</span>"
        "seccion" => array:1 [
          0 => array:2 [
            "vista" => "all"
            "bibliografiaReferencia" => array:14 [
              0 => array:3 [
                "identificador" => "bb0005"
                "etiqueta" => "1&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Fine needle aspiration biopsy of mediastinal masses&#58; evaluation of 136 experiences"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:3 [
                              0 => "O&#46;B&#46; Adler"
                              1 => "A&#46; Rosenberg"
                              2 => "H&#46; Peleg"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:5 [
                          "tituloSerie" => "Am J Radiol"
                          "fecha" => "1983"
                          "volumen" => "140"
                          "paginaInicial" => "893"
                          "paginaFinal" => "896"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              1 => array:3 [
                "identificador" => "bb0010"
                "etiqueta" => "2&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Percutaneous fine needle aspiration biopsy of mediastinal lesions"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "G&#46;L&#46; Weisbrod"
                              1 => "D&#46;J&#46; Lyons"
                              2 => "L&#46;C&#46; Tao"
                              3 => "D&#46;W&#46; Chamberlain"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:5 [
                          "tituloSerie" => "Am J Radiol"
                          "fecha" => "1984"
                          "volumen" => "143"
                          "paginaInicial" => "525"
                          "paginaFinal" => "529"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              2 => array:3 [
                "identificador" => "bb0015"
                "etiqueta" => "3&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Anterior mediastinal masses&#58; utility of thoracic needle biopsy"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "S&#46;J&#46; Herman"
                              1 => "R&#46;V&#46; Holub"
                              2 => "G&#46;L&#46; Weisbrod"
                              3 => "D&#46;W&#46; Chamberlain"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1148/radiology.180.1.1647039"
                        "Revista" => array:6 [
                          "tituloSerie" => "Radiology"
                          "fecha" => "1991"
                          "volumen" => "180"
                          "paginaInicial" => "167"
                          "paginaFinal" => "170"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1647039"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              3 => array:3 [
                "identificador" => "bb0020"
                "etiqueta" => "4&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Temno biopsy needle&#58; evaluation of efficacy and safety in 165 biopsy procedurers"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:3 [
                              0 => "S&#46;F&#46; Quinn"
                              1 => "T&#46; Demlow"
                              2 => "B&#46; Dunkley"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.2214/ajr.158.3.1739011"
                        "Revista" => array:6 [
                          "tituloSerie" => "AJR"
                          "fecha" => "1992"
                          "volumen" => "158"
                          "paginaInicial" => "641"
                          "paginaFinal" => "643"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1739011"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              4 => array:3 [
                "identificador" => "bb0025"
                "etiqueta" => "5&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Cytologic versus histologic evaluation of needle biopsy of the lung&#44; hilum&#44; and mediastinum"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "A&#46; Bocking"
                              1 => "K&#46;C&#46; Klose"
                              2 => "H&#46;J&#46; Kyll"
                              3 => "S&#46; Hauptmann"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:5 [
                          "tituloSerie" => "Acta Cytol"
                          "fecha" => "1995"
                          "volumen" => "35"
                          "paginaInicial" => "463"
                          "paginaFinal" => "471"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              5 => array:3 [
                "identificador" => "bb0030"
                "etiqueta" => "6&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Image-guided core needle biiopsy in laginant lymphoma&#46; Experience with 100 patients that suggests the technique is reliable"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => true
                            "autores" => array:6 [
                              0 => "D&#46; Ben Yehuda"
                              1 => "A&#46; Polliack"
                              2 => "E&#46; Dkon"
                              3 => "Y&#46; Sherman"
                              4 => "P&#46; Bebenshart"
                              5 => "H&#46; Lotan"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1200/jco.1996.14.9.2431"
                        "Revista" => array:6 [
                          "tituloSerie" => "J Clin Oncol"
                          "fecha" => "1996"
                          "volumen" => "14"
                          "paginaInicial" => "2431"
                          "paginaFinal" => "2434"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8926505"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              6 => array:3 [
                "identificador" => "bb0035"
                "etiqueta" => "7&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Transthoracic needle biopsy with coaxially placed 20-gauged automated cutting needle&#58; results in 122 patients"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:3 [
                              0 => "J&#46;S&#46; Klein"
                              1 => "G&#46; Salomon"
                              2 => "E&#46;A&#46; Stewart"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:5 [
                          "tituloSerie" => "Klein Radiol"
                          "fecha" => "1996"
                          "volumen" => "198"
                          "paginaInicial" => "715"
                          "paginaFinal" => "720"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              7 => array:3 [
                "identificador" => "bb0040"
                "etiqueta" => "8&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Outpatient needle biopsy of the lungs&#58; its safety and utility"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:2 [
                              0 => "G&#46;M&#46; Stevens"
                              1 => "R&#46;J&#46; Jackman"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1148/radiology.151.2.6709896"
                        "Revista" => array:7 [
                          "tituloSerie" => "Radiology"
                          "fecha" => "1984"
                          "volumen" => "151"
                          "paginaInicial" => "301"
                          "paginaFinal" => "303"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6709896"
                              "web" => "Medline"
                            ]
                          ]
                          "itemHostRev" => array:3 [
                            "pii" => "S0302283813010403"
                            "estado" => "S300"
                            "issn" => "03022838"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              8 => array:3 [
                "identificador" => "bb0045"
                "etiqueta" => "9&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Percutaneous needle biopsy of the mediastinum"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "B&#46; Morrisey"
                              1 => "H&#46; Adams"
                              2 => "A&#46;R&#46; Gibbs"
                              3 => "M&#46;D&#46; Crane"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Thorax"
                          "fecha" => "1993"
                          "volumen" => "48"
                          "paginaInicial" => "632"
                          "paginaFinal" => "637"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8346494"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              9 => array:3 [
                "identificador" => "bb0050"
                "etiqueta" => "10&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Thoracic needle biopsy"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:4 [
                              0 => "D&#46;S&#46; Concers"
                              1 => "G&#46;R&#46; Scwenk"
                              2 => "P&#46;R&#46; Doering"
                              3 => "M&#46;D&#46; Glant"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:6 [
                          "tituloSerie" => "Chest"
                          "fecha" => "1987"
                          "volumen" => "91"
                          "paginaInicial" => "813"
                          "paginaFinal" => "816"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3581929"
                              "web" => "Medline"
                            ]
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              10 => array:3 [
                "identificador" => "bb0055"
                "etiqueta" => "11&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Aspiration biopsy of chest lesions"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:5 [
                              0 => "A&#46;F&#46; Lalli"
                              1 => "L&#46;J&#46; McComarck"
                              2 => "M&#46; Zelch"
                              3 => "N&#46;E&#46; Reich"
                              4 => "D&#46; Belovich"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1148/127.1.35"
                        "Revista" => array:7 [
                          "tituloSerie" => "Radiology"
                          "fecha" => "1978"
                          "volumen" => "127"
                          "paginaInicial" => "35"
                          "paginaFinal" => "40"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/635202"
                              "web" => "Medline"
                            ]
                          ]
                          "itemHostRev" => array:3 [
                            "pii" => "S0090429513012855"
                            "estado" => "S300"
                            "issn" => "00904295"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              11 => array:3 [
                "identificador" => "bb0060"
                "etiqueta" => "12&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Transthoracic fine needle aspiration"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:3 [
                              0 => "J&#46;H&#46; Crosby"
                              1 => "B&#46; Hager"
                              2 => "K&#46; Hoeg"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:5 [
                          "tituloSerie" => "Cancer"
                          "fecha" => "1985"
                          "volumen" => "56"
                          "paginaInicial" => "3504"
                          "paginaFinal" => "3507"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              12 => array:3 [
                "identificador" => "bb0065"
                "etiqueta" => "13&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Transthoracic biopsy with core cutting needle for the diagnosis of mediastinal tumors"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:7 [
                              0 => "M&#46; Zamboni"
                              1 => "D&#46;C&#46; Lannes"
                              2 => "W&#46; Roriz"
                              3 => "A&#46; Cavalcanti"
                              4 => "E&#46;B&#46; Torquato"
                              5 => "S&#46;Z&#46; De Biasi"
                              6 => "E&#46; Toscano"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:1 [
                        "Revista" => array:5 [
                          "tituloSerie" => "J Brasil Pneumol"
                          "fecha" => "2003"
                          "volumen" => "29"
                          "paginaInicial" => "145"
                          "paginaFinal" => "147"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
              13 => array:3 [
                "identificador" => "bb0070"
                "etiqueta" => "14&#46;"
                "referencia" => array:1 [
                  0 => array:2 [
                    "contribucion" => array:1 [
                      0 => array:2 [
                        "titulo" => "Endoscopic ultrsound-guided fine-needle aspiration and Trucut biopsy in thoracic lesions&#58; When tissue is the issue"
                        "autores" => array:1 [
                          0 => array:2 [
                            "etal" => false
                            "autores" => array:5 [
                              0 => "I&#46; Storch"
                              1 => "M&#46; Shah"
                              2 => "R&#46; Thurer"
                              3 => "E&#46; Donna"
                              4 => "A&#46; Ribeiro"
                            ]
                          ]
                        ]
                      ]
                    ]
                    "host" => array:1 [
                      0 => array:2 [
                        "doi" => "10.1007/s00464-007-9374-x"
                        "Revista" => array:7 [
                          "tituloSerie" => "Surg Endosc"
                          "fecha" => "2008"
                          "volumen" => "22"
                          "paginaInicial" => "86"
                          "paginaFinal" => "90"
                          "link" => array:1 [
                            0 => array:2 [
                              "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17479313"
                              "web" => "Medline"
                            ]
                          ]
                          "itemHostRev" => array:3 [
                            "pii" => "S021048061200410X"
                            "estado" => "S300"
                            "issn" => "02104806"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "pt"
  "url" => "/08732159/0000001500000004/v1_201509151451/S0873215915301586/v1_201509151451/pt/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9575"
    "tipo" => "SECCION"
    "pt" => array:2 [
      "titulo" => "Artigos originais"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "pt"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001500000004/v1_201509151451/S0873215915301586/v1_201509151451/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915301586?idApp=UINPBA00004E"
]
Share
Journal Information
Vol. 15. Issue 4.
Pages 589-595 (July - August 2009)
Share
Share
Download PDF
More article options
Vol. 15. Issue 4.
Pages 589-595 (July - August 2009)
Artigo Original/Original Article
Open Access
Biópsia transtorácica com agulha cortante (Trucut) para o diagnóstico dos tumores mediastínicos
Transthoracic biopsy with core cutting needle (Trucut) for the diagnosis of mediastinal tumors
Visits
6333
Mauro Zamboni1,
Corresponding author
mauro.zamboni@gmail.com

