Bronchofiberscopy with curette biopsy and bronchography in the evaluation of peripheral lung lesions.
Flexible bronchofiberscopy using a double-hinged curette biopsy and under fluoroscopic guidance was performed on 46 patients with peripheral lung carcinomas smaller than 2 cm. Prior mapping of the location of the lung lesion was achieved with selective peripheral bronchography. With these diagnostic tools, a positive cytologic diagnosis for lung carcinomas was made in 45 of 46 patients, a yield of 97.8 percent. Complications associated with the curette biopsy included minor bleeding in three cases and pneumothorax requiring a chest tube in one case.
D000328:Adult; D000368:Aged; D001706:Biopsy / Q000379:methods; D001995:Bronchography / Q000295:instrumentation / Q000379:methods*; D020680:Bronchoscopes; D001999:Bronchoscopy / Q000379:methods*; D005260:Female; D005336:Fiber Optic Technology; D005471:Fluoroscopy / Q000379:methods; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D008875:Middle Aged