Biópsias pulmonares percutâneas guiadas por imagem: experiência de um hospital geral
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Manancial - Repositório Digital da UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/5826 |
Resumo: | Introduction : The lung biopsies guided by computed tomography (CT ) , either by aspiration or removal of tissue fragments , the procedure is routinely performed in developed countries , with proven specificity , accuracy and sensitivity in the diagnosis of pulmonary lesions . In Brazil , there are few published studies reporting the use of image -guided percutaneous biopsy aimed at the diagnosis of lung diseases . Objective: To describe the epidemiology and outcomes of pathological lesions suspected of malignancy in patients undergoing image-guided lung biopsy at the University Hospital of Santa Maria ( HUSM ) . Material and Methods: A descriptive cross-sectional study conducted from January 2007 to January 2012 , the Department of Radiology and Diagnostic Imaging , University Hospital of Santa Maria . Results: We analyzed data from 36 patients undergoing biopsy guided by computed tomography ( CT) or ultrasound (US), 25 men and 11 women , mean age 63 years ( 35-80 years) and history of smoking in 80% of patients . The average lesion size in diameter was 6.3 cm (1.5 to 18.2 cm) and 20% of patients had signs of pulmonary emphysema. In pathology , 53 % showed non-small lung cancer cells , 5.5% of small cell lung cancer , 25 % negative sample , 3 % and 14 % inconclusive other malignancies . As a case complication of pneumothorax was observed (2.8 %). Conclusion : The results suggest that image - guided percutaneous biopsy was performed in most middle-aged adults and elderly , male , smokers and non-small cell bronchial tumor . As it is a minimally invasive procedure with high accuracy in the diagnosis of lung diseases and low rate of complications , it is the indication for suspected lung injury. |
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Biópsias pulmonares percutâneas guiadas por imagem: experiência de um hospital geralImage guided percutaneous lung biopsies: experience of a general hospitalBiópsia pulmonarUltrassonografiaTomografia computadorizadaLung biopsyUltrasoundComputed tomographyCNPQ::CIENCIAS DA SAUDEIntroduction : The lung biopsies guided by computed tomography (CT ) , either by aspiration or removal of tissue fragments , the procedure is routinely performed in developed countries , with proven specificity , accuracy and sensitivity in the diagnosis of pulmonary lesions . In Brazil , there are few published studies reporting the use of image -guided percutaneous biopsy aimed at the diagnosis of lung diseases . Objective: To describe the epidemiology and outcomes of pathological lesions suspected of malignancy in patients undergoing image-guided lung biopsy at the University Hospital of Santa Maria ( HUSM ) . Material and Methods: A descriptive cross-sectional study conducted from January 2007 to January 2012 , the Department of Radiology and Diagnostic Imaging , University Hospital of Santa Maria . Results: We analyzed data from 36 patients undergoing biopsy guided by computed tomography ( CT) or ultrasound (US), 25 men and 11 women , mean age 63 years ( 35-80 years) and history of smoking in 80% of patients . The average lesion size in diameter was 6.3 cm (1.5 to 18.2 cm) and 20% of patients had signs of pulmonary emphysema. In pathology , 53 % showed non-small lung cancer cells , 5.5% of small cell lung cancer , 25 % negative sample , 3 % and 14 % inconclusive other malignancies . As a case complication of pneumothorax was observed (2.8 %). Conclusion : The results suggest that image - guided percutaneous biopsy was performed in most middle-aged adults and elderly , male , smokers and non-small cell bronchial tumor . As it is a minimally invasive procedure with high accuracy in the diagnosis of lung diseases and low rate of complications , it is the indication for suspected lung injury.Introdução: A