Rendimiento diagnóstico de la broncoscopia con biopsia transbronquial en el estudio de lesiones sugerentes de cáncer pulmonar / Bronchoscopy with transbronchial biopsy for the diagnosis of potentially malignant pulmonary lesions: experience in 261 patients
Rev. méd. Chile
;
143(4): 433-438, abr. 2015. ilus, tab
Artículo
en Español
| LILACS
| ID: lil-747548
ABSTRACT
Background:
Bronchoscopy is a minimally invasive procedure used for the diagnosis of lung cancer.Aim:
To report our experience with bronchoscopy and transbronchial biopsies for the diagnosis of potentially malignant pulmonary lesions. Material andMethods:
Revision of electronic records from patients who underwent transbronchial biopsies seeking for lung cancer. The diagnostic yield of the procedure was evaluated using pathology reports or a 24 months follow up.Results:
261 patients were included. Bronchoscopy was diagnostic in 65% of cases. Lesions mean diameter was 51 mm (range 9-120 mm). Diagnostic yield for lesions less than 30 mm was 59%, for lesions less than 35 mm was 61%, and for lesions over 40 mm was 69%. The presence of malignant lesions and their location in the superior or middle lobe were associated with a better predictive value of the procedure. TNM staging was IIIB/IV in 80% of the patient at the time of diagnosis.Conclusions:
The diagnostic yield of bronchoscopy is influenced by the etiology and location of lung lesions.
Texto completo:
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Índice:
LILACS (Américas)
Asunto principal:
Broncoscopía
/
Carcinoma de Células Escamosas
/
Adenocarcinoma
/
Pulmón
/
Neoplasias Pulmonares
Tipo de estudio:
Estudio diagnóstico
/
Estudio de etiología
/
Estudio de incidencia
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Anciano
/
Femenino
/
Humanos
/
Masculino
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2015
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Instituto Nacional del Tórax/CL
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