Bronchoscopic Evaluation in Clinically and Radiologically Suspected Lung Carcinoma.

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dc.contributor.authorKodali, Sukantaen_US
dc.contributor.authorJha, Sumantaen_US
dc.contributor.authorChakraborty, Subhankaren_US
dc.contributor.authorDeb, Jaydipen_US
dc.contributor.authorDwari, Amiyaen_US
dc.contributor.authorMandal, Abhijiten_US
dc.date.accessioned2020-11-18T10:18:21Z
dc.date.available2020-11-18T10:18:21Z
dc.date.issued2020-05
dc.description.abstractLung cancer is generally diagnosed during late stage of the disease; so, early diagnosis of lung cancer is very important to reduce lung cancer death rate. Flexible fibreoptic bronchoscopy (FOB) is an important diagnostic technique performed in patients with suspected malignant lung lesion as it provides sufficient cytologic and histologic specimens in the form of bronchial washing, bronchial brushing and bronchial forceps biopsy.METHODSThe present descriptive study analysed cytology of bronchial washing, bronchial brushing and histology of bronchial biopsy in 100 patients with suspected lung cancer. Patients in whom clinical and radiological findings suggested lung carcinoma, were included in the study. Patients with coagulopathy, refractory hypoxemia, cardiac instability, poor ability to cooperate with the procedure were excluded from this study. Age, gender, smoking habits, clinical and radiological findings, various histological types of malignancies, and yield of various bronchoscopic diagnostic techniques in the diagnosis of lung cancer were evaluated.RESULTSOf the 100 cases, 86 (86%) were males and 14 (14%) were females with male to female ratio of 6.14:1. The mean age in this study group was 58 years. Overall diagnostic yield by means of all techniques during bronchoscopy was 90% (90/100 patients). Squamous cell carcinoma was the most common primary bronchogenic tumour 36.67% (33/90 patients) followed by Adenocarcinoma 25.56% (23/90 patients), small cell carcinoma 24.44% (22/90 patients), Undifferentiated Non-Small Cell Carcinoma (NSCLC) 12.22% (11/90 patients), poorly differentiated carcinoma 1 patient. No evidence of malignancy was found in 10 patients by all techniques during bronchoscopy.CONCLUSIONSLung cancer is a common malignancy with male preponderance. Bronchial washing and brushing cytology in combination with bronchial biopsy has a very high diagnostic yield. Therefore, all these techniques may be used concurrently to diagnose lung malignancy.en_US
dc.identifier.affiliationsDepartment of Pulmonary Medicine, Nilratan Sircar Medical College and Hospital, Kolkata, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Pulmonary Medicine, Nilratan Sircar Medical College and Hospital, Kolkata, West Bengal, India.en_US
dc.identifier.affiliationsDepartment of Pulmonary Medicine, Nilratan Sircar Medical College and Hospital, Kolkata, West Bengal, India.en_US
dc.identifier.affiliationsDepartment of Pulmonary Medicine, Nilratan Sircar Medical College and Hospital, Kolkata, West Bengal, India.en_US
dc.identifier.affiliationsDepartment of Pulmonary Medicine, Nilratan Sircar Medical College and Hospital, Kolkata, West Bengal, India.6Department of Pulmonary Medicine, Nilratan Sircar Medical College and Hospital, Kolkata, West Bengal, India.en_US
dc.identifier.citationKodali Sukanta, Jha Sumanta, Chakraborty Subhankar, Deb Jaydip, Dwari Amiya, Mandal Abhijit. Bronchoscopic Evaluation in Clinically and Radiologically Suspected Lung Carcinoma.. Journal of Evolution of Medical and Dental Sciences. 2020 May; 9(21): 1641-1645en_US
dc.identifier.issn2278-4802
dc.identifier.issn2278-4748
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/214927
dc.languageenen_US
dc.publisherAkshantala Enterprises Private Limiteden_US
dc.relation.issuenumber21en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org//10.14260/jemds/2020/360en_US
dc.subjectFibreoptic Bronchoscopyen_US
dc.subjectNon-Small Cell Carcinomaen_US
dc.subjectBronchoalveolar Lavageen_US
dc.titleBronchoscopic Evaluation in Clinically and Radiologically Suspected Lung Carcinoma.en_US
dc.typeJournal Articleen_US
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