Title: Efficacy of Bronchial Brushing Cytology and Its Correlation with Biopsy in Lung Tumours At tertiary care Hospital northern western
Authors: Sharda Dawan, Sunita Bika, Manohar Lal Dawan
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.43
Abstract
Background: 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.
Material & Method: This study was carried out in department of pathology, Sardar Patel Medical College & Associated Group of Hospitals, Bikaner. This study included 50 cases of clinically suspected lung cancer either primary or metastatic.
Results: The accuracy of Bronchial Brush Cytology in the diagnosis of Squamous Cell Carcinoma was 81.57%; in Bronchogenic Adenocarcinoma accuracy was 80%, in Small Cell Anaplastic Carcinoma 83.33% and in Large Cell Carcinoma it was 100%.
Conclusion: Bronchial brushing is a better technique than Post FOB in diagnosing lung cancer. If both techniques are used simultaneously, the efficacy of this combination in diagnosis of lung cancer proves much superior to either techniques used alone, probably by addition of their advantageous features, and reducing the chances of their failure, thereby helping in early diagnosis of lung cancer.
Keywords: Bronchogenic carcinoma, bronchial brushing , cytology, histopathology.