Diagnostic Value of Flexible Bronchofiberscopy in Various Pulmonary Diseases

Jeong, Seon Muk; Jeong, Hyun Yong; Kim, Sun Young; Kim, Sam Yong

doi:1983.30.4.200

Tuberc Respir Dis > Volume 30(4); 1983 > Article

Original Article

Tuberculosis and Respiratory Diseases 1983;30(4):200-204.
DOI: https://doi.org/10.4046/trd.1983.30.4.200 Published online December 1, 1983.

Diagnostic Value of Flexible Bronchofiberscopy in Various Pulmonary Diseases

Seon Muk Jeong, Hyun Yong Jeong, Sun Young Kim, Sam Yong Kim

Department of Internal Medicine, College of Medicine, Chung-Nam National University, Daejeon, Korea

각종 폐질환에 대한 굴곡성 기관지경의 진단적 의의

정선묵, 정현용, 김선영, 김삼용

Abstract

The authors have performed bronchofiberscopies on 131 patients with various lung diseases at the Dept. of Internal Medicine, Chung.Nam National University Hospital during the period of August 1981-. May 1983. The results are summarized as follows ; 1) Among the 131 cases who underwent flexible bronchofiberscopy, 66 cases(50.4%) complained of hemoptysis and the most common cause of hemoptysis was lung cancer with an incidence of 50% (33 cases). The next common causes were pulmonary tuberculosis bronchiectasis 4.5 % (3 cases), pleurisy 4. 5% (3 cases) and in 22.7% (15 cases) the diagnosis was no obtained. 2) Among 131 cases in which bronchofiberscopy was performed, 60 cases(45.8%) were lung cancer, 13 cases(9.9 %) were pulmonary tuberculosis, 10 cases(7.6%) were pleurisy, 9 cases (6.9%) were pneumonia, 8 cases(6%) were lung abscess, 4 cases(3.1 %) were bronchietasis, 3 cases(2.3%) were bronchitis and in 24 cases(18.3%) no definite diagnosis could be obtained. 3) The sites of prevalence for bleeding were both upper lobes with predilection for the right lung with a ratio of 1. 2 : 1 (36 cases of right lung and 29 cases of left lung). 4) The diagnostic accuracy of bronchoscopic biopsy and cytology in the ~lung cancer was 95% and the histologic classification of the 60 cases of lung cancer were as follows; 39 cases(65%) of squamous cell cancer, 9 cases(15%) of undifferentiated cell cancer, 1 case (1. 7%) of adenocarcinoma, 3 cases(5%) of metastatic cancer and 8 cases (13.3%) of undetermined cancer. 5) The most frequent ages were 6th and 7th decades and the male-to-female ratio was 11 : 1.

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