Journal of Cytology
Home About us Ahead of print Instructions Submission Subscribe Advertise Contact e-Alerts Login 
Users Online:1245
  Print this page  Email this page Small font sizeDefault font sizeIncrease font size
ARTICLE
Year : 2007  |  Volume : 24  |  Issue : 1  |  Page : 46-50

Efficacy of bronchial brushings and trans-bronchial needle aspiration in diagnosing carcinoma lung


Department of Pathology, Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun 248140, Uttaranchal, India

Correspondence Address:
D S Gaur
Department of Pathology, Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun 248140, Uttaranchal
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9371.42091

Rights and Permissions

Bronchial brushing (BB) and the more recent trans-bronchial needle aspiration (TBNA) are well established techniques performed using flexible fiberoptic bronchoscope, for sampling trachobronchial lesions suspected of malignancy. Our aim was to assess the efficacy of these two techniques in diagnosing carcinoma lung, when used individually as well as in combination, taking bronchial biopsy as the "Gold Standard" diagnostic test. Of all the cases of suspected lung cancer received between 1st January 2003 to 30 th September 2004, 181 cases were selected where flexible bronchoscopic samples of BB, TBNA as well as bronchial biopsy were taken. Samples were processed as per standard procedures of cytology and histology. Squamous cell carcinoma was the most common lung cancer followed by small cell type. Sensitivity of BB was 81.5%; while that of TBNA was 62.5%. Specificity of BB and TBNA was 77.8% and 66.7%, respectively. Efficacy of BB was better than TBNA in diagnosing lung cancers. Combined use of BB and TBNA showed better sensitivity and accuracy than either techniques used individually. Bronchial brushing is a superior technique in the diagnosis of lung cancers than TBNA. Their combined use can further improve the chances of early detection of lung cancers.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2822    
    Printed121    
    Emailed0    
    PDF Downloaded234    
    Comments [Add]    
    Cited by others 5    

Recommend this journal