Value of bronchial wash and brush cytology in addition to histology in the diagnosis of lung cancer
Journal Title: Indian Journal of Pathology and Oncology - Year 2018, Vol 5, Issue 3
Abstract
A retrospective study was performed to evaluate the diagnostic yield of lung cancer on biopsy bronchial washings and brushings taken at fibreoptic bronchoscopy Records of 526 patients were analysed and eventually 107 patients with endobronchial lesions who had had biopsy washing and brushing were included in this study 89 cases were found to be malignant Squamous cell carcinoma was the most common malignancy Brush was found to be better than wash in tumor typing though overall tumor typing using cytology was poor Sensitivities of bronchial wash bronchial brush and biopsy were found to be 708 64 and 944 respectively Biopsy gave the only positive result in 382 only brush in 11 and only wash in 11 malignant cases Diagnostic accuracy of bronchial biopsy brush and wash was found to be 953 70 and 738 respectively Addition of bronchial wash and brush increased the positive yield by only 22 which was insignificant It was concluded that the wash and brush cytology do not significantly add to the overall yield of positive results obtained from biopsies in endobronchial lesionsKeywords Lung cancer Fibreoptic bronchoscopy Bronchial wash cytology Bronchial brush Endobronchial biopsy Diagnostic accuracy
Authors and Affiliations
Ruchee Khandelwal, Deepti Agarwal, Surbhi Bansal
Keywords
Related Articles
- EP ID EP475948
- DOI 10.18231/2394-6792.2018.0096
- Views 51
- Downloads 0
Syphilis in blood donors: Pre-transfusion serological screening by Rapid Plasma Reagin (RPR) Test at the blood bank of a Teaching Medical Institute in North Gujarat, India
Introduction Apart from sexual transmission blood transfusion is the other common route of transmission for SyphilisAims Objectives To study prevalence of seroreactivity of Syphilis in blood donors of our geographical a...
Cytological & Histopathological correlation of Breast lesions –A study of one hundred cases
Introduction: The present study was done to compare the diagnostic accuracy of Fine Needle Aspiration Cytology (FNAC) in differentiating the benign and malignant lesions of palpable breast lumps with histopathological co...
Objective structured practical examination in undergraduate pathology course ─ A trial study in a teaching medical college in Western Uttar Pradesh
Introduction: Objective Structured Practical Examination (OSPE) is a widely accepted tool to evaluate the practical skills of the medical students. Objectively Structured Practical Examination (OSPE) is gaining wide appr...
Spectrum of gastrointestinal polyps: A tertiary care hospital experience of five years
Introduction Polyps of gastrointestinal tract are not uncommon specimens received in surgical pathology laboratory With advent of advanced endoscopy it is now possible to precisely sample polyps and determine its nature...
Immunohistochemistry in breast carcinoma
Introduction Breast Carcinoma has emerged as most common type of malignant tumor in women surpassing cervical carcinoma which was commonest few decades ago Hence a proper diagnostic protocol is very much necessary for di...