Estratto
La natura delle lesioni polmonari e pleuriche puÒ essere definita in modo relativamente accurato attraverso un’analisi dei dati clinici e radiografici, ma l’esame di campioni tissutali o cellulari resta imprescindibile per definirne il tipo istologico ed impostare una corretta terapia chirurgica o medica. Negli ultimi anni l’esigenza di ottenere una diagnosi attraverso indagini poco invasive, ha portato ad un utilizzo sempre più frequente della citologia come prima fase diagnostica nelle lesioni polmonari, anticipando e a volte sostituendo l’esame istopatologico.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Bibliografia
Yung RC (2003) Tissue diagnosis of suspected lung cancer: selecting between bronchoscopy, transthoracic needle aspiration, and resectional biopsy. Respir Care Clin N Am 9:51–76
Detterbeck FC, DeCamp MM Jr, Kohman LJ et al (2003) Lung cancer. Invasive staging:the guidelines. Chest 123:167–175
Gouliamos AD, Giannopoulos DH, Panagi GM et al (2000) Computed tomography-guided fine needle aspiration of peripheral lung opacities. An initial diagnostic procedure? Acta Cytol 44:344–348
Polak J, Kubik A (1989) Percutaneous thin needle biopsy of malignant and nonmalignant thoracic lesions. Radiol Diagn 30:177–182
Sinner WN (1984) Fine needle biopsy of solitary pulmonary metastasis. Eur J Radiol 4:9–13
Hummel P, Cangiarella JF, Cohen JM et al (2001) Transthoracic fine-needle aspiration biopsy of pulmonary spindle cell and mesenchymal lesions: a study of 61 cases. Cancer 93:187–198
Cappellari JO, Thompson EN 3rd, Wallenhaupt SL (1994) Utility of intraoperative fine needle aspiration biopsy in the surgical management of patients with pulmonary masses. Acta Cytol 38:707–710
Swischuk JL, Castaneda F, Patel JC et al (1998) Percutaneous transthoracic needle biopsy of the lung: review of 612 lesions. J Vasc Interv Radiol 9:347–352
Toloza EM, Harpole L, Detterbeck F, McCrory DC (2003) Invasive staging of non-small cell lung cancer: a review of the current evidence. Chest 123:157–166
Garcia Rio F, Diaz Lobato S, Pino JM et al (1994) Value of CT-guided fine needle aspiration in solitary pulmonary nodules with negative fiberoptic bronchoscopy. Acta Radiol 35:478–480
Kowalewski J, Sir J, Dancewicz M et al (2004) Fine-needle aspiration biopsy under CT-guidance usefulness in diagnosis of malignant lung tumors. Pneumonol Alergol Pol 72:177–180
Di Donna A, Bazzocchi M, Dolcet F, Springolo E (1995) CT-guided transthoracic needle aspiration of solitary lung lesions. Personal experience in 118 cases. Radiol Med 89:287–294
Afify A, Davila RM (1999) Pulmonary fine needle aspiration biopsy. Assessing the negative diagnosis. Acta Cytol 43:601–604
Crapanzano JP et Zakowski MF (2001) Diagnostic dilemmas in pulmonary cytology. Cancer 93:364–375
Santambrogio L, Nosotti M, Bellaviti N et al (1997) CT-guided fine-needle aspiration cytology of solitary pulmonary nodules: a prospective, randomized study of immediate cytologic evaluation. Chest 112:423–425
Stewart CJ, Stewart IS (1996) Immediate assessment of fine needle aspiration cytology of lung. J Clin Pathol 49:839–843
Vazquez MF, Yankelevitz DF (2000) The radiologic appearance of solitary pulmonary nodules and their cytolgic-histologic correlation. Semin Ultrasound CT MR 21:149–162
Roggli VL, Vollmer RT, Greenberg SD et al (1985) Lung cancer heterogeneity: a blinded and randomized study of 100 consecutive cases. Hum Pathol 16:569–579
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2007 Springer Verlag Italia
About this chapter
Cite this chapter
Guazzi, A., Nizzoli, R. (2007). Il nodulo polmonare solitario (SPN):. In: Pneumologia interventistica. Springer, Milano. https://doi.org/10.1007/978-88-470-0556-3_18
Download citation
DOI: https://doi.org/10.1007/978-88-470-0556-3_18
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-0555-6
Online ISBN: 978-88-470-0556-3
eBook Packages: MedicineMedicine (R0)