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Lung India Official publication of Indian Chest Society  
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Year : 1994  |  Volume : 12  |  Issue : 1  |  Page : 13-16

Transbronchial And Tumour Needle Aspiration In Mediastinal Lymphadenopathy And Superior Vena Cava Obstruction


Correspondence Address:
H. S Hira


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Twenty four cases were subjected to transbronchial or tumour needle aspiration for diagnosis. Group A consisted of 14 patients of mediastinal and/or hilar lymphadenopathy with no intraluminal growth. Group B comprised 10 patients of superior vena cava (SVC) obstruction with intraluminal vascular growth. Overall yield of histological and cytological specimens was achieved in 20 cases (83.3%). Specific diagnosis was achieved in 18 cases (75%). Among Group A, tuberculosis, sarcoldosis and Non-Hodgkin’s lymphoma was diagnosed in six, two and one patients respectively. TNA aided the definitive diagnosis of nine patients (90%) in Group B. The results indicated that 22 gauge needle can provide the diagnosis of benign diseases like tubercular and sarcold mediastinal lymphadenophy and exophytic vascular tumours in patients of SVC obstruction who run the risk of bleeding with conventional biopsy forceps. It is safer than wider bore needle.


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