Use of the Bronchofiberscope for Bronchial Brush Biopsy
| Autor: | Nicholas P. Rossi, Robert H. Richardson, Prashant K. Mukerjee, George N. Bedell, Donald C. Zavala |
|---|---|
| Rok vydání: | 1973 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Lung medicine.diagnostic_test business.industry Curette Brush Bronchial Brush Biopsy Critical Care and Intensive Care Medicine medicine.disease law.invention Catheter medicine.anatomical_structure law Cytology Biopsy medicine Radiology Cardiology and Cardiovascular Medicine business Lung cancer |
| Zdroj: | Chest. 63:889-892 |
| ISSN: | 0012-3692 |
| DOI: | 10.1378/chest.63.6.889 |
| Popis: | The flexible bronchofiberscope was used to perform bronchial brush biopsies in 75 patients with central, midlung and peripheral lung lesions suspected of being malignant. Of the 52 patients who had lung cancer, a positive or highly suspicious cytology was obtained in 46 (89 percent), compared to a diagnostic accuracy of 72 percent in a previous series using rigid, premolded catheters, and 82 percent using a mobile, controlled-tip catheter. Direct placement of the brush on endoscopically visible tumors produced positive results in 32 of 34 patients (94 percent), whereas only 14 of 18 patients (78 percent) with peripheral bronchogenic carcinomas were correctly diagnosed by indirect fiberoptic brushing under fluoroscopic control. In distal, inaccessible lesions, the problem may be solved using a mobile, controlled-tip catheter or the recently modified curette. |
| Databáze: | OpenAIRE |
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