Classification of endobronchial tuberculosis by the bronchoscopic fratures.

Chung, Hee Soon; Lee, Jae Ho; Han, Sung Koo; Shim, Young Soo; Kim, Keun Youl; Han, Yong Chol; Kim, Woo Sung

doi:1991.38.2.108

Tuberc Respir Dis > Volume 38(2); 1991 > Article

Original Article

Tuberculosis and Respiratory Diseases 1991;38(2):108-115.
DOI: https://doi.org/10.4046/trd.1991.38.2.108 Published online June 1, 1991.

Classification of endobronchial tuberculosis by the bronchoscopic fratures.

Hee Soon Chung¹, Jae Ho Lee², Sung Koo Han², Young Soo Shim², Keun Youl Kim², Yong Chol Han², Woo Sung Kim³

¹Department of Internal Medicine, Seoul National University College of Medicine & Youngdeungpo Municipal Hospital, Seoul, Korea
²Department of Internal Medicine & Tuberculosis Research Institute, Seoul National University College of Medicine, Seoul, Korea
³Department of Internal Medicine, College of Medicine Ulsan University, Seoul, Korea

Abstract

Endobronchial tuberculosis is a serious disease which is frequently complicated with bronchial stenosis, and it may simulate a bronchial asthma or bronchogenic carcinoma. We have analyzed the clinical characteristics of endobronchial tuberculosis in 166 patients, and we introduce new classification of endobronchial tuberculosis. Endobronchial tuberculosis is classified into seven subtypes as stenotic type with fibrosis, stenotic type without fibrosis, actively caseating type, tumorous type, ulcerative type, granular type and nonspecific bronchitic type, according to the bronchoscopic findings. Actively caseaing type, stenotic type without fibrosis, nonspecific bronchitic type and stenotic type with fibrosis are predominant in the order of frequency, but ulcerative type and granular type are relatively rare. Stenotic type with or without fibrosis, actively caseating type and tumorous type of endobronchial tuberculosis are closely related to bronchial stenoses. We believe that our new classification of endobronchial tuberculosis, which is based on bronchos. copic features, is helpful to understand the pathogenesis of disease and to make a therapeutic plan for preventing or minimizing bronchial stenosis.

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