Correspondência/Correspondence to: Mauro Zamboni Rua Sorocaba 464/302 – CEP 22271-110 – Rio de Janeiro – RJ – Brasil.
, Deborah C. Lannes2, Paulo de Biasi Cordeiro3, Edson Toscano4, Emanuel B. Torquato4, Samuel S. de Biasi Cordeiro4, Aureliano Cavalcanti5
1 TE SBPT – Pneumologista do Grupo de Oncologia Torácica do HC I – INCA/MS/TE SBPT – Pulmonologist, Thoracic Oncology Group, HC I – INCA/MS
2 Pneumologista do Grupo de Oncologia Torácica do HC I – INCA/MS/Pulmonologist, Thoracic Oncology Group HC I – INCA/MS
3 TE SBCT – Cirurgião torácico – Director do HC I – INCA/MS/TE SBCT – Thoracic Surgeon, Head, HC I – INCA/MS
4 TE SBCT – Cirurgiões torácicos do HC I – INCA/MS/TE SBCT – Thoracic Surgeons, HC I – INCA/MS
5 TE SBCT – Cirurgião torácico – Chefe do Serviço de Cirurgia Torácica – HC I – INCA/MS/TE SBCT – Thoracic Surgeon, Head, Thoracic Surgery Unit, HC I – INCA/MS
This item has received

