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  • Title: The role of bronchoscopy and needle aspiration in the diagnosis of peripheral lung masses.
    Author: Mark JB, Marglin SI, Castellino RA.
    Journal: J Thorac Cardiovasc Surg; 1978 Aug; 76(2):266-8. PubMed ID: 682659.
    Abstract:
    Sixty patients underwent flexible fiberoptic bronchoscopy and percutaneous needle aspiration of peripheral lung lesions with fluoroscopic monitoring. A single general anesthetic was used. We found that percutaneous needle aspiration was the more accurate of the two procedures in establishing a diagnosis but that flexible fiberoptic bronchoscopy proved complementary in some instances. The incidence of pneumothorax was 27% but aspiration was needed in only 8%. There were no other complications. In 84% of patients with primary carcinoma of the lung presenting as a peripheral lesion, the diagnosis was established by these procedures. The accuracy was less in metastatic lesions and considerably less in benign lesions.
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