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Journals / Anadolu Tıp Dergisi / 2000 / Cilt: 2 - Sayı: 1

Diagnostic value of the materials obtained by flexible fiberoptic bronchoscopy in cases with lung cancer

Akciğer kanserli olgularımızda fleksibl fiberoptik bronkoskopi ile alınan materyallerin tanı değeri

Cenk BABAYİĞİT
Nihal KILINÇ
Tekin YILDIZ
İ. Halil LEBLEBİCİ
Abdurrahman ŞENYİĞİT
Pages
1–6
Publication Date
2022-11-05
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Our results suggest that forceps biopsy specimens have the highest diagnostic value in cases with preliminary diagnosis of lung cancer and that other materials including post-bronchoscopic sputums, BAL, brushing, bronchial lavage obtained during bronchoscopy may contribute to the diagnosis.

📌 3 Key Takeaways

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Objective & Hypothesis:48 patients diagnosed by FOB between January 1997 and December 1998 were investigated, prospectively.
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Key Findings & Data:The diagnosis was established by forceps biopsy, BAL and brushing in 45 (%93.7), 1 (%2) and 2 (%4.1) cases respectively.
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Conclusion & Impact:Our results suggest that forceps biopsy specimens have the highest diagnostic value in cases with preliminary diagnosis of lung cancer and that other materials including post-bronchoscopic sputums, BAL, brushing, bronchial lavage obtained during bronchoscopy may contribute to the diagnosis.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

48 patients diagnosed by FOB between January 1997 and December 1998 were investigated, prospectively. Forceps biopsy, brushing, bronchial lavage and bronchoalveoler lavage (BAL) were performed in all patients during bronchoscopy. In addition post-bronchoscopic sputum was also analyzed. The diagnosis was established by forceps biopsy, BAL and brushing in 45 (%93.7), 1 (%2) and 2 (%4.1) cases respectively. Forceps biopsy, BAL, bronchial lavage, post-bronchoscopic sputum and brushing yielded positive results for malignancy in 93.7%, 16.6%, 27%, 14.5% and 22.9% of cases respectively. Type of the lung cancer was identified in 48 cases. Epidermoid carcinoma, adenocarcinom, small-cell carcinom, large cell carcinoma and mixed type carcinoma (Epidermoid carcinoma + small cell carcinoma) were detected in 25 (52%), 8(16%), 5 (10.4%), 4 (8%) and 2 (4%) cases respectively. Our results suggest that forceps biopsy specimens have the highest diagnostic value in cases with preliminary diagnosis of lung cancer and that other materials including post-bronchoscopic sputums, BAL, brushing, bronchial lavage obtained during bronchoscopy may contribute to the diagnosis.

Özet

Kliniğimizde 1997 ile 1998 yılları içinde fleksibl fiberoptik bronkoskopi (FOB) ile tanı konulan 48 hasta prospektif olarak incelendi. Hastalarımıza bronkoskopi esnasında forseps biyopsi, fırça biyopsisi, bronşiyal lavaj ve bronkoalveoler lavaj (BAL) uygulandı. Ayrıca postbronkoskopik balgamları incelendi. Olguların 45'ine (%93.7) forseps biopsisi, 1'ine (%2) BAL , 2'sine (%4.1) fırça biyopsisi ile tanı konuldu. Malignite açısından olumlu sonuç forseps biopsisi için %93.7, BAL için %16.6, bronşiyal lavaj için %27, postbronkoskopik balgam için %14.5, fırça biopsisi için %22.9 olarak saptandı. 48 olgumuzun 44'ünde hücre tipi saptanırken 4'iinde tip tayini yapılamadı. Epidermoid karsinom 25(%52), adenokarsinom 8(%16), küçük hücreli karsinom 5 (%10.4), büyük hücreli karsinom 4 (%8) olguda saptandı. 2 (%4) olguda ise mikst tip karsinom (epidermoid karsinom + küçük hücreli karsinom) saptandı. Sonuç olarak akciğer kanseri ön tanısıyla FOB yapılan olgularda en değerli bronkoskopik materyalin forseps biyopsisi olduğu, bununla birlikte FOB esnasında alınan diğer materyallerle birlikte postbronkoskopik balgam örneklerinin alınmasının tanısal verimliliği artıracağı kanaatine varıldı.

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Cite This Article

BABAYİĞİT, C., KILINÇ, N., YILDIZ, T., LEBLEBİCİ, İ. H., ŞENYİĞİT, A. (2022). Diagnostic value of the materials obtained by flexible fiberoptic bronchoscopy in cases with lung cancer. Anadolu Tıp Dergisi, Cilt: 2 - Sayı: 1, 1–6. https://ajindex.com/articles/648491

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