Under a Creative Commons license
Article information
Resumo

Objetivo: Determinar a contribuição da biópsia percutânea com agulha cortante (Trucut) no diagnóstico das massas mediastínicas. Método: Revisão retrospectiva de 56 doentes com massas mediastínicas submetidos a biópsias com agulha cortante orientadas, mas não guiadas, pela tomografia computadorizada do tórax, no período de 1999 a 2008. Resultados: A biópsia percutânea com agulha cortante forneceu material adequado para o diagnóstico em 49/56 casos, com índice de positividade de 88%. Em 7/56, o material colhido foi insuficiente para definir o diagnóstico (12%). Este método foi capaz de definir o diagnóstico em 88% dos doentes: 23/56 (41%) linfomas; 12/56 (21%) timomas; 5/56 (3%) carcinomas tímicos; 3/56 (2%) carcinoma indiferenciado de pequenas células e 1/56 (0,6%) adenocarcinoma metastático, carcinoma epidermóide metastático, carcinoma neuroendócrino primitivo, plasmocitoma, teratoma, bócio. Após a biópsia, os doentes foram submetidos a radiografia do tórax. Não houve nenhum tipo de complicação nestes doentes. Conclusão: A biópsia transtorácica com agulha cortante (Trucut) orientada, mas não guiada pela tomografia computadorizada, tem alto rendimento, esclrrecendo o diagnóstico na maioria dos portadores de massas mediastínicas e pode ser útil, evitando a toracotomia exploradora, nos casos de tumores do mediastino inoperáveis ou de tratamento quimioterápico.

