Özet: Periferik lenf nodu veya lezyona yönelik ince iğne aspirasyonunun (İİA) non invaziv bir inceleme yöntemi olduğu ve sitopatolojik tanı sağladığı önceki çalışmalarla gösterilmiştir. Burada geleneksel emici kuvvet uygulaması ile yapılan ince iğne aspirasyonu değil de aspirasyonsuz ince iğne sitolojisinin (AİİS) kanser teşhisinde tanı ve evrelemeye katkısını vurgulamayı amaçladık. Akciğerde kitlesi olan 10 olguda periferik lenf nodu veya akciğerdeki periferal kitlelere uygulanan AİİS’nin sonuçları değerlendirilmiştir. On hastanın (1’i kadın 9’u erkek), yaş ortalaması 59 (35-84) yıl idi. Periferik lenf nodu saptanan 7 hasta ile periferik yerleşimli akciğer lezyonu olan 3 hastaya AİİS yapıldı ve yaymalar değerlendirildi. Periferik lenf nodu ve periferik kitleden AİİS yapılan 10 hastanın 2’si skuamoz hücreli karsinom, 4’ü küçük hücreli dışı akciğer karsinomu, diğer 4’ü ise malignite pozitif olarak tanı aldı. Malignite pozitif saptanan 4 hastadan 2’si bronkoskopi ile skuamoz hücreli karsinom ve küçük hücreli karsinom tanıları alırken 2‘si trucut biyopsi ile skuamoz hücreli karsinom ve lenfoma tanıları aldı. Lenf nodu ve periferik lezyondan yapılan AİİS tanının yanında akciğer kanserli hastalarda evreleme açısından da fayda sağladı. Sonuç olarak periferik olarak tümör veya tümör metastazına ulaşılabilen hastalarda AİİS yapılması kolay ve etkin bir yöntemdir. Tanı yanında tümör non-rezektabilitesi değerlendirmede ve diğer ayırıcı tanılarda da faydalıdır. Bu nedenle AİİS lezyonu uygun olan ve özellikle invaziv işlemler açısından risk taşıyan hastalarda başlangıç noninvaziv tanı yöntemi olabilir. Sitoblok yöntemleriyle tanıyı artırmak mümkündür. Anahtar Kelimeler: aspirasyonsuz ince iğne sitolojisi, periferik lenf nodu, periferik akciğer lezyonu Abstract: Fine needle aspiration (FNA) for peripheral lymph node or lesion was shown a non-invasive method that provides cytopathologic diagnosis with previous studies. We aimed to emphasize the contribution of fine needle nonaspiration cytology (FNNAC) not FNA performed by traditional suction force in diagnosis and staging of cancer. The results of FNNAC performed to the peripheral lymph nodes and lesions were evaluated in 10 cases with pulmonary mass. The mean age of 10 patients (1 was female, 9 were male) was 59 (35-84) years old. FNNAC was performed 7 of patients with peripheral lymph node, 3 of patients with peripheral lesion and, slides were evaluated. FNNAC was performed in 10 patients who 2 were diagnosed as squamous cell carcinoma (SQCLC), 4 were diagnosed as nonsmall cell lung carcinoma and 4 were diagnosed as positive malignancy. Two of 4 patients reported with positive malignancy were diagnosed as SQCLC and small cell carcinoma with bronchoscopy, while the other 2 were diagnosed as SQCLC and lenfoma with trucut biopsy. FNNAC performed on peripheral lymph nodes and lesions has provided benefits in terms of staging while confirmed the diagnosis. FNNAC is a simple and reliable method in patients whose tumors or tumor metastasis are available peripherally; in addition to tumor diagnosis it might be helpful for the evaluation of non-resectability and other differential diagnosis. FNNAC can be initial non-invasive diagnostic method especially in appropiate lesions and in patients with risk factors for invasive process. İt might be possible to increase the diagnosis with cytobloc methods. Keywords: fine needle nonaspiration cytology, peripheral lymph node, peripheral lung lesion
Summary: Periferic lymph nodus or thin injection aspiration (IA) has been shown by previous studies that it is a non-invasive method of examination and provides cytopathological diagnosis. Here we aimed to emphasize the contribution to the diagnosis and evolution of cancer of non-aspiration thin injection, not thin injection aspiration with the traditional absorption force application. In 10 cases with a mass in the lungs, the results of AIS applied to the peripheral lymph nodes or peripheral masses in the lungs were evaluated. The average age of the ten patients (1 of the women 9 of the men) was 59 (35-84) years. 7 patients with peripheral lymphatic nodes and 3 patients with peripheral plain lymphatic injury were diagnosed and spreads were assessed. 2 of 10 patients with AIS from the peripheral lymph nodes and peripheral mass were diagnosed with squamotic cell cancer, 4 with noncellular lung cancer, and 4 with malignity positively. 2 of the 4 patients diagnosed malignity positively with a bronchoscope and scamotic cell carcinoma and small cell carcinoma were diagnosed, while 2 were diagnosed with scamotic cell carcinoma and lymphoma with a trucut biopsy. In addition to the diagnosis of AIS from the lymphatic nodes and peripheral lesions, it has also been beneficial in terms of evolution in lung cancer patients. As a result, AI is an easy and effective method for patients with peripheral tumor or tumor metastasis. In addition to the diagnosis, it is also useful in the assessment of tumor non-receptability and other distinguishing diagnoses. Therefore, the start of the non-invasive diagnosis method may be in patients who are suitable for HIV injury and are
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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