valor de la biopsia aspirativa con aguja fina para el diagnóstico de tumores intraabdominales e intratorácicos value of fine-needle aspiration biopsy for the diagnosis of intrathoracic and intraabdominal tumors

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ID: 213255
2008
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Abstract
INTRODUCCIÓN. La biopsia aspirativa con aguja fina permite el diagnóstico de enfermedades tan graves como el cáncer en la infancia, en un breve período de tiempo y con gran exactitud. El método se ha establecido como una técnica rápida, efectiva y económica en la biopsia de tumores de cavidades como la abdominal y la torácica. El objetivo de esta investigación fue comprobar la aplicación y validez del método diagnóstico en los tumores intratorácicos e intraabdominales en la infancia. MÉTODOS. En el Hospital Pediátrico «William Soler», se realizó un estudio retrospectivo de las citologías aspirativas realizadas en tumores intratorácicos e intraabdominales entre enero de 1999 y diciembre de 2005. En todas se realizó la técnica de biopsia por aspiración preconizada en Estocolmo y se utilizó también la técnica de citopunción. RESULTADOS. El abdomen fue la región más frecuente, en particular, el riñón. Veinte citologías fueron negativas de malignidad (17,6 %) y 65, positivas (57,5 %). Existió una buena correlación citohistológica positiva. La sensibilidad fue del 96,1 %; el valor predictivo positivo, del 94,9 % y la eficiencia, del 92,8 %. CONCLUSIONES. La biopsia con aguja fina es un método eficaz para el diagnóstico de los tumores intraabdominales e intratorácicos en la infancia. Tiene gran valor diagnóstico para cirujanos, pediatras y oncólogos, y permite planificar de manera eficaz la conducta ulterior ante cada paciente.
INTRODUCTION. Fine needle aspiration biopsy allows the diagnosis of diseases as severe as cancer in childhood in a short period of time, and with great accuracy. This method has been established as a rapid, effective and economic technique in the biopsy of tumours of cavities such as the abdominal and the thoracic. The objective of this research was to check the application and validity of the diagnostic method in intrathoracic and intraabdominal tumours in children. METHODS: A retrospective study of the aspiration cytologies performed in intrathoracic and intraabdominal tumours at "William Soler" Teaching Children Hospital from January 1999 to December 2005 was conducted . In all of them the aspiration biopsy technique recommended in Stockholm was used, and the cytopuncture technique was also applied. RESULTS. The abdomen was the most frequent region and, in particular, the kidney. Twenty cytologies yielded negative (17.6 %), and 65 positive (57.5 %). There was a good positive cytohistologic correlation. Sensivity was 96.1 %; positive predictive value, 94.9 %; and efficiency, 92.8 %. CONCLUSIONS. Fine needle biopsy is an effective method for the diagnosis of intraabdominal and intrathoracic tumours in children. It has a great diagnostic value for surgeons, pediatricians and oncologists, and it also allows to plan in a efficient way the conduct to be followed with each patient.
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Authors ;Lydia G. López Martín;Pastor Thomas Olivares;Roberto Silva Aguiar;María A Muñoz Álvarez;Caridad Verdecia Cañizares
Journal studies in the history of gardens and designed landscapes
Year 2008
DOI
DOI not found
URL
http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312008000300008
Keywords
fine needle aspiration biopsy

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