A Comparative Study of Bronchoscopic Aspirate And Percutaneous Fine Needle Aspiration Cytology in Sputum Negative, Clinicoradiologically Suspect Cases of Pulmonary Tuberculosis.

Dr.Himanshu S Pophale; Dr.Gauri P Godbole

Volume : IV, Issue : XII, December - 2014

A Comparative Study of Bronchoscopic Aspirate And Percutaneous Fine Needle Aspiration Cytology in Sputum Negative, Clinicoradiologically Suspect Cases of Pulmonary Tuberculosis.

Dr. Himanshu S Pophale, Dr. Gauri P Godbole

Abstract :

Introduction: Sputum negative, clinicoradiologically suspect TB presents a difficult diagnostic problem. The clinician has to either initiate empirical ATT or invasive techniques to seek evidence of TB / exclude other disease etiologies. Methodology: Adult sputum smear negative patients clinicoradiologically suspected of pulmonary TB were subjected to FOB and transthoracic FNAC lung. Samples were subjected to cytology and ZN staining for AFB. Sputa of all patients were sent for culture. Results & Conclusions: No clear superiority between the techniques emerged when considered in isolation. But when used together, the diagnostic confirmation was achieved in 51% more patients. Combination of the two is a good tool to confirm TB in sputum negative Pulmonary TB cases. Complication rates of the two techniques were comparable and self limiting.