realização de biópsias pulmonares guiadas por tomografia computadorizada (TC), seja por aspiração ou por retirada de fragmentos do tecido, é procedimento rotineiramente executado em países desenvolvidos, com comprovada especificidade, acurácia e sensibilidade no diagnóstico de lesões pulmonar. No Brasil, existem poucas pesquisas publicadas relatando o uso de biópsia percutânea guiada por imagem que visavam o diagnóstico de afecções pulmonares. Objetivo: Conhecer o perfil epidemiológico e descrever os resultados anatomopatológicos de lesões suspeitas de neoplasia de pacientes submetidos à biópsia pulmonar guiada por imagem no Hospital Universitário de Santa Maria (HUSM). Material e Métodos: Estudo transversal e descritivo realizado no período de janeiro de 2007 a janeiro de 2012, no Serviço de Radiologia e Diagnóstico por Imagem do Hospital Universitário de Santa Maria. Resultados: Foram analisados dados de 36 pacientes submetidos à biópsia guiada por Tomografia Computadorizada (TC) ou ultrassonografia (US), sendo 25 homens e 11 mulheres, com média de idade de 63 anos (35-80 anos) e história de tabagismo em 80% dos pacientes. A média do tamanho da lesão no seu maior diâmetro foi de 6,3 cm (1,5 a 18,2 cm) e 20% dos pacientes tinham sinais de enfisema pulmonar. No anatomopatológico, 53% evidenciou carcinoma brônquico não de pequenas células, 5,5% carcinoma brônquico de pequenas células, 25% amostra negativa, 3% inconclusivo e 14% outros tumores malignos. Como complicação um caso de pneumotórax foi observado (2,8%). Conclusão: Os resultados permitem concluir que a biópsia percutânea guiada por imagem foi mais realizada em adultos de meia idade e idosos, do sexo masculino, fumantes e com tumor brônquico não de pequenas células. Como é um procedimento minimamente invasivo, com alta acurácia no diagnóstico das afecções pulmonares e com baixa taxa de complicações, cabe à indicação na suspeita de lesão pulmonar.Universidade Federal de Santa MariaBRMedicinaUFSMPrograma de Pós-Graduação em Ciências da SaúdeSantos, José Wellington Alves doshttp://lattes.cnpq.br/0323220658204980Weinmann, Angela Regina Macielhttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4782197U6Haeffner, Leris Salete Bonfantihttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4707696E9Correa, Jose Roberto Missel2014-09-302014-09-302013-08-02info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfapplication/pdfCORREA, Jose Roberto Missel. IMAGE GUIDED PERCUTANEOUS LUNG BIOPSIES: EXPERIENCE OF A GENERAL HOSPITAL. 2013. 35 f. Dissertação (Mestrado em Medicina) - Universidade Federal de Santa Maria, Santa Maria, 2013.http://repositorio.ufsm.br/handle/1/5826porinfo:eu-repo/semantics/openAccessreponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSM2022-02-18T19:14:41Zoai:repositorio.ufsm.br:1/5826Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufsm.br/ONGhttps://repositorio.ufsm.br/oai/requestatendimento.sib@ufsm.br||tedebc@gmail.comopendoar:2022-02-18T19:14:41Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)false |
dc.title.none.fl_str_mv |
Biópsias pulmonares percutâneas guiadas por imagem: experiência de um hospital geral Image guided percutaneous lung biopsies: experience of a general hospital |
title |
Biópsias pulmonares percutâneas guiadas por imagem: experiência de um hospital geral |
spellingShingle |
Biópsias pulmonares percutâneas guiadas por imagem: experiência de um hospital geral Correa, Jose Roberto Missel Biópsia pulmonar Ultrassonografia Tomografia computadorizada Lung biopsy Ultrasound Computed tomography CNPQ::CIENCIAS DA SAUDE |
title_short |
Biópsias pulmonares percutâneas guiadas por imagem: experiência de um hospital geral |
title_full |
Biópsias pulmonares percutâneas guiadas por imagem: experiência de um hospital geral |
title_fullStr |
Biópsias pulmonares percutâneas guiadas por imagem: experiência de um hospital geral |
title_full_unstemmed |
Biópsias pulmonares percutâneas guiadas por imagem: experiência de um hospital geral |
title_sort |
