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Query: UMLS:C0019079 (hemoptysis)
 6,129 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The Chiba needle was used for percutaneous needle aspiration of lung lesions in 35 patients. Two separate needles were used for each patient at the same sitting. The aspirate was true positive for malignancy in 23 patients and true negative for malignancy in eight patients. Two aspirates were false negative for malignancy and two aspirates, negative for malignancy, were classified as inconclusive due to inadequate patient follow-up. The overall accuracy rate was 94%. Six patients had small pneumothoraces but only one required a chest tube. Appreciable hemoptysis did not occur. The Chiba needle provided an adequate aspirate for cytologic diagnosis. The complication rate using two needles appears to be entirely acceptable.
J Can Assoc Radiol 1979 Sep
PMID:Percutaneous pulmonary aspiration biopsy using the Chiba needle. 46 70

Broncholithiasis, associated most frequently with tuberculosis and histoplasmosis, usually presents with acute onset of cough and hemoptysis. Visible stones are coughed up in fewer cases than was previously believed. The disease may be accompanied by obstructive symptoms, bronchiectasis, and occasional fistula formation into either the esophagus or the aorta. The prognosis of these patients is generally excellent; however, a significant number require surgery because of persistent symptoms or a complication of the disease.
Postgrad Med 1979 Sep
PMID:Broncholithiasis: current concepts of an ancient disease. 47 54

Fluoroscopically guided percutaneous needle aspiration of focal pulmonary lesions was performed in 108 presumed infectious episodes in 82 immunocompromised patients in whom prior diagnostic studies, including transtracheal aspiration, were negative to inconclusive. Two-thirds of the lesions were 4 cm or smaller. Single (61/79) or multiple (18/79) organisms were recovered, for a diagnostic yield of 73% (79/108). Complications were pneumothorax (26%), half of which required tube drainage, and limited hemoptysis (3%). This technique can be quickly performed and frequently repeated with existing personnel and equipment in institutions currently employing it for suspected pulmonary neoplasm, and is a productive study in the evaluation of "opportunistic pneumonia".
Radiology 1979 Sep
PMID:Etiologic diagnosis of focal pulmonary infection in immunocompromised patients by fluoroscopically guided percutaneous needle aspiration. 47 30

In this retrospective study of 115 cases of histoplasmids, there were 66 male and 49 female patients ranging in age from 2 months to 79 years. The most common presenting symptoms were cough, chest pain, wheezing, weight loss, hemoptysis, and shortness of breath. Thirty-five patients (30%) were asymptomatic. Two patients had manifestations of obstruction of the superior vena cava. Radiologic findings simulated carcinoma, tuberculosis, pneumonia, and viral infections. Sixty-five patients had various operative proceudres, such as lung biopsy, wedge resection, lobectomy, pneumonectomy, resection of lymph node, and bypass of superior vena cava, for diagnosis and treatment. There were two deaths and two postoperative complications. A total of 15 patients received intravenous amphotericin B. Four patients with pneumonic infiltrates developed disseminated histoplasmosis.
South Med J 1979 Sep
PMID:Histoplasmosis: clinical manifestations and surgical management. 47 35

Between 1976 and 1978 percutaneous needle aspiration biopsies of 120 pulmonary and pleural lesions were performed. Cytologic examination of malignant and benign lesions was correct in 64% of the cases, false negative results were obtained in 19%. Complications included: pneumothorax in 21 patients (11 requiring chest tube placement); insignificant hemothorax in 5 and hemoptysis in 1. Needle biopsy of intrathoracic lesions proved to be technically simple and relatively safe. This procedure allows early diagnosis of malignant lung tumours which may improve long term prognosis.
Rontgenblatter 1979 Sep
PMID:[X-ray controlled percutaneous needle aspiration biopsy of the lungs (author's transl)]. 48 88

Twenty-seven patients underwent surgical repair for nonpenetrating injuries of the thoracic aorta. Emergency operation was performed in 19 patients with acute aortic injury and there were 12 survivors. Left heart bypass (LHB), external shunts, and simple aortic cross-clamping were methods employed during repair. All operative deaths occurred in the left heart bypass group. Morbidity, hospital stay, operative time, and blood loss all were markedly less in patients repaired with an external shunt or simple cross-clamping. Systemic heparinization related adversely to mortality and morbidity. Eight patients had repair of chronic post-traumatic descending aortic aneurysms. One of these had previous repair elsewhere with paraplegia and subsequent mycotic aneurysm at the graft repair site. He presented to us with massive hemoptysis. Surgical correction in the chronic group was performed using either left heart bypass, external shunt, or simple aortic cross-clamp with graft interposition. The only death occurred in a patient repaired on left heart bypass.
Surgery 1977 Sep
PMID:Nonpenetrating trauma to the thoracic aorta. 56 Jul 24

Modification of intrathoracic needle aspiration using a vigorous technic consisting of multiple short, plunging, and rotating movements of the needle tip allows retrieval of a micropathologic rather than a cytologic specimen. This often facilitates more specific diagnosis and allows pathologists not expert in cytology to interpret the results. Increased incidence of transient hemoptysis is the only penalty incurred by this technic. The high diagnostic accuracy and clinical value of this simple short procedure in 31 patients is emphasized.
South Med J 1978 Sep
PMID:Vigorous intrathoracic needle aspiration biopsy: a micropathologic technic. 68 3

A 49-year-old man suffered massive necrosis of the lung subsequent to a pneumococcal lobar pneumonia. Development of massive hemoptysis required emergency lobectomy. The patient is doing well six months after surgery. Pulmonary gangrene is a rare but grave complication of the lobar pneumonia. Both pneumococcal and Klebsiella pneumonias may progress to massive pulmonary gangrene despite antibiotic treatment. Survival seems to depend on the surgical removal of the necrotic tissue, which removes the danger of sudden massive hemoptysis.
South Med J 1977 Sep
PMID:Massive pulmonary gangrene. 89 47

Fifty patients, from 5 weeks to 7) years of age, were subjected to transthoracic thin needle biopsy of their mediastinal or hilar masses from May 1975 to May 1976. The material aspirated was satisfactory for cytological examination in 41 patients (82%). The cytological diagnosis could be made in 36 patients (72%) and could be confirmed by histological examination in 12 patients, and by the clinical course of the disease in 16 patients, while 7 patients are lost to follow-up. A false negative diagnosis was probably made in one patient. The complication rate was low, mainly pneumothorax (in eight patients) and hemoptysis (in six patients) of little clinical significance. The main drawback of the method seems to be its inability to provide enough material for reliable diagnosis of benign lesions.
Cancer 1977 Sep
PMID:Transthoracic needle biopsy of mediastinal and hilar lesions. 90 44

A 40-year-old man had a pathologically proved limited form of Wegener's granulomatosis complicating recurrent and massive hemoptysis from his cavitary pulmonary lesion. Of significant interest and clinical importance is the unusual location of the patient's pulmonary lesion, occurring in the posterior segment of the right upper lobe. This experience demonstrates that the location of the pulmonary nodule is not necessarily useful in distinguishing Wegener's granulomatosis from infectious granulomatosis, particularly tuberculosis.
Chest 1976 Sep
PMID:Limited form of Wegener's granulomatosis. 95 66


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