Pathological Characteristics of Fiberoptic Bronchoscopy Procedure in Ulin General Hospital, Banjarmasin
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Introduction: Fiberoptic Bronchoscopy (FOB) has emerged into the method of choice for the detection of lung tumors due to its availability of Adequate cytological and histological samples in the form of broncho-alveolar lavage, bronchial brushings, and bronchial forceps biopsy. This study aims to identify characteristics of bronchoalveolar lavage, aspiration cytology, brushing cytology and forceps cytology of patients suspected with malignancy at the Ulin Regional Hospital in South Kalimantan.
Methods: A cross-sectional study was carried out utilizing medical documentation of patients suspested lung cancer from March 2018 to March 2020. Data were grouped by gender, age, type of procedure, and cytology and histopathology findings.
Results: The result showed that 67.5% of 117 patients who underwent bronchoscopy had positive results and common histological diagnosis The frequent histopathological conclusion was adenocarcinoma (45.6%) tailed by squamous cell carcinoma (40.55). Forceps bronchoscopy showed a greater positivity rate (75.0%) than bronchoscopy without forceps (63.6%), we also found that by combining BAL and brushing and forceps biopsy, the detection rate of lung malignancy increased to 85.7%, but no correlation between the type of procedure and the likelihood of malignancy was discovered.
Conclusions: Forceps bronchoscopy showed a greater positivity rate than bronchoscopy without forceps, but no correlation between the type of procedure and the likelihood of malignancy was discovered in our study.
Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin 2021; 71: 209–249.
The Global Cancer Observatory. Cancer Incident in Indonesia. International Agency for Research on Cancer, pp. 1–2.
Burks AC, Akulian J. Bronchoscopic Diagnostic Procedures Available to the Pulmonologist. Clin Chest Med 2020; 41: 129–144.
Shinagawa N. A review of existing and new methods of bronchoscopic diagnosis of lung cancer. Respir Investig 2019; 57: 3–8.
Becker HD. A Short History of Flexible Bronchoscopy. Flex Bronchoscopy 2020; 1–19.
Becker HD. Bronchoscopy for Airway Lesions. In: Flexible Bronchoscpy. 2020, pp. 179–183.
Ojha RP, Madan R, Bharadwaj R. Correlation between sputum and bronchoscopy-guided cytology (bronchoalveolar lavage fluid, transbronchial needle aspiration, and bronchial brush) with bronchial biopsy in the diagnosis of pulmonary pathology. Arch Med Heal Sci 2019; 7: 25–32.
Apar A, Prakhar S, Mahi S, et al. To Study the Efficacy of Bronchoalveolar Lavage, Bronchial Brush Cytology and Bronchial Biopsy in Diagnosing Lung Cancer. Int J Contemp Med Res 2018; 5: 1–4.
Fox AH, Nishino M, Osarogiagbon RU, et al. Comprehensive Biomarker Testing : A National Lung Cancer.
BÅ‚ach J, Frak M, Krawczyk P, et al. Observational cross-sectional study of 5279 bronchoscopy results for the practical effectiveness of various biopsy techniques in the diagnosis of lung diseases with particular emphasis on lung cancer. BMJ Open 2021; 11: 1–7.
Tayal S, Bhale CP. Diagnostic efficacy of bronchoalveolar lavage (BAL) in lung malignancies. Int J Res Med Sci 2018; 6: 2983.
Kumar V, Gupta KB, Aggarwal R. Yield of different bronchoscopic techniques in diagnosis of lung cancer. Int J Res Med Sci 2017; 5: 4098.
Afriyie-Mensah JS, Kwarteng E, Tetteh J, et al. Flexible bronchoscopy in a tertiary healthcare facility: A review of indications and outcomes. Ghana Med J 2021; 55: 18–25.
Mondoni M, Rinaldo RF, Carlucci P, et al. Bronchoscopic sampling techniques in the era of technological bronchoscopy. Pulmonology 2022; 28: 461–471.
Mrudula K, Narayana MAS, Murthy KR, et al. Comparative Study of Bronchial Wash , Bronchial Brush Cytology and Bronchial Biopsy in Patients with Lung Malignancy. Saudi J Pathol Microbiol 2019; 4: 332–337.
Beamer S, Jaroszewski DE, Viggiano RW, et al. Optimal Processing of Diagnostic Lung Specimens. Third Edition. Elsevier Inc., 2018. Epub ahead of print 2018. DOI: 10.1016/B978-0-323-44284-8.00003-X.
Zainudeen F, Nair LK, N S, et al. Comparative study of bronchial brush and bronchial wash cytology in the diagnosis of lung tumors. J Diagnostic Pathol Oncol 2021; 6: 9–14.
Zhang W, Huang Y, Helmers R. Zhang_Bronchoalveolar Lavage. 2020; 185–206.
Kodali S, Jha S, Chakraborty S, et al. Bronchoscopic Evaluation in Clinically and Radiologically Suspected Lung Carcinoma. J Evol Med Dent Sci; 9.
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