[Is bronchial fiberscopy always indicated in hemoptysis? Apropos of 427 tests].
The authors report the results of a retrospective study of 427 fiberoptic bronchoscopies in patients with haemoptysis. The patients were classified into 4 groups according to the results: Group I: a specific diagnosis was made (cancer, tuberculosis, infection); 151 cases (35 p. 100); Group II: inflammatory mucosa, 172 cases (40 p. 100); Group III: normal bronchoscopy, 84 cases (20 p. 100); Group IV, only blood, 20 cases (5 p. 100). Of the 151 patients in Group I, 12 had a normal chest X-ray (8 p. 100); seven of them had bronchopulmonary carcinoma (7 out of 65 cases of cancer: 10.7 p. 100). These results show that bronchoscopy is essential in cases of haemoptysis even when the chest X-ray is normal.
D001984:Bronchial Neoplasms / Q000175:diagnosis; D001999:Bronchoscopy; D002276:Carcinoid Tumor / Q000175:diagnosis; D005336:Fiber Optic Technology; D006469:Hemoptysis / Q000209:etiology*; D006801:Humans; D007239:Infections / Q000175:diagnosis; D008175:Lung Neoplasms / Q000175:diagnosis; D012189:Retrospective Studies; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis
La fibroscopie bronchique doit-elle être systématique en cas d'hémoptysie? A propos de 427 examens.