Transthoracic Fine Needle Aspiration Cytology of the Lung

폐의 경흉 세침흡인 세포검사

  • Kim, Min-Suk (Department of Pathology, Seoul National College of Medicine) ;
  • Park, In-Ae (Department of Pathology, Seoul National College of Medicine) ;
  • Park, Sun-Hoo (Department of Pathology, Seoul National College of Medicine) ;
  • Park, Sung-Shin (Department of Pathology, Seoul National College of Medicine) ;
  • Kim, Hwal-Wong (Department of Pathology, Seoul National College of Medicine) ;
  • Moon, Kyung-Chul (Department of Pathology, Seoul National College of Medicine) ;
  • Kim, Young-Ah (Department of Pathology, Seoul National College of Medicine) ;
  • Lee, Hye-Seung (Department of Pathology, Seoul National College of Medicine) ;
  • Park, Ki-Wha (Department of Pathology, Seoul National College of Medicine) ;
  • Seo, Jeoug-Wook (Department of Pathology, Seoul National College of Medicine) ;
  • Lee, Hyun-Soon (Department of Pathology, Seoul National College of Medicine) ;
  • Ham, Eui-Keun (Department of Pathology, Seoul National College of Medicine)
  • 김민석 (서울대학교 의과대학 병리학교실) ;
  • 박인애 (서울대학교 의과대학 병리학교실) ;
  • 박선후 (서울대학교 의과대학 병리학교실) ;
  • 박성신 (서울대학교 의과대학 병리학교실) ;
  • 김활웅 (서울대학교 의과대학 병리학교실) ;
  • 문경철 (서울대학교 의과대학 병리학교실) ;
  • 김영아 (서울대학교 의과대학 병리학교실) ;
  • 이혜승 (서울대학교 의과대학 병리학교실) ;
  • 박기화 (서울대학교 의과대학 병리학교실) ;
  • 서정욱 (서울대학교 의과대학 병리학교실) ;
  • 이현순 (서울대학교 의과대학 병리학교실) ;
  • 함의근 (서울대학교 의과대학 병리학교실)
  • Published : 1999.06.30

Abstract

The authors analysed 2,653 cases of transthoracic fine needle aspiration cytology of the lung to evaluate the diagnostic accuracy and its limitation. A comparison was made between the original cytologic and the final histologic diagnoses on 1,149 cases from 1,074 patients. A diagnosis of malignancy was established in 38.3% benign in 48.1%, atypical lesion in 2.3%, and inadequate one in 11.9% of the cases. Statistical data on cytologic diagnoses were as follows; specificity 98.9%: sensitivity of procedure, 76.8%: sensitivity of diagnosis, 95.5%: false positive 5 cases: false negative 18 cases: predictive value for malignancy, 98.8%: predictive value for benign lesion, 79.5%: overall diagnostic efficiency, 87.5%: typing accuracy in malignant tumor, 80%.

Keywords