. 2008; 10(2): 85-88 | |||
Pulmoner sarkoidoziste tanı yöntemleriHüseyin Cem Tigin, Murat Kıyık, Naciye Mutlu, Ebru Artan, Tunç Karadeli, Ayşin Durmaz, Hayati Özyurt, Sadettin ÇıkrıkçıoğluYedikule Göğüs Hastalıkları Ve Göğüs Cerrahisi Eğitim Ve Araştırma Hastanesi-istanbulKlinik ve radyolojik olarak sarkoidoz düşündüğümüz hastalarda invaziv tanı yöntemlerle ne oranda histopatolojik tanı elde edebileceğimizi saptamaya çalıştık.Kliniğimizde,Yedikule Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi'nde Sarkoidoz tanısı alan 44 olgu retrospektif olarak incelendi.Olgular PA Akciğer grafilerine göre evrelendirildi.Hastalarda laboratuvar bulgusu olarak PPD,serum ACE düzeyi,İdrar kalsiyum değerlendirilirken tanı yöntemi olarak transbronşiyal biyopsi(TBB),bronkoalveolar lavajda(BAL) hücre formülü ve CD4/CD8 oranı,mediasten lenf bezlerine yönelik transbronşiyal iğne aspirasyonu (TBİA)ve mediastinoskopi değerlendirilmeye alındı. The value of diagnosing methods in pulmonary sarcoidosisHüseyin Cem Tigin, Murat Kıyık, Naciye Mutlu, Ebru Artan, Tunç Karadeli, Ayşin Durmaz, Hayati Özyurt, Sadettin ÇıkrıkçıoğluYedikule chest disease and chest surgery reserach nad education hospital-istanbulwe tried to observe the ratio of diagnosing sarcoidosis with invasive methods in patients which we thought sarcoidosis as clinically and radiologically. We investigated 44 patients in our clinic (in Yedikule Chest Diseases and Thoracic Surgery Hospital) retrospectively in the study. We evaluated the patients according to the chest x rays. We performed PPD, serum ACE level, urine calcium level as laboratory tests; TBB, CD4/CD8 ratio and cell Formula in BAL,TBNA of mediastinal lymph nodes and mediastioscopy as diagnosing methods. 31 of the patients were female and 13 were male. 26 cases (59%) were sage 1, 15 (34%) stage 2, 3 (6.8%) stage 3. PPD was positive in 5 of 40 cases (12.5%), ACE was high in 22 of 35 cases (62.9%), urine calcium was high in 5 of 33 cases (6.8%). We observed non-necrotizing immflamation in 23 of 38 cases (60.2) with TBB. We obtained pathological diagnose with TBNA in 11 of 15 cases (71.3%). We observed lymphocytic alveolitis in 42 cases (81.8%), CD4/CD8 ratio >3 in 29 cases, >5 in 27 and >10 in 11 cases. We detected pathological diagnose in 7 of 16 cases (43.8%) with scalene lymph node biopsy and in 15 of 15 (100%) with mediastinoscopy. We diagnosed sarcoidosis with open lung biopsy in 1 case. Keywords: sarcoidosis, bronchoscopy, transbronchial needle aspiration, transbronchial biopsyHüseyin Cem Tigin, Murat Kıyık, Naciye Mutlu, Ebru Artan, Tunç Karadeli, Ayşin Durmaz, Hayati Özyurt, Sadettin Çıkrıkçıoğlu. The value of diagnosing methods in pulmonary sarcoidosis. . 2008; 10(2): 85-88 Sorumlu Yazar: Hüseyin Cem Tigin, Türkiye |
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