BRONCHIAL BRUSHING AND BIOPSY - A COMPARATIVE-EVALUATION IN DIAGNOSING VISIBLE BRONCHIAL LESIONS

被引:15
作者
SAITA, S
TANZILLO, A
RISCICA, C
MARESCA, A
POTENZA, E
DARRIGO, M
机构
[1] Institute of Surgical Pathology II, University of Catania, Catania
[2] Department of Pathology, Vittorio Emanuele Hospital, Catania
关键词
Bronchial biopsy; Bronchial brushing; Bronchoscopy; Lung; Lung cancer;
D O I
10.1016/1010-7940(90)90251-T
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
One hundred and forty patients underwent 142 brushings and conventional biopsies of suspected malignant lesions of the lung through a fibre opticbronchoscope. Both samples were taken from the same area. One hundred andthree patients showed positive results on brushing and 90 on biopsy.Thirty-nine diagnoses were negative on brushing and 52 on biopsy. A correctcell typing was obtained in 105 of 109 diagnoses of malignancy. Finaldiagnoses showed 118 malignant lesions and 22 benign conditions. Falsepositives were respectively, 2 on brushing and 1 on biopsy, while falsenegatives were 17 on brushing and 30 on biopsy. Brushing showed highersensitivity (85.5%) and accuracy (86.6%) than biopsy. A combination of the two techniques gives an accuracy rate of 94.3%. © Springer-Verlag.
引用
收藏
页码:270 / 272
页数:3
相关论文
共 7 条
[1]  
Chuang M., Marchevsky A., Teirstein A., Kirschner P., Kleinerman J., Diagnosis of lung cancer by fibreoptic bronchoscopy: problems in the histological classification of non-small cell carcinoma, Thorax, 39, pp. 175-178, (1984)
[2]  
Jay S., Wehr K., Nicholson D., Smith A., Diagnostic sensitivity and specificity of pulmonary cytology, Comparison of techniques used in conjunction with flexible fibreoptic bronchoscopy, 24, pp. 304-312, (1980)
[3]  
Lyall J., Summers G., O'Brien I., Bateman N., Pike C., Braimbridge M., Sequential brush biopsy and conventional biopsy: direct comparison of diagnostic sensitivity in lung malignancy, Thorax, 35, pp. 929-931, (1980)
[4]  
Matsuda M., Horai T., Nakamura S., Nishio H., Sakuma T., Ikegami H., Tateishi R., Bronchial brushing and bronchial biopsy: comparison of diagnostic accuracy and cell typing reliability in lung cancer, Thorax, 41, pp. 475-478, (1986)
[5]  
Payne C., Hadfield J., Stovin P., Barker V., Heard B., Stark J., Diagnostic accuracy of cytology and biopsy in primary bronchial carcinoma, J Clin Pathol, 34, pp. 773-778, (1981)
[6]  
Suprun H., Pedio G., Ruttner J., The diagnostic reliability of cytologic typing in primary lung cancer with a review of the literature, Acta Cytol, 24, pp. 494-500, (1980)
[7]  
Zavala D., Diagnostic fibreoptic bronchoscopy: techniques and results of biopsy in 600 patients, Chest, 68, pp. 12-19, (1975)