All issues > Volume 37(11); 1994

Original Article

J Korean Pediatr Soc. 1994;37(11):1559-1564. Published online November 15, 1994.

Diagnosis of Thoracic Lesions in Children by Fine Needle Aspiration Biopsy

Dong Nam DN Kim¹, Nam Su NS Kim¹, Hahng H Lee¹, Jong Sung JS Kim², Suk Chul SC Jeon¹

¹Department of Pediatrics, College of Medicine, Hanyang University, Seoul, Korea
²Department of Radiology, College of Medicine, Hanyang University, Seoul, Korea

Abstract

To elucidate the clinical availability of FNAB, we reviewed retrospectively medical records of 30 patients who had infiltrative pulmonary lesion or pulmonary nodule of mediastinal mass, and got percutaneous fine needle aspiration biopsy using Wescott needle, 20~22 gauge, at the department of Pediatrics, Hanyang university hospital from July, 1986 to June, 1993. The obtained results were as follow: 1) There were 30 patients, aged 6 months to 15 years. 2) There were 17 male patients and 13 female patients with sex ratio of 1.3:1. 3) Among 30 cases, we discovered 16 cases of infiltrative lesions, 7 cases of pulmonary nodules and 7 cases of mediastinal mass lesions. In mediastinal lesions, there were 4 cases of anterio mediastinum and 3 cases of posterior mediastinum. 4) Overall success rate on fine needle aspiration biopsy was 60% (18/30). The success rate was 50% (8/16) in infiltrative lesions, 50% (8/16) in pulmonary nedules and 71%(5/7) in mediastinal mass lesions, respectively. 5) Eight infiltrative lesions were diagnosed as Pneumocystis carinii pneumonia. Five pulmonary nodules were diagnosed as aspergillosis (2 cases), tuberculosis (1 case), mucormycosis (1 case), lung metastasis of neuroblastoma (1 case). Five mediastinal mass lesions were diagnosed as teratoma (2 cases), lymphoma (1 case), malignant neurogenic tumor (1 case), ganglioneurblastoma (1 case). 6) The complications occured in 20% (6 cases) among 30 procedures. All cases were due to pneumothorax: 3 cases spontaneously resolved, and 3 cases needed chest tube insertion. There were no death related with this procedures.

Keywords :Fine needle aspiration biopsy, Infiltrative pulmonary lesion, Pulmonary nodule, Mediastinal mass