open access

Vol 74, No 1 (2006)
ORIGINAL PAPERS
Published online: 2008-02-18
Submitted: 2013-02-22
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The role of fiberoptic bronchoscopy in the diagnostic algorithm of solitary pulmonary nodule

Marta Dąbrowska, Rafał Krenke, Joanna Domagała-Kulawik, Małgorzata Żukowska, Barbara Górnicka, Jerzy Bogdan, Ryszarda Chazan
Pneumonol Alergol Pol 2006;74(1):16-20.

open access

Vol 74, No 1 (2006)
ORIGINAL PAPERS
Published online: 2008-02-18
Submitted: 2013-02-22

Abstract

The role of fiberoptic bronchoscopy in the diagnosis of peripheral lung nodule is controversial. The aim of the study was to evaluate the results of routine bronchoscopy performed in patients with peripheral lung nodule of 5-40 mm in diameter.
From 60 patients with peripheral lung nodule, who underwent routine diagnostic fiberoptic bronchoscopy between 2003-2005, we selected 36 patients in whom the final discrimination between malignant and benign tumor was achieved based on either pathological examination or radiological criteria (lack of growth within 2 years of radiological follow up).
There were 22 (61%) patients with malignant tumor and 14 (39%) with benign nodule. All malignant tumors were lung carcinomas. In 10 of these patients we found macroscopic abnormalities during bronchoscopy and in 9 of them pathologic examination of specimens collected during the procedure could confirm malignant tissue.Intwopatients with benign lung nodule a second lung lesion (in different lung lobe) which proved to be lung cancer was identified during fiberoptic bronchoscopy.
Sensitivity, specificity and diagnostic accuracy of fiberoptic bronchoscopy in the diagnosis of peripheral lung nodules were 41%, 100%, and 64% respectively.
Abandoning fiberoptic bronchoscopy in the diagnostic algorithm in patients with peripheral lung nodules seems unjustified, although its limitations should be taken in to account.
Pneumonol. Alergol. Pol. 2006, 74, 16-20.

Abstract

The role of fiberoptic bronchoscopy in the diagnosis of peripheral lung nodule is controversial. The aim of the study was to evaluate the results of routine bronchoscopy performed in patients with peripheral lung nodule of 5-40 mm in diameter.
From 60 patients with peripheral lung nodule, who underwent routine diagnostic fiberoptic bronchoscopy between 2003-2005, we selected 36 patients in whom the final discrimination between malignant and benign tumor was achieved based on either pathological examination or radiological criteria (lack of growth within 2 years of radiological follow up).
There were 22 (61%) patients with malignant tumor and 14 (39%) with benign nodule. All malignant tumors were lung carcinomas. In 10 of these patients we found macroscopic abnormalities during bronchoscopy and in 9 of them pathologic examination of specimens collected during the procedure could confirm malignant tissue.Intwopatients with benign lung nodule a second lung lesion (in different lung lobe) which proved to be lung cancer was identified during fiberoptic bronchoscopy.
Sensitivity, specificity and diagnostic accuracy of fiberoptic bronchoscopy in the diagnosis of peripheral lung nodules were 41%, 100%, and 64% respectively.
Abandoning fiberoptic bronchoscopy in the diagnostic algorithm in patients with peripheral lung nodules seems unjustified, although its limitations should be taken in to account.
Pneumonol. Alergol. Pol. 2006, 74, 16-20.
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Keywords

solitary pulmonary nodule; diagnostic bronchoscopy

About this article
Title

The role of fiberoptic bronchoscopy in the diagnostic algorithm of solitary pulmonary nodule

Journal

Advances in Respiratory Medicine

Issue

Vol 74, No 1 (2006)

Pages

16-20

Published online

2008-02-18

Bibliographic record

Pneumonol Alergol Pol 2006;74(1):16-20.

Keywords

solitary pulmonary nodule
diagnostic bronchoscopy

Authors

Marta Dąbrowska
Rafał Krenke
Joanna Domagała-Kulawik
Małgorzata Żukowska
Barbara Górnicka
Jerzy Bogdan
Ryszarda Chazan

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