Rev Port Pneumol 2009; XV (4): 589-595

Palavras-chave:
Biópsia por agulha
biópsia com agulha Trucut
neoplasias do mediastino
mediastino/ /lesões
Abstract

Aim: To determine the contribution of percutaneous biopsy with core cutting needle (Trucut) in the diagnosis of mediastinal tumours. Method: Retrospective review of 56 patients with mediastinal lesions who underwent percutaneous core cutting needle biopsy, oriented but not guided by computer assisted tomography of the thorax, 1999 – 2008. Results: Percutaneous biopsy with core cutting needle provided adequate material in 49/56, with a total positive sample rate of 88%. In 7/56 (12%) cases the material was insufficient to define the diagnosis. Percutaneous core cutting needle biopsy established a specific histological diagnosis in 88% of the patients: 23/56 (41%) lymphomas; 12/56 (21%) thymomas; 5/56 (3%) thymic carcinomas; 3/56 (2%) small cell carcinoma and 1/56 (0.6%) metastatic adenocarcinoma, metastatic squamous cell carcinoma, neuroendocrine primitive carcinoma, plasmocytoma, teratoma and goiter. All patients underwent thoracic X-ray after the procedure. No complications were found in these patients. Conclusion: Percutaneous core cutting needle biopsy (Trucut) oriented but not guided by computer assisted tomography of the thorax is an easy and safe procedure which can provide a precise diagnosis in the majority of mediastinal tumours and can prevent the need for exploratory thoracic surgery in cases which are medically treatable or non-resectable.

Rev Port Pneumol 2009; XV (4): 589-595

Key-words:
Biopsy
needle
Trucut needle biopsy
mediastinal/lesions
mediastinal neoplasms
Full text is only aviable in PDF
Bibliografia/Bibliography
[1.]
O.B. Adler, A. Rosenberg, H. Peleg.
Fine needle aspiration biopsy of mediastinal masses: evaluation of 136 experiences.
Am J Radiol, 140 (1983), pp. 893-896
[2.]
G.L. Weisbrod, D.J. Lyons, L.C. Tao, D.W. Chamberlain.
Percutaneous fine needle aspiration biopsy of mediastinal lesions.
Am J Radiol, 143 (1984), pp. 525-529
[3.]
S.J. Herman, R.V. Holub, G.L. Weisbrod, D.W. Chamberlain.
Anterior mediastinal masses: utility of thoracic needle biopsy.
Radiology, 180 (1991), pp. 167-170
[4.]
S.F. Quinn, T. Demlow, B. Dunkley.
Temno biopsy needle: evaluation of efficacy and safety in 165 biopsy procedurers.
[5.]
A. Bocking, K.C. Klose, H.J. Kyll, S. Hauptmann.
Cytologic versus histologic evaluation of needle biopsy of the lung, hilum, and mediastinum.
Acta Cytol, 35 (1995), pp. 463-471
[6.]
D. Ben Yehuda, A. Polliack, E. Dkon, Y. Sherman, P. Bebenshart, H. Lotan, et al.
Image-guided core needle biiopsy in laginant lymphoma. Experience with 100 patients that suggests the technique is reliable.
J Clin Oncol, 14 (1996), pp. 2431-2434
[7.]
J.S. Klein, G. Salomon, E.A. Stewart.
Transthoracic needle biopsy with coaxially placed 20-gauged automated cutting needle: results in 122 patients.
Klein Radiol, 198 (1996), pp. 715-720
[8.]
G.M. Stevens, R.J. Jackman.
Outpatient needle biopsy of the lungs: its safety and utility.
Radiology, 151 (1984), pp. 301-303
[9.]
B. Morrisey, H. Adams, A.R. Gibbs, M.D. Crane.
Percutaneous needle biopsy of the mediastinum.
Thorax, 48 (1993), pp. 632-637
[10.]
D.S. Concers, G.R. Scwenk, P.R. Doering, M.D. Glant.
Thoracic needle biopsy.
Chest, 91 (1987), pp. 813-816
[11.]
A.F. Lalli, L.J. McComarck, M. Zelch, N.E. Reich, D. Belovich.
Aspiration biopsy of chest lesions.
Radiology, 127 (1978), pp. 35-40
[12.]
J.H. Crosby, B. Hager, K. Hoeg.
Transthoracic fine needle aspiration.
Cancer, 56 (1985), pp. 3504-3507
[13.]
M. Zamboni, D.C. Lannes, W. Roriz, A. Cavalcanti, E.B. Torquato, S.Z. De Biasi, E. Toscano.
Transthoracic biopsy with core cutting needle for the diagnosis of mediastinal tumors.
J Brasil Pneumol, 29 (2003), pp. 145-147
[14.]
I. Storch, M. Shah, R. Thurer, E. Donna, A. Ribeiro.
Endoscopic ultrsound-guided fine-needle aspiration and Trucut biopsy in thoracic lesions: When tissue is the issue.
Copyright © 2009. Sociedade Portuguesa de Pneumologia/SPP
Download PDF
Pulmonology
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?