To Evaluate the Diagnostic Value of Various Procedures Like Endobronchial Biopsy, Bronchial Brushing, Bronchial Aspirate/Wash and Post Bronchoscopic Sputum Specimens in Diagnosis of Lung Malignancies
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 1
Abstract
Background: Fiberoptic bronchoscopy has become an important diagnostic and therapeutic tool for management of chest diseases and has revolutionized practice of pulmonary medicine. Therefore it was planned to perform this prospective study to know the diagnostic yield of various procedures done through FOB in patients whom there is a clinic-radiological suspicion of malignancy. Material & Methods: This prospective study was performed in patients reporting to Department of T.B. & Chest, Rama Medical College Hospital & Research Centre, Hapur, Uttar Pradesh, India. Patients having radiological suspicion on the basis of (X-ray chest and or CT Thorax) presenting with or without respiratory symptoms underwent diagnostic fiberoptic bronchoscopy. Approval for this study was taken from the ethical committee of the College. Consent was taken from all patients included in the study. Results: Out of total 75 suspected cases included in this study 63 cases were proved of confirmed lung cancer by FOB. out of 63 cases of lung cancer, 56 (88.88%) were males, 7 (11.12%) were females. 42 (66.66%) patients resided in rural area while 21 (33.33%) patients belonged to urban areas. 90.46% of the patients were in the 30-60 years of age groups and 9.5% patients more than 60 years of age group. Squamous carcinoma is the commonest cell type 31(49.2%) & overall yield of FOB was 92% cases. Conclusion: FOB is the most valuable diagnostic procedure available which is continuously being updated with advancements. Ease of procedure under general anaesthesia, great maneurability of the instrument, minimum discomfort and complications has established FOB has procedure of first choice in the diagnosis of lung cancer.
Authors and Affiliations
Neerav Tyagi
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