Flexible fiberoptic bronchoscopy (FOB) as a diagnostic tool in endobronchial lesions
Introduction: Flexible fiberoptic bronchoscopy (FOB) has revolutionized the way pulmonary lesions are diagnosed, especially when endobronchial involvement is suspected. We aimed to evaluate the role of FOB by comparing the efficacy of forceps biopsy, bronchial brushings, and bronchial washings indiv...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Journal of Dr. NTR University of Health Sciences |
| Subjects: | |
| Online Access: | http://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2016;volume=5;issue=3;spage=173;epage=175;aulast=Raghu |
| _version_ | 1818595992348393472 |
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| author | Srikanti Raghu Chaitanya Sravanthi Rachaputi Laxmi Kumari Somisetty |
| author_facet | Srikanti Raghu Chaitanya Sravanthi Rachaputi Laxmi Kumari Somisetty |
| author_sort | Srikanti Raghu |
| collection | DOAJ |
| description | Introduction: Flexible fiberoptic bronchoscopy (FOB) has revolutionized the way pulmonary lesions are diagnosed, especially when endobronchial involvement is suspected. We aimed to evaluate the role of FOB by comparing the efficacy of forceps biopsy, bronchial brushings, and bronchial washings individually and in combination.
Materials and Methods: This study was performed on 40 patients whose diagnosis was uncertain despite various diagnostic techniques. After initial screening, FOB was performed on patients suspected of endobronchial tumor. During the procedure of biopsy, brushings and washings were collected and sent for microbiology, cytology, and histopathology. The criteria for FOB included chronic cough, recurrent hemoptysis, and abnormal radiological opacity.
Results: Twenty-five patients had visible endobronchial tumor, mean age of presentation was 41-70 years, and males were predominant. The chief complaint was cough followed by persistant fever. Lung cancer (84%) was the most common etiology followed by tuberculosis (TB) (16%). Bronchial brushings gave the highest yield, slightly higher than forceps biopsy.
Conclusion: FOB is a very useful and safe diagnostic technique for the evaluation of endobronchial tumor. Because of the high prevalence of TB, the possibility of TB should be considered next to lung cancer. Bronchial brushings has an advantage over forceps biopsy in situations where biopsy forceps cannot reach or open at the site of growth. |
| first_indexed | 2024-12-16T11:24:49Z |
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| id | doaj.art-8d16a6d1e0f24f07a2607aa9da05b037 |
| institution | Directory Open Access Journal |
| issn | 2277-8632 |
| language | English |
| last_indexed | 2024-12-16T11:24:49Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Dr. NTR University of Health Sciences |
| spelling | doaj.art-8d16a6d1e0f24f07a2607aa9da05b0372022-12-21T22:33:23ZengWolters Kluwer Medknow PublicationsJournal of Dr. NTR University of Health Sciences2277-86322016-01-015317317510.4103/2277-8632.191840Flexible fiberoptic bronchoscopy (FOB) as a diagnostic tool in endobronchial lesionsSrikanti RaghuChaitanya Sravanthi RachaputiLaxmi Kumari SomisettyIntroduction: Flexible fiberoptic bronchoscopy (FOB) has revolutionized the way pulmonary lesions are diagnosed, especially when endobronchial involvement is suspected. We aimed to evaluate the role of FOB by comparing the efficacy of forceps biopsy, bronchial brushings, and bronchial washings individually and in combination. Materials and Methods: This study was performed on 40 patients whose diagnosis was uncertain despite various diagnostic techniques. After initial screening, FOB was performed on patients suspected of endobronchial tumor. During the procedure of biopsy, brushings and washings were collected and sent for microbiology, cytology, and histopathology. The criteria for FOB included chronic cough, recurrent hemoptysis, and abnormal radiological opacity. Results: Twenty-five patients had visible endobronchial tumor, mean age of presentation was 41-70 years, and males were predominant. The chief complaint was cough followed by persistant fever. Lung cancer (84%) was the most common etiology followed by tuberculosis (TB) (16%). Bronchial brushings gave the highest yield, slightly higher than forceps biopsy. Conclusion: FOB is a very useful and safe diagnostic technique for the evaluation of endobronchial tumor. Because of the high prevalence of TB, the possibility of TB should be considered next to lung cancer. Bronchial brushings has an advantage over forceps biopsy in situations where biopsy forceps cannot reach or open at the site of growth.http://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2016;volume=5;issue=3;spage=173;epage=175;aulast=RaghuEndobronchial tumorfiberoptic bronchoscopy (FOB)lung cancertuberculosis (TB) |
| spellingShingle | Srikanti Raghu Chaitanya Sravanthi Rachaputi Laxmi Kumari Somisetty Flexible fiberoptic bronchoscopy (FOB) as a diagnostic tool in endobronchial lesions Journal of Dr. NTR University of Health Sciences Endobronchial tumor fiberoptic bronchoscopy (FOB) lung cancer tuberculosis (TB) |
| title | Flexible fiberoptic bronchoscopy (FOB) as a diagnostic tool in endobronchial lesions |
| title_full | Flexible fiberoptic bronchoscopy (FOB) as a diagnostic tool in endobronchial lesions |
| title_fullStr | Flexible fiberoptic bronchoscopy (FOB) as a diagnostic tool in endobronchial lesions |
| title_full_unstemmed | Flexible fiberoptic bronchoscopy (FOB) as a diagnostic tool in endobronchial lesions |
| title_short | Flexible fiberoptic bronchoscopy (FOB) as a diagnostic tool in endobronchial lesions |
| title_sort | flexible fiberoptic bronchoscopy fob as a diagnostic tool in endobronchial lesions |
| topic | Endobronchial tumor fiberoptic bronchoscopy (FOB) lung cancer tuberculosis (TB) |
| url | http://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2016;volume=5;issue=3;spage=173;epage=175;aulast=Raghu |
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