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  • Upogljiva bronhoskopija v diagnostiki perifernih pjučnih malignomov = Flexible bronchoscopy in the diagnostics of peripheral lung malignant tumours
    Debeljak, Andrej, 1940- ; Triller, Nadja ; Kecelj, Peter, 1965-
    The purpose of this restrospective study was to determine the value of flexible bronchoscopy in the diagnostic workup of patients with peripheral lung disease and suspected lung cancer. A total of ... 212 bronchoscopies were performed in 200 patients (148 men, 52 women) with peripheral lung infiltration. The indication for the procedure as suspected malignant neoplasmof the lung. Topical anaesthesia with lidocaine was applied and the Olympus 1T 30 and 1T 240 bronchoscopes were used. Bronchoscopic lung biopsy, brushing, bronchoscopic needle biopsy of mediastinal lymph nodes and, occasionally, of peripheral infiltrate, were perfomed under fluoroscopic control (Phillips BV 29). Bronchoalveolar lavage with 100 ml of 0.9% saline was done in the bronchus leading to the infiltration. Cytology and histology, and occasionally, bacteriological tests for Mycobacterium tuberculosis and non-specific bacteria were carried out. Immunological, serological and other investigations were done to exclude malignoma and establish definite diagnosisof benign lung disease. Malignant lesions were found in 86 patients (age range 63.8+/-10.1 years) and benign lung disease in 114 (age range 58.4+/-13.5 years(. The diagnosis of primary lung cancer was confirmed in 75 cases. One patient had two primary lung cancers and two patients had malignanttumours without pulmonary involvement. Metastases were found in 10 patients. Bronchoscopic lung biopsy confirmed malignoma in 69% of cases (59/85), brushing in 62% (40/65), bronchoscopic needle biopsy of mediastinal lymph nodes and peripheral tumours in 14% (13/95) and 54% (7/13), respectively, and bronchoalveolar lavage in 14% (1/7). The overall diagnostic sensitivity of bronchoscopy for confirming peripheral pulmonary malignoma was75% (64/85). (Abstract truncated at 2000 characters).
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 6, št. 15, nov. 2001, str. 119-123)
    Vrsta gradiva - članek, sestavni del
    Leto - 2001
    Jezik - slovenski
    COBISS.SI-ID - 14369753

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