Diagnostic Yield of Bronchoscopy with C-Arm Scopy in Cases without Endobronchial Lesion

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dc.contributor.authorEmre, Julide Celdir
dc.contributor.authorBaysak, Aysegul
dc.contributor.authorOz, Adnan Tolga
dc.contributor.authorCok, Gursel
dc.contributor.authorGoksel, Tuncay
dc.date.accessioned2019-10-27T23:09:25Z
dc.date.available2019-10-27T23:09:25Z
dc.date.issued2016
dc.departmentEge Üniversitesien_US
dc.description.abstractAim: Fiberoptic bronchoscopy (FOB) is widely used in the diagnosis and treatment of pulmonary diseases. FOB sensitivity is generally low in tumors localized in the outer third of the lung. Diagnosis of peripheral pulmonary lesions can be difficult; however, the use of computed tomography (CT)-, fluoroscopy- or ultrasonography (USG)-guided surgery increases the diagnostic rates. In this study we aimed to compare the diagnostic values of C-arm fluoroscopy-guided bronchoscopic lavage, brushing, and biopsy samples obtained in cases where radiological masses or parenchymal lesions were detected, but endobronchial pathology was not found. Material and Method: In this prospective observational study, bronchoscopy was performed to the patients who had a mass lesion or parenchymal infiltration on chest radiogram and who had no endobronchial lesion, the diagnostic results of the bronchoscopic lavage, brush and biopsy specimens have been compared where C-arm scopy guided the procedures. Results: 60 patients (45 male) with a mean age 61.5 +/- 9.6 were enrolled into the study. The lesions were mostly located in the right upper lobe. 45 patients had peripheral mass lesion, 17 patients had noduler lesion where consolidation or infiltration were present in 18 patients. The diagnostic yield of the bronchoscopic biopsy was 36%, brushing 20% and 21% for the bronchoscopic lavage. Overall diagnostic yield with all bronchoscopic methods was 45%. In lesions with a diameter of <3 cm, bronchoscopic brushing was significantly ineffective. There was not any severe complication due to these procedures. Discussion: The C-arm scopy guided bronchoscopic biopsy was much more valuable in the diagnosis of peripheral lesions.en_US
dc.identifier.doi10.4328/JCAM.3049
dc.identifier.endpage453en_US
dc.identifier.issn1309-0720
dc.identifier.issn1309-2014
dc.identifier.issn1309-0720en_US
dc.identifier.issn1309-2014en_US
dc.identifier.issue4en_US
dc.identifier.startpage449en_US
dc.identifier.urihttps://doi.org/10.4328/JCAM.3049
dc.identifier.urihttps://hdl.handle.net/11454/52641
dc.identifier.volume7en_US
dc.identifier.wosWOS:000376567100007en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherDerman Medical Publen_US
dc.relation.ispartofJournal of Clinical and Analytical Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBronchoscopyen_US
dc.subjectC-Arm Scopyen_US
dc.subjectDiagnosisen_US
dc.subjectPeripheral Pulmonary Lesionen_US
dc.subjectTumoren_US
dc.titleDiagnostic Yield of Bronchoscopy with C-Arm Scopy in Cases without Endobronchial Lesionen_US
dc.typeArticleen_US

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