BRONCHOSCOPIC PROCEDURES YIELD IN ENDOSCOPICALLY VISIBLE AND PERIPHERAL LUNG MALIGNANCY: PROSPECTIVE ANALYSIS OF 100 LUNG CANCER PATIENTS

Dr. Manoj Kumar Arya; Dr. Mahendra Kumar Bainara; Dr. Mayanka Seth

Volume : V, Issue : IX, September - 2016

BRONCHOSCOPIC PROCEDURES YIELD IN ENDOSCOPICALLY VISIBLE AND PERIPHERAL LUNG MALIGNANCY: PROSPECTIVE ANALYSIS OF 100 LUNG CANCER PATIENTS

Dr. Manoj Kumar Arya, Dr. Mahendra Kumar Bainara, Dr. Mayanka Seth

Abstract :

Lung cancer has been reported to be presently the most common malignant disease and the leading cause of cancer death. Fie–optic onchoscopy (FOB) is the minimal invasive procedure that allows visualization of the tracheoonchial tree and allows sampling for histo–pathological examination under direct vision. Aims and objective: To find out diagnostic yield and histological type in endoscopically visible and non visible tumour. Method: FOB and its allied procedures were performed in 100 suspected lung cancer patients using standard procedure guideline. Results: 80 patients had visible growth and 20 patients had no growth in onchoscopic examination. Diagnostic yield of onchial biopsy, onchial ushing and onchial washing was 83.78%, 60% and 32.25% respectively in visible tumour, 4 (50%), 7 (38.88%) and 7 (58.33%) respectively in non visible tumour and overall diagnostic yield was 80.48%, 65.47%, and 36.48% respectively. Small cell carcinoma and squamous cell carcinoma was mainly central tumours and adenocarcinoma was mainly peripheral tumours. Conclusion: FOB is minimally invasive diagnostic tool that visualized trachea–onchial tree. In safe and experienced hands it has high diagnostic yield in central tumour and good accuracy in peripheral tumours.