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
Artigo
em Espanhol
| 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:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Broncoscopia
/
Carcinoma de Células Escamosas
/
Adenocarcinoma
/
Pulmão
/
Neoplasias Pulmonares
Tipo de estudo:
Estudo diagnóstico
/
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2015
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Instituto Nacional del Tórax/CL
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