Diagnosis of pulmonary lesions on the basis of history and physical examination is often challenging. Diagnostic imaging is therefore of paramount importance in this field. Radiology has traditionally been considered the elective diagnostic procedure for these diseases. Nonetheless it is often not possible to differentiate inflammatory/infectious lesions from neoplastic disease. A correct cyto-histopathologic diagnosis is therefore needed for an accurate diagnosis and subsequent prognostic and therapeutic plan. In human medicine TC and TC-guided biopsy are indicated in the presence of lesions which are not adequately imaged with other diagnostic procedures. In the present study 30 dogs and 9 cats of different sex, breed and size underwent TCguided lung fine-needle aspiration. Clinical examination, haematology and chest radiography were performed on all animals. In this study 32 samples out of 39 were diagnostic. Other 7 cases either because of uncertainty or only blood was aspirated, were considered non diagnostic. Only mild pneumothorax was seen in 5 cases. No major complications were encountered.
La diagnosi delle patologie polmonari sulla base dell’anamnesi e della visita clinica è spesso difficile. La diagnostica per immagini risulta essere di grande importanza in questo settore. La radiologia è stata considerata per molto tempo la tecnica di elezione per lo studio di queste malattie. Tuttavia spesso non è possibile differenziare una lesione infiammatoria/infettiva da una neoplastica. Risulta quindi necessaria una corretta diagnosi cito-istopatologica per avere una diagnosi accurata, una corretta prognosi ed un preciso piano terapeutico. In medicina umana la TC e la biopsia TC-guidata sono indicate in presenza di lesioni non adeguatamente visualizzate con altre procedure diagnostiche. Nel presente studio sono stati sottoposti a biopsia TC-guidata con ago sottile 30 cani e 9 gatti, di differente sesso, razza e dimensioni. In tutti gli animali sono stati eseguiti esame clinico, esami ematici e le radiografie del torace. Nel presente studio 32 campioni su 39 sono risultati diagnostici. Gli altri 7 casi o a causa di incertezza diagnostica, od in quanto contenevano solo sangue sono stati considerati non diagnostici. Non si sono riscontrate complicazioni gravi, solamente 5 casi di lieve pneumotorace.
Studio sulla biopsia tc-guidata del polmone con ago sottile nel cane e nel gatto
VIGNOLI, Massimo;
2004-01-01
Abstract
Diagnosis of pulmonary lesions on the basis of history and physical examination is often challenging. Diagnostic imaging is therefore of paramount importance in this field. Radiology has traditionally been considered the elective diagnostic procedure for these diseases. Nonetheless it is often not possible to differentiate inflammatory/infectious lesions from neoplastic disease. A correct cyto-histopathologic diagnosis is therefore needed for an accurate diagnosis and subsequent prognostic and therapeutic plan. In human medicine TC and TC-guided biopsy are indicated in the presence of lesions which are not adequately imaged with other diagnostic procedures. In the present study 30 dogs and 9 cats of different sex, breed and size underwent TCguided lung fine-needle aspiration. Clinical examination, haematology and chest radiography were performed on all animals. In this study 32 samples out of 39 were diagnostic. Other 7 cases either because of uncertainty or only blood was aspirated, were considered non diagnostic. Only mild pneumothorax was seen in 5 cases. No major complications were encountered.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