Biópsias pulmonares percutâneas guiadas por imagem: experiência de um hospital geral |
author |
Correa, Jose Roberto Missel |
author_facet |
Correa, Jose Roberto Missel |
author_role |
author |
dc.contributor.none.fl_str_mv |
Santos, José Wellington Alves dos http://lattes.cnpq.br/0323220658204980 Weinmann, Angela Regina Maciel http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4782197U6 Haeffner, Leris Salete Bonfanti http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4707696E9 |
dc.contributor.author.fl_str_mv |
Correa, Jose Roberto Missel |
dc.subject.por.fl_str_mv |
Biópsia pulmonar Ultrassonografia Tomografia computadorizada Lung biopsy Ultrasound Computed tomography CNPQ::CIENCIAS DA SAUDE |
topic |
Biópsia pulmonar Ultrassonografia Tomografia computadorizada Lung biopsy Ultrasound Computed tomography CNPQ::CIENCIAS DA SAUDE |
description |
Introduction : The lung biopsies guided by computed tomography (CT ) , either by aspiration or removal of tissue fragments , the procedure is routinely performed in developed countries , with proven specificity , accuracy and sensitivity in the diagnosis of pulmonary lesions . In Brazil , there are few published studies reporting the use of image -guided percutaneous biopsy aimed at the diagnosis of lung diseases . Objective: To describe the epidemiology and outcomes of pathological lesions suspected of malignancy in patients undergoing image-guided lung biopsy at the University Hospital of Santa Maria ( HUSM ) . Material and Methods: A descriptive cross-sectional study conducted from January 2007 to January 2012 , the Department of Radiology and Diagnostic Imaging , University Hospital of Santa Maria . Results: We analyzed data from 36 patients undergoing biopsy guided by computed tomography ( CT) or ultrasound (US), 25 men and 11 women , mean age 63 years ( 35-80 years) and history of smoking in 80% of patients . The average lesion size in diameter was 6.3 cm (1.5 to 18.2 cm) and 20% of patients had signs of pulmonary emphysema. In pathology , 53 % showed non-small lung cancer cells , 5.5% of small cell lung cancer , 25 % negative sample , 3 % and 14 % inconclusive other malignancies . As a case complication of pneumothorax was observed (2.8 %). Conclusion : The results suggest that image - guided percutaneous biopsy was performed in most middle-aged adults and elderly , male , smokers and non-small cell bronchial tumor . As it is a minimally invasive procedure with high accuracy in the diagnosis of lung diseases and low rate of complications , it is the indication for suspected lung injury. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-08-02 2014-09-30 2014-09-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
CORREA, Jose Roberto Missel. IMAGE GUIDED PERCUTANEOUS LUNG BIOPSIES: EXPERIENCE OF A GENERAL HOSPITAL. 2013. 35 f. Dissertação (Mestrado em Medicina) - Universidade Federal de Santa Maria, Santa Maria, 2013. http://repositorio.ufsm.br/handle/1/5826 |
identifier_str_mv |
CORREA, Jose Roberto Missel. IMAGE GUIDED PERCUTANEOUS LUNG BIOPSIES: EXPERIENCE OF A GENERAL HOSPITAL. 2013. 35 f. Dissertação (Mestrado em Medicina) - Universidade Federal de Santa Maria, Santa Maria, 2013. |
url |
http://repositorio.ufsm.br/handle/1/5826 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria BR Medicina UFSM Programa de Pós-Graduação em Ciências da Saúde |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria BR Medicina UFSM Programa de Pós-Graduação em Ciências da Saúde |
dc.source.none.fl_str_mv |
reponame:Manancial - Repositório Digital da UFSM instname:Universidade Federal de Santa Maria (UFSM) instacron:UFSM |
instname_str |
Universidade Federal de Santa Maria (UFSM) |
instacron_str |
UFSM |
institution |
UFSM |
reponame_str |
Manancial - Repositório Digital da UFSM |
collection |
Manancial - Repositório Digital da UFSM |
repository.name.fl_str_mv |
Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM) |
repository.mail.fl_str_mv |
atendimento.sib@ufsm.br||tedebc@gmail.com |
_version_ |
1805922117054627840 |