Artigo Original/Original Article
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
Mauro Zamboni1,
, Deborah C. Lannes2, Paulo de Biasi Cordeiro3, Edson Toscano4, Emanuel B. Torquato4, Samuel S. de Biasi Cordeiro4, Aureliano Cavalcanti5
Corresponding author
mauro.zamboni@gmail.com
Correspondência/Correspondence to: Mauro Zamboni Rua Sorocaba 464/302 – CEP 22271-110 – Rio de Janeiro – RJ – Brasil.
Correspondência/Correspondence to: Mauro Zamboni Rua Sorocaba 464/302 – CEP 22271-110 – Rio de Janeiro – RJ – Brasil.
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
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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. <span class="elsevierStyleBold">Conclusão:</span> A biópsia transtorácica com agulha cortante <span class="elsevierStyleItalic">(Trucut)</span> 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.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (4): 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:</span> To determine the contribution of percutaneous biopsy with core cutting needle (Trucut) in the diagnosis of mediastinal tumours. <span class="elsevierStyleBold">Method:</span> 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. <span class="elsevierStyleBold">Results:</span> 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. <span class="elsevierStyleBold">Conclusion:</span> 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.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009; XV (4): 589-595</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia/Bibliography</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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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." "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.H. Crosby" 1 => "B. Hager" 2 => "K. 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Article information
ISSN: 08732159Original language: Portuguese
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