Diagnostic Yield of Bronchial Biopsy Versus Bronchial Washing in Endoscopically Visible Lung Cancer in Tishreen University Hospital
Abstract
Globally, lung cancer is the second most commonly diagnosed cancer, and it is also the leading cause of cancer-related death. In 2020, Although the incidence of the disease continuous to claim in the older ager. Various environmental and host factor may also affect the risk of lung cancer, but tobacco use is the single most important risk factor for cancer. No method has proven more valuable than endoscopic examination of the tracheobronchial tree. Bronchial washing, brushing and forceps biopsies are often combined to increase the diagnostic yield. Objective of the study: To compare the diagnostic yield of bronchial washing and bronchial biopsy in endoscopically visible lung cancer. In a prospective cohort study on (128) patients with clinical and radiological suspicion of lung cancer at Tishreen University Hospital, Lattakia, Syria, during the period between 2021-2022. Patients underwent flexible bronchoscopy, bronchial washing and then bronchial biopsies were taken from those who had visible lesions by bronchoscopy, so the last number of patients who completed the all three procedures were 94 patients.
The Results showed: from 94 patients with endoscopically visible lung cancer, lung cancer was confirmed in 75 patients by either bronchial biopsy, bronchial washing or both of them. The average age of the patients was 61.95 years. The number of males was 76 (80%), and females 18 (20%). Male: female ratio was 4.2:1. The number of smokers was 89 (94.7%) of the study sample, and (83.1%) of them were males.
The most common tissue type was squamous cell carcinoma (29.17%) and small cell carcinoma (29.17%), followed by adenocarcinoma (22.22%), then non-small cell carcinoma (18.06%) and large cells carcinoma (1.39%). The diagnostic yield of bronchial biopsy was (76.59%) and the diagnostic yield of bronchial washing was (46.81%). The diagnostic yield was higher when we combine both procedures to be (79.78%). The best results that we can get are when a bronchial washing is combined with a bronchial biopsy in endoscopically visible lung cancer.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series
Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in Tishreen University Journal for Research and Scientific Studies - Health Sciences Series . The Readers have the right to send, print and subscribe to the initial version of the article, and the title of Tishreen University Journal for Research and Scientific Studies - Health Sciences Series Publisher
journal uses a CC BY-NC-SA license which mean
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
